22 Weeks pregnant: Fetal development, body changes, and key insights

An illustration of a uterus and a fetus the size of a papaya representing 22 weeks pregnant.

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Created with Natasha Lowe Osho, MD, Obstetrician-Gynecologist, USA

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In a nutshell

At 22 weeks pregnant, your baby about the size of a papaya is practicing movements, developing senses like touch sensitivity and hearing, and growing stronger. You may notice a more prominent bump, along with increased energy or occasional backaches as your body adjusts.

At 22 weeks pregnant, you’re over halfway through your pregnancy journey, and your baby is growing rapidly. For you, this week brings noticeable changes in your belly, increased movements, and perhaps new symptoms as your body adapts to support your baby. Let’s explore what’s happening in week 22, including fetal growth, symptoms, and helpful advice to navigate this stage with confidence.

Watch your baby’s development in stunning 3D

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22 weeks pregnant symptoms

Here are the most common symptoms women experience at 22 weeks:

  • Increased movements: Baby’s kicks and rolls known as quickening become more frequent and stronger, often felt after meals or in the evening.
  • Stretch marks: These may become more noticeable on your belly, breasts, or thighs as your skin stretches.
  • Back pain: Added weight and a growing uterus can strain your lower back.
  • Braxton Hicks contractions: Some women feel mild, irregular contractions as their body prepares for labor.
  • Swelling (Edema): Mild swelling in your feet or ankles is common due to increased blood volume and fluid retention.

👉Find out more: What to know at 21 weeks pregnant: Symptoms & baby size

Your body at 22 weeks pregnant

At week 22, your uterus is expanding above your belly button, creating a more defined bump. Hormonal changes, combined with increased blood volume, may contribute to swelling or nasal congestion. Maintaining good posture and staying hydrated can help ease discomfort.  Using a pregnancy weight gain calculator can help you monitor healthy weight gain. Your baby’s movements may feel more distinct, especially after meals or when you’re relaxing, making this an exciting time for bonding.

22-week pregnant belly

Your belly at 22 weeks is likely more rounded and prominent, reflecting your baby’s growth. Maternity clothes may feel more comfortable as your uterus continues to grow upward, shifting your center of gravity and affecting your posture.

Baby development at 22 weeks of pregnancy

At 22 weeks, your baby is practicing essential movements like gripping, swallowing, and responding to external stimuli. Their facial features are becoming more distinct, and their sense of touch is developing rapidly. They can now respond to light and sound, so talking or playing soft music can help strengthen your bond. The baby’s digestive system is maturing, and they’re swallowing small amounts of amniotic fluid to prepare for life outside the womb.

22-week baby size

The 22-week fetus size is approximately 11 inches long and weighs around 15 ounces—about the size of a papaya. This week marks significant growth as the baby’s body becomes more proportionate.

22-week ultrasound

A 22-week ultrasound provides a detailed look at your baby’s growth and movements. During this scan, you can see your baby’s face, hands, and feet, as well as their position in the womb. If you had an anatomy scan recently, this ultrasound might be a follow-up to ensure continued development.

What is my baby doing at 22 weeks in the womb?

At 22 weeks, your baby is practicing movements like kicking, stretching, and even hiccuping. These activities help develop their muscles and prepare them for life outside the womb.

Tests to expect at 22 weeks pregnant

At this stage, regular checkups and specific tests help monitor your health and your baby’s development. Here’s what you can expect:

  1. Routine checkups:
    • Blood pressure: Monitored to detect potential signs of preeclampsia.
    • Urine tests: Screened for protein levels (preeclampsia risk) and glucose (gestational diabetes risk).
  2. Follow-up ultrasounds (as needed): A follow-up scan may check the baby’s position, growth, or placenta health if concerns were noted during the anatomy scan.
  3. Fundal height measurement: Your healthcare provider may measure the distance from your pubic bone to the top of your uterus to assess fetal growth.
  4. Glucose screening preparation: Your doctor may discuss the glucose tolerance test, typically scheduled between 24 and 28 weeks, to check for gestational diabetes.

👉Find out more: 

What to expect at 23 weeks pregnant: Baby size & movements

24 Weeks pregnant: From tiny kicks to big developments

Expert advice: These routine tests and measurements are essential for ensuring your baby is developing well and that your health is optimal. Discuss any concerns with your provider and stay informed about upcoming screenings.

Health tips and self-care at 22 weeks pregnant

  • Stay hydrated: Drinking plenty of water helps manage swelling and supports your growing blood volume.
  • Practice good posture: As your belly grows, maintaining good posture can reduce back pain.
  • Gentle exercise: Activities like walking, swimming, or prenatal yoga can help relieve discomfort and improve circulation.
  • Moisturize daily: Using pregnancy-safe moisturizers can help reduce the itchiness caused by stretching skin.
Watch your baby’s development in stunning 3D

Get personalized insights every step of the way with the Femia mobile app

Questions from the Femia community

  • What libido changes should I expect?

    Hormonal changes during pregnancy can increase or decrease your libido. These fluctuations are normal, and communication with your partner about comfort and preferences is key.

  • I'm considering a home birth. Is it dangerous for me and my baby?

    Home births can be safe for low-risk pregnancies with a trained midwife. However, it’s important to have a clear plan for emergencies and access to a hospital if needed.

  • How can I manage back pain?

    Use supportive pillows while sleeping, maintain good posture, and engage in gentle stretching or prenatal yoga to relieve back discomfort.

The bottom line

At 22 weeks pregnant, your baby is growing rapidly, practicing movements, and developing key senses. Your bump is more prominent, and symptoms like back pain or swelling may arise. Focus on hydration, balanced nutrition, and regular prenatal care to support your health and enjoy this exciting stage.

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