When exactly does the second trimester of pregnancy begin?

Tahmina Noor

Published: 17/02/2026
Updated: 17/02/2026

The second trimester or second stage of pregnancy is considered the most comfortable period of motherhood. When Does the Second Trimester Start is usually counted from the beginning of the 14th week.

According to the correct calculation of medical science, you enter the second trimester from the day after the completion of 13 weeks and 6 days, which lasts until the end of the 27th week. It is during this time that most mothers’ physical complications from the early stages of pregnancy subside and they begin to clear feel the presence of their baby.

What week does the second trimester start?

The second trimester of pregnancy is usually counte from the beginning of the 14th week. According to the correct calculation of medical science, you enter the second trimester from the day after the completion of 13 weeks and 6 days and it lasts until the end of the 27th week. This stage covers a total period of 14 weeks, which include the fourth, fifth and sixth months of pregnancy. The second trimester is called the “golden period” of motherhood, because during this time the severe fatigue and nausea of ​​the first trimester are greatly reduced and the risk of miscarriage is also dramatically reduced. At this stage, When Does the Second Trimester Start

 of the mother’s body also changes significantly as the uterus rises upwards.

The duration and characteristics of the second trimester are given below:

  • Exact time: From the first day of the 14th week to the last day of the 27th week.
  • Month calculation: It basically start from the fourth month of pregnancy and extends to the end of the sixth month.
  • Fetal development: At the beginning of this stage, the formation of the baby’s major organs is completed and it begins to grow rapidly.
  • Physical relief: As the progesterone hormone levels stabilize, the mother feels more energy or strength than before during this period.
  • Baby bump: After 14 weeks, the belly begin to become visible due to the enlargement of the uterus and the waist size increases.
  • Role of the placenta: At this time, the placenta becomes fully functional and takes over the responsibility of blood circulation and nutrition of the baby.

When Does the Second Trimester Start considered the beginning?

The first 13 weeks of pregnancy are called the “Embryonic and Early Fetal Period”, where the primary structures of all the major organs of the baby are formed from a single cell. The main reason for considering the 14th week as the beginning is that during this time, the most risky early stage of the baby’s life ends and the placenta or womb becomes fully functional and takes over the responsibility of the baby. In medicine, pregnancy is divided into three equal parts, each part lasting about 13 to 14 weeks. From the 14th week, the process of increasing the size and function of the baby’s organs begins, which is called the “Growth and Maturation Phase”. In addition, during this time, the intensity of hormones in the mother’s body stabilizes, as a result of which the symptoms of the first trimester go away and a new and relatively safe chapter of pregnancy begin.

The main reasons for considering the fourteenth week as the starting milestone of the second trimester are:

  • Completion of organ formation: By the end of the 13th week, the baby’s heart, kidneys, liver, and lungs are complete; from the 14th week, they only start to grow.
  • Placental regulation: Earlier, the mother’s ovaries provided hormones for the baby’s nutrition, but from the 14th week, the placenta itself starts providing all the hormones and nutrients.
  • Reduced risk of miscarriage: Statistics show that the risk of miscarriage decreases by about 65-80% after the 13th week, which is a sign of safe stability.
  • Hormonal changes: The level of hCG hormone starts to decrease during this period, due to which the mother’s nausea and fatigue decrease and physical comfort return.
  • External changes: From this week, the uterus rises from the pelvic area to the abdomen, which makes the pregnancy externally visible.

What changes happen to your body when the second trimester begins

The beginning ofWhen Does the Second Trimester Start means that your body has entered the most stable and comfortable stage of pregnancy. During this time, the instability of the first trimester begins to decrease as hormone levels return to normal. The most visible change is the position of your uterus; it now rises up from your pelvis and moves to the middle of your abdomen. As a result, your “baby bump” or belly size increases and your normal clothes start to feel tight. Since blood circulation in the body increases by about 50% during this time, your heart rate may increase slightly and your skin may have a special glow or “pregnancy glow”. This is basically a stage of the body’s preparation for the rapid growth of the baby.

