top of page
Writer's pictureSugar Land OBGYN

The Second Trimester: What to Expect



Congratulations, you've made it to the second trimester! This is often referred to as the "golden trimester" because many women feel their best during this time. In this blog, we'll cover what you can expect during the second trimester, including physical changes, fetal development, and common questions and concerns.


Physical Changes

During the second trimester, you'll likely notice some changes in your body, including:

  • Growing belly: as your uterus continues to expand, you'll begin to show more and may need to switch to maternity clothes

  • Increased energy: many women experience a surge in energy during the second trimester and may feel more motivated to exercise or tackle projects

  • Skin changes: some women experience changes in their skin, including darkening of the nipples and a "pregnancy mask" of darkened skin on the face

  • Stretch marks: as your skin stretches to accommodate your growing baby, you may notice stretch marks on your belly, breasts, or thighs

  • Back pain: as your center of gravity shifts, you may experience back pain or discomfort

  • Braxton Hicks contractions: these "practice" contractions are common in the second trimester and are usually nothing to worry about

Can I still have sex during the second trimester?

Yes, sex is generally safe and healthy during pregnancy, as long as you're comfortable and your healthcare provider hasn't advised against it. However, some women may experience changes in their libido or discomfort due to physical changes, so it's important to communicate with your partner and listen to your body.


Fetal Development

During the second trimester, your baby will experience significant growth and development. Some key milestones include:

  • Fetal movement: around 18-20 weeks, you'll begin to feel your baby's movements, which may feel like flutters or kicks

  • Hearing: by 24 weeks, your baby's ears are developed enough to hear sounds outside the womb

  • Brain development: your baby's brain is growing rapidly during the second trimester, laying the foundation for future learning and development

  • Gender reveal: if you choose to find out, you'll likely be able to learn your baby's gender during the second trimester ultrasound

How much weight should I gain during the second trimester?

The amount of weight you should gain during pregnancy depends on your pre-pregnancy weight and other factors, like your height and body type. In general, most women are advised to gain between 1-2 pounds per week during the second trimester. However, it's important to talk to your healthcare provider about your individual needs and goals.


Common Concerns

While the second trimester is often a time of relative comfort and ease, there are still some common concerns that may arise, including:

  • Gestational diabetes: some women develop high blood sugar during pregnancy, which can be managed with dietary changes and monitoring

  • Preeclampsia: a potentially serious condition that can develop in the second half of pregnancy, characterized by high blood pressure and protein in the urine

  • Anemia: a condition characterized by low levels of red blood cells, which can be managed with iron supplements and dietary changes

  • Preterm labor: labor that begins before 37 weeks, which may require medical intervention to prevent complications

How often should I see my healthcare provider during the second trimester?

Most women are advised to see their healthcare provider every 4 weeks during the second trimester, unless they have specific medical concerns that require more frequent visits.


The second trimester of pregnancy is an exciting time of growth and development for both you and your baby. While there may be some physical changes and common concerns, many women feel their best during this trimester. It's important to stay in communication with your healthcare provider and listen to your body as you continue on this journey.


As always, if you have any concerns or questions about your pregnancy, don't hesitate to reach out to our team for guidance and support.

110 views

Recent Posts

See All
bottom of page