Complete Pregnancy Guide · Weeks 1–40

Your Pregnancy,
Week by Week

Everything happening inside — baby's size, development milestones, and what your body is doing — for every single week of pregnancy. Written by a COPE-certified birth doula.

Updated May 2026  ·  By Erin Grealy, COPE Doula

First Trimester: Weeks 1–13

The first trimester is the most dramatic transformation in the least visible way. Your baby goes from a single fertilized cell to a fully formed human with beating heart, functioning organs, fingers, toes, and facial features — all while you may barely look pregnant. Most miscarriage risk occurs here, which is why most providers schedule early ultrasounds between weeks 8–12.

Symptoms — nausea, exhaustion, sore breasts, frequent urination — are at their worst during this trimester, usually easing around week 12–14. Don't let anyone tell you it's "just morning sickness." It's your body doing extraordinary work.

Weeks 1–13
Months 1–3
By week 12: ~2 inches
Heartbeat by week 6

Second Trimester: Weeks 14–27

The second trimester is often called the "honeymoon phase" of pregnancy — and for most people, that's genuinely earned. Nausea fades, energy returns, and the pregnancy starts becoming visible and real. You'll feel baby move for the first time (quickening), and anatomy scans around week 18–20 give you the clearest picture yet of your baby's development.

This is the best window to take a prenatal class, set up your birth plan, and enjoy pregnancy before the third trimester's physical demands arrive. Use it intentionally.

Weeks 14–27
Months 4–6
Baby by week 27: ~14 inches
First kicks around week 18–22

Third Trimester: Weeks 28–40

The third trimester is all about preparation — yours and baby's. Baby is gaining weight rapidly (about half a pound per week in the final stretch), getting into position, and maturing lung function. You'll feel more tired, more uncomfortable, and more ready than ever. That's the point.

Use this trimester to finalize your birth plan, pack your hospital bag, install the car seat, and take one last deep breath as a family of however many you currently are. Full term begins at 39 weeks. Most babies arrive between 38 and 41 weeks.

Weeks 28–40
Months 7–9
Full term at 39 weeks
Average birth weight 7–8 lbs

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Free Tools for Every Stage

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Due Date Calculator
Calculate your due date, trimester dates, and conception window from your LMP.
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Weight Tracker
Track pregnancy weight gain against IOM guidelines for your pre-pregnancy BMI.
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Kick Counter
Log fetal movements and track the Count to Ten method recommended after 28 weeks.
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Contraction Timer
Time contractions, track frequency and duration, know when to call your provider.

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Frequently Asked Questions

How do doctors calculate pregnancy weeks? +
Pregnancy is measured from the first day of your last menstrual period (LMP), not from conception. This is why weeks 1 and 2 technically occur before the egg is even fertilized. Ovulation and fertilization typically happen around week 2–3. Your due date is calculated as 40 weeks from your LMP.
When does the first trimester end? +
The first trimester ends at the end of week 13 (or 12 weeks and 6 days). At week 14, you enter the second trimester. Most miscarriage risk drops significantly after week 12, which is why many parents choose to share their news around this time.
When can I feel the baby move? +
First-time moms typically feel fetal movement (called "quickening") between weeks 18 and 25. If you've been pregnant before, you may notice it earlier — around weeks 16–18. Movements feel like flutters, bubbles, or light taps at first, becoming stronger kicks and rolls by the third trimester.
What week is considered full term? +
Full term is defined as 39–40 weeks. Early term is 37–38 weeks, late term is 41 weeks, and post-term is 42+ weeks. Babies born before 37 weeks are considered premature (preterm). Most providers aim to deliver between 39 and 40 weeks unless there are medical reasons to go earlier or later.