Major physical changes at the beginning of the second trimester:

  • Increased physical strength: You will feel much fresher and more active than before as the effects of the progesterone hormone become tolerable.
  • Morning sickness goes away: In most mothers, nausea and aversion to food completely go away after 14 weeks.
  • Abdominal distension: As the uterus rises towards the navel, the abdomen begins to round and the skin of the abdomen may feel slightly tight or itchy.
  • Breast changes: The size of the breasts increases and the area around the nipple (areola) becomes darker than before.
  • Ligament tension: Due to the enlargement of the uterus, there may be occasional mild pain or “round ligament pain” in the lower abdomen or on both sides.
  • Skin pigmentation: Due to the influence of hormone a black line (Linea Nigra) may become evident in the middle of the abdomen and light dark spots may appear on the face.
  • Nose and gum sensitivity: Due to increased blood flow in the body the tendency to have a blocked nose or slight bleeding from the gums while brushing may increase.

How the baby develops during this period

When Does the Second Trimester Start is the main period of rapid growth and maturation of the baby’s organs. At the beginning of this stage, the baby is the size of a large lemon, and by the end, it is almost the size of a large cauliflower. It is during this period that the baby’s bones begin to harden and he learns to move his arms and legs, which the mother can feel. The most amazing thing is that during this stage, the baby’s nervous system and brain develop so rapidly that he can now hear external sounds and react to light. A protective layer is formed on his skin and he develops a regular routine of sleeping and waking up in the mother’s womb. This is basically the transition period from a tiny fetus to a full-fledged newborn.

The main stages of baby development in the second trimester are given below:

  • Development of sensory powers: Between 18 and 20 weeks, the baby begins to hear. He can recognize the mother’s heartbeat, the sound of blood circulation and even the voices of outside people.
  • Vernix and Lanugo: A waxy white coating (vernix) and very fine hair (lanugo) grow on the baby’s body to protect the baby’s skin.
  • Fingerprints and Nails: The baby’s fingers develop unique fingerprints and small nails begin to grow on the tips of the fingers.
  • Movement and Kicking: Around 20 weeks, the baby begins to move its arms and legs, which is medically called ‘quickening’.
  • Eyes and Eyelids: Towards the end of this period (around 26 weeks), the baby opens its eyelids for the first time and can distinguish between light and dark.
  • Urine and Lungs: The baby now regularly swallows amniotic fluid and excretes it as urine. Its lungs begin to practice breathing.

Emotional changes

When Does the Second Trimester Start is often called the “honeymoon period” of pregnancy, as the sudden fluctuations in hormone stabilize during this time. The anxiety, fear, or depression that was present in the first trimester is replaced by confidence and calmness. A deep maternal affection and connection is created in the mother from the moment the baby first moves and sees its shape on the ultrasound. However, as the uterus grows, there may be some hesitation about one’s appearance or mild anxiety about the upcoming responsibilities. Overall, this period is a wonderful time for mental preparation and forging the first bond with the life growing inside her.

Common emotional states of mothers in the second trimester:

  • Feeling relaxed: Mothers feel much more relaxed mentally as the risky period of the first three months is over and the fear of miscarriage has subsided.
  • Bonding: After feeling the baby’s kicks or movement the matter seems real to the mother which creates deep love and affection for the baby.
  • Body image anxiety: Due to rapid weight gain and changing belly size, some may feel a little depressed or lack confidence in their own beauty.
  • Nesting tendency: The mother begins to mentally prepare herself for the upcoming arrival by organizing the baby’s room, deciding on a name, or shopping.
  • Pregnancy brain: Sometimes, due to hormones it can be difficult to forget small things or concentrate on work.
  • Bright mood: As physical discomfort decreases and energy is restored, the mind is cheerful most of the time and a bright mental state is maintained.

How to take care of yourself in the second trimester

The second trimester is the most comfortable time of pregnancy, so you should take this opportunity to prepare your body for the next stage. During this time, there is no alternative to nutritious food for the rapid development of the baby’s bones and brain. It is especially essential to include foods rich in calcium, iron and folic acid in your diet. Since your belly has started to grow now, special care is required in sleeping posture and movement. Sleeping on your left side should be your regular habit from now on, as it improves the baby’s blood circulation. Apart from this, light exercise and adequate rest should be a part of your daily routine to maintain mental peace and physical strength.

Follow the following points to take proper care of yourself in the second trimester:

  • Balanced diet: Include plenty of protein (lentils, eggs, fish), calcium (milk, cheese) and iron-rich foods (bananas, spinach) in your daily menu.
  • Sleeping on Left Side: This position provides the best blood flow to the uterus and placenta; you can use a pillow between your legs for comfort.
  • Drink plenty of water: Drink at least 8-10 glasses of water a day to keep your body hydrated and avoid constipation and urinary tract infections.
  • Skin care and moisturizing: Stretch marks or itching may occur due to the stretching of the skin on your abdomen, so use coconut oil or a good moisturizer regularly.
  • Light physical activity: Walk for 20-30 minutes every day with your doctor’s permission; this keeps your blood circulation in the body good and helps in preparing for labor.
  • Comfortable clothing and shoes: Wear loose cotton clothing and flat shoes to maintain your balance and reduce the risk of foot pain.
  • Dental care: During this time, the tendency of bleeding gums increases so brush your teeth regular twice a day with a soft brush and consult a dentist.

When to be careful

Although the second trimester is generally safe, some physical symptoms should not be ignored. The body is very sensitive at this stage of pregnancy, so even minor changes should be taken seriously. Especially if you notice vaginal bleeding, severe abdominal pain or any abnormalities in the baby’s movements, you should consult a doctor without delay. During this time, many mothers cannot distinguish between “Braxton Hicks” or mild contractions and real labor pains, which are important to catch in time. In addition, high blood pressure or chronic headaches can be a sign of pre-eclampsia, which is dangerous for both mother and baby.

If the following symptoms occur, it is necessary to be alert and contact a doctor immediately:

  • Vaginal bleeding or fluid discharge: Slight bleeding (spotting) or sudden discharge of watery fluid can be a sign of premature labor or other complications.
  • Severe abdominal pain or cramps: It is not normal to have continuous severe pain in the lower abdomen or severe cramps like a period.
  • Decreased baby’s movement: Usually, the baby’s movement can be felt after 20-22 weeks. If the baby’s movement suddenly decreases a lot or seem to stop completely, it is important to get checked immediately.
  • Excessive swelling and headache: Sudden excessive swelling of the face, hands or feet along with severe headache or blurred vision can be a sign of high blood pressure.
  • Severe fever and chills: A fever of more than 100.4 degrees Fahrenheit or accompanied by chills indicates an infection in the body.
  • Continuous vomiting and weight loss: If vomiting does not stop even in the second trimester and you cannot eat anything, dehydration may occur in the body.
  • Itching: Severe itching on the palms of the hands and soles can be a sign of liver problems or ‘cholestasis’.

How much belly is visible when the second trimester begins

From the beginning of the second trimester, your uterus is no longer confined to the pelvis; it begins to expand and rise towards the navel. Usually, between 16 and 20 weeks, most mothers begin to clearly see their belly or “baby bump”. However, this can vary from person to person – for first-time mothers, it may take a while for the belly to become visible (around 20 weeks). On the other hand, in the case of second or third pregnancies, the stomach muscles are already relaxed, so the belly becomes quite visible by 14-15 weeks. At this time, the uterus is about the size of a large orange or small watermelon, which makes your physical appearance more pronounced.

The size or visibility of the belly in the second trimester depends on the following factors:

  • The mother’s height and body type: In tall mothers, the belly may be felt later as the uterus has room to grow upwards but in short mothers, the belly becomes visible towards the front quickly.
  • Muscle tone: If your abdominal muscles are very tight or tense, it may take a little longer for the baby bump to become visible.
  • Body weight: The visibility of the belly may also be earlier or later, depending on how much the mother weighed before pregnancy.
  • Position of the uterus: If the uterus is tilted more towards the front wall of the abdomen (anteverted uterus), the belly can be felt faster.
  • Number of fetuses: If you are carrying twins or more, the belly will naturally be much more visible as early as 14 weeks.
  • Clothing style: While loose clothing may make the belly less noticeable at the beginning of the second trimester, changes become noticeable after 16 weeks in cotton or fitted clothing.

Which tests are important when the second trimester begins?

Stepping into the second trimester means a time of meticulous monitoring of every organ of the baby and the mother’s internal health. The most integral test at this stage is the Anomaly Scan, which is usually done between 18 and 22 weeks. This scan ensures that the baby’s heart, brain, spine and other organs are properly formed. In addition, checking the mother’s blood sugar levels is essential at this time, because many mothers are diagnosed with ‘gestational diabetes’ or polyuria during pregnancy between 24 and 28 weeks. Regular blood pressure tests and urine tests can detect pregnancy complications such as pre-eclampsia or infection early. These tests play an important role in keeping your pregnancy safe and maintaining peace of mind.

The list of main tests in the second trimester is given below:

  • Anomaly Scan: This is a detailed ultrasound that check the baby’s physical structure and the position of the placenta.
  • Glucose Challenge Test (GCT/OGTT): This is done at 24-28 weeks to check for high blood sugar level or diabetes in the mother.
  • Blood Pressure and Weight Measurement: High blood pressure and abnormal weight gain are monitored at each visit.
  • Routine Examination: Pre-eclampsia is diagnosed by looking for the presence of protein or albumin in the urine.
  • Hemoglobin Level Check: A CBC test is done to confirm whether the mother has anemia or anemia.
  • Quadruple Screen: This blood test can be done at 15-20 weeks to understand if there is a risk of any specific genetic problem or Down syndrome.

Conclusion

The second trimester of pregnancy is a wonderful juncture in the life of the mother and the baby, where fear and anxiety are overcome and a sense of complete peace begins. These 14 weeks not only give you physical comfort, but also give you the opportunity to talk to your unborn child for the first time in a heartbeat. By eating right, having regular health check-ups, and taking care of your mental health, you can pave the way for a healthy delivery. Remember, every conscious step you take during this time is creating a beautiful and strong foundation for your baby’s future. Celebrate these golden moments of motherhood with full joy and confidence, because your health is the first gift to your child.

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pelvic pain third trimester

Pelvic pain third trimester causes and best natural remedies for pregnant mothers

“Pelvic pain third trimester” is a very common issue for pregnant women, but simple steps and exercises can provide quick relief naturally.

The last three months of pregnancy or the third trimester is a special time of joy for every mother. 

pelvic pain third trimester

However, along with this joy, some new problems also start to appear in the body. Especially towards the end, many mothers and sisters start experiencing a kind of heavy and uncomfortable pain around the waist, lower abdomen and groin.

Many mothers and sisters in the village consider this problem normal and tolerate it with their mouths closed. But if you are a little aware and follow some simple rules, this pain can be reduced to a great extent. If the mother’s body is healthy, the baby in the womb will also be healthy, so it is most important to take care of yourself in these last days.

What is the real cause of pelvic or lower abdominal pain in the last three months? 

By the end of pregnancy, the uterus of mothers becomes very large. As a result, it is very normal to have pressure on the lower abdomen. However, some specific physical changes are behind the severe pain or biting sensation that occurs in the joints of the lower abdomen during this time.

Many mothers want to know from us, why did you suddenly start having so much pain in your waist and groin at this time? 

The main reason for this is that Allah Almighty has created our body in such a way that the mother’s path is easy during childbirth. And for this reason, some of the veins and bone joints inside the body start to soften.

The effect of the relaxin hormone and changes in the body’s balance 

During pregnancy, a special hormone or juice called relaxin is produced in the mother’s body. The function of this hormone is to loosen and soften the bone joints of the pelvic region, i.e. the lower part of the waist.

Many mothers feel that “pelvic pain third trimester” is shifting or increasing when they try to walk or sit.

Because these bones are soft, mothers feel severe pain while walking or moving around in bed.

Baby weight gain and extra pressure on the uterus

In the last three months, the baby in the womb starts to grow very quickly and its weight increases. As the baby slowly starts to descend, the entire pressure of its head falls on the mother’s pelvis or pelvic bones.

Pregnancy changes the whole body structure and “pelvic pain third trimester” develops mainly due to this heavy pressure on the pelvic floor.

Because of this extra weight, mothers find it very difficult to sit, stand or even walk a little.

Pubic symphysis dysfunction or SPD

This is a major cause of pelvic pain. The place where the bones on both sides of our abdomen meet is called the pubic symphysis. If this joint becomes too loose during pregnancy, even moving your legs slightly can cause a stabbing pain in the groin.

Round ligament strain or muscle spasm  

As the uterus grows, the ligaments that hold the abdomen in place put extra strain. Especially when you get up suddenly from bed or cough, you may experience a whip-like pain on one side of your lower abdomen.

What mistakes do village mothers make at home during this pain? 

There is a trend in our village that whenever pregnant mothers experience any pain, they are told, ‘It’s nothing, just bear it.’ Many times, mothers massage or apply heat incorrectly to reduce pain, which can cause harm to the unborn child.

Another big mistake is that many mothers lie in bed all day due to pain. If they do not move at all, the blood circulation in the body decreases and the muscles become stiffer. As a result, the pain increases many times more than it decreases.

Standing continuously or lifting heavy objects 

Village mothers have to do a lot of household work, such as fetching water, threshing rice or lifting heavy buckets. At this late stage, bending down suddenly or lifting something heavy can cause serious injury to the pelvic bone joints.

Expert doctors state that “pelvic pain third trimester” worsens instantly when a pregnant woman lifts any heavy object.

So you should stay away from any heavy work during this time.

Wrong sleeping and sitting habits

Many people sleep on their backs or sit hunched over while sitting. When you sleep on your back, the entire weight of the uterus falls on the large blood vessels in the back, which also prevents the baby from getting oxygen.

You must avoid wrong sitting postures because “pelvic pain third trimester” can be reduced simply by maintaining a straight back.

While sitting, you should always sit upright with a soft pillow or cushion behind your back.

Simple household chores and rulesHow to do them and their benefits
Sleeping on your backSleeping on your left side with a soft pillow between your legs reduces pressure on your bones.
Warm compressApplying a warm water bag to the back of the waist or lower abdomen for 10 minutes can provide relief.
Pelvic Support BeltSpecial belts are available in the market for pregnant mothers, which help to hold the extra weight of the abdomen.

Light exercise and ways to strengthen the muscles of the pelvic area

In the last days, it is better to take a light walk inside the house without lying down at all. In addition, ‘Kegel exercise’ or pelvic floor exercise is very beneficial for this pain. 

You have to hold the lower muscles for 5 seconds as if you are holding back urine and then release them. Doing this several times a day strengthens the muscles in that area.

Discover more here: Dizziness in pregnancy second trimester

Using the right shoes and rules for climbing stairs

At this time, heels or high shoes should not be worn. You should wear very soft and even shoes. You should take your feet one by one very carefully while climbing stairs. 

If you follow these daily movement tips carefully, “pelvic pain third trimester” will remain under control naturally. There should be no rush.

When will you understand that this pain is not normal and you should go to the doctor?

In the last three months of pregnancy, not all pains can be cured with simple or home remedies. Sometimes, there may be signs of a major danger hidden behind this pelvic pain, which our village mothers often do not understand.

So, doesn’t the question arise in your mind that when will I understand whether this pain is causing any harm to the baby? 

Yes, if the pain is accompanied by shivering and fever, or there is a severe burning sensation and foul odor during urination, then you should understand that there is an infection inside.

Signs of premature labor pain or preterm labor

If you feel that there is a specific time or rhythm of the pain—for example, the lower abdomen tightens and hurts every 10 minutes and the waist is pinching from the back, then this may be a sign of labor pain.

Regular physical checking is essential because “pelvic pain third trimester” could sometimes blend with early labor contractions.

Neglecting this condition can lead to premature birth, which is very risky for the baby.

Signs of bleeding or water breaking

If a small amount of blood is seen with severe pain in the lower abdomen or groin, or if the water suddenly starts leaking through the vagina or breaking in large quantities at once, then you should not stay at home for even a second.

Medical emergency arises if “pelvic pain third trimester” is accompanied by any kind of vaginal bleeding.

This can be a sign of the placenta or the placenta becoming loose.

Sudden decrease in baby’s movements-

If the normal movements of the baby in the stomach (at least 10-12 times a day) suddenly decrease or seem to stop altogether along with the intensity of the pain, then it is a sign of lack of oxygen in the baby.

Excessive headache and body swelling – 

If the pain is accompanied by sudden blurring of vision, severe headache, and excessive swelling of the hands, feet, and face, then it is a major symptom of eclampsia or high blood pressure.

Responsibilities of family members during this difficult time of pregnancy and some important advice

The family has the most important role in relieving the physical pain of the pregnant mother. Especially the men of the house and the mothers-in-law should be extra careful towards the mothers during this time. If the mother is in a good mood and free from worries, many physical pains can be easily tolerated.

For your convenience, the things that the family members can do for the well-being of a mother are summarized in points below:

  • Comfort: The mother should be kept completely away from difficult tasks like lifting heavy buckets, folding clothes or bending down to wipe the house.
  • Food: Calcium and vitamin-rich foods such as milk, eggs, small fish and enough vegetables should be included in the daily diet.
  • Rest: After cooking in the afternoon, arrangements should be made so that the mother can sleep peacefully for at least two hours and at least eight hours at night.
  • Mentality: The mother should always be treated well and courage and mental strength should be provided to overcome the fear of childbirth.

How village mothers should prepare for the days of delivery in advance

In the last three months, when the pain in the waist and lower abdomen indicates that the time of the baby’s arrival is approaching, it is good to make some preparations from then on. If there is a sudden problem at night in the village, it is difficult to get a car or a doctor.

So, you should get a good midwife or midwife and the hospital number in case of emergency.

If you plan your hospital journey in advance, “pelvic pain third trimester” won’t cause extra mental panic during delivery.

It would be wise to make arrangements for a blood donor in advance, according to your money and blood group.

Some special advice from an experienced doctor that mothers need to know

Sometimes, mothers are afraid to go to the doctor or do not open up about their pain out of shame. But if you follow the doctor’s advice, this last period can be very relaxing.

Doctors always say, never sit with one leg on the other during this time.

Clinical reports show that “pelvic pain third trimester” can be greatly reduced by resting your feet flat on the floor while sitting. When getting out of bed, always tilt to one side first, then slowly rise up on your hands. Standing up suddenly can cause severe tension in the abdominal muscles.

Conclusion

The pelvic or lower abdominal pain of the last three months of pregnancy or the third trimester is a familiar experience for every expectant mother. This is mainly due to the changes in hormones inside the body and the weight gain of the fetus. 

The ordinary and simple mothers and sisters of our village often endure this pain silently, which is not right at all. A little awareness, following the correct rules of lying down, light Kegel exercises and a little extra love and support from family members can make these difficult days much easier and happier. 

However, if any symptoms like water breaking, blood appearing or the baby’s movements decreasing appear outside of the normal pain, then you cannot sit at home hoping for any poetic treatment or cure. In that situation, you should quickly take the child to a government hospital or an experienced doctor. Only if the mother is healthy will our future children see the light of day in a healthy way. Therefore, it is our responsibility to pay maximum attention to the body of every mother in these last days.

FAQ – Some common questions and answers

1. Is this stabbing pain in the lower abdomen normal in the last three months of pregnancy?

 Yes, it is completely normal. This pain occurs due to the baby’s weight gain and the softening of the bone joints.

2. Can any ointment or balm be massaged for the pain?

No, you should never massage the abdomen or waist with any intense heat or forcefully in the wrong way.

3. What is the safest home remedy to reduce groin pain?

 It is safest to put a soft pillow between your legs while sleeping and apply a warm water bag to your waist.

4. What type of shoes is best to wear during this time? 

Avoid high heels or hard shoes and wear soft, flat or even shoes.

5. If the pain is too much, can you take painkillers from the pharmacy on your own? 

Absolutely not, taking any kind of painkillers without a doctor’s advice can cause great harm to the baby.

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