Navigating week 26: Baby’s Growth, symptoms, and expert tips

An illustration of a uterus and a fetus the size of a green onion representing 26 weeks pregnant.
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Created with Hector Chapa, MD, FACOG, Clinical Assistant Professor of Obstetrics and Gynecology, USA

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In a nutshell

At 26 weeks pregnant, your baby is growing stronger and practicing essential movements.  Weighing nearly 2 pounds, your baby’s brain and lungs are starting to mature, preparing for life outside the womb. You may notice a larger bump, increased symptoms, and the need for self-care as you prepare for the final trimester.

Welcome to week 26 of your pregnancy! At this stage, your baby is growing rapidly, developing vital organs, and practicing movements like kicking and stretching. For moms-to-be, symptoms like back pain, swelling, and Braxton Hicks contractions may become more noticeable. Let’s explore what’s happening with your baby and body this week and provide tips to navigate the journey smoothly.

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26 Weeks pregnant symptoms

Here are common symptoms to expect during week 26 of pregnancy:

  • Braxton Hicks contractions: Irregular, painless contractions may become more noticeable as your uterus practices for labor.
  • Back pain: The growing bump and shifting center of gravity can strain your lower back.
  • Swelling (edema): Fluid retention may cause mild swelling in your feet, hands, or ankles.
  • Heartburn: Hormonal changes and the baby pressing on your stomach may lead to discomfort.
  • Fatigue: As your body works harder to support your baby, you may feel more tired than usual.

👉Find out more: 25 Weeks pregnant: How your baby’s growing and what you should know

26 Weeks pregnant: Symptoms not to ignore

  • Severe swelling: Sudden or extreme swelling, especially in the face or hands, may indicate preeclampsia.
  • Painful contractions: Regular, painful contractions could be a sign of preterm labor.
  • Reduced baby movements: If you notice fewer baby movements, contact your healthcare provider immediately.

Your body at 26 weeks pregnant

At 26 weeks, your body is working hard to support your baby’s rapid growth. Your uterus is about 2.5 inches above your belly button, and your bump is becoming more prominent. You might experience some discomfort, such as backaches or Braxton Hicks contractions, as your body prepares for the final trimester. Weight gain at this stage is typically between 16-22 pounds, depending on your pre-pregnancy weight and health.

26-week pregnant belly

Your belly at 26 weeks is likely larger and rounder, and you may feel increased pressure on your lower abdomen. Maternity clothes are a must at this stage to keep you comfortable as your bump continues to grow.

Baby development at 26 weeks of pregnancy

At 26 weeks, your baby’s brain is undergoing major growth, developing more complex neural connections. Their lungs are starting to mature, and they’re beginning to practice breathing movements. Your baby can now detect sounds, such as your voice or music, and respond to external stimuli. They’re also adding fat under their skin, which helps regulate body temperature after birth.

26 weeks baby size

The 26-week fetus size is approximately 14 inches long and weighs about 1.7-2 pounds, comparable to the size of a green onion. This week is marked by steady growth and strength building.

26-week ultrasound

A 26-week ultrasound may provide a detailed look at your baby’s development, including their heart, lungs, and facial features. If you haven’t had a recent scan, this might be a follow-up to check your baby’s size, position, and overall health.

26-week preemie

Babies born at 26 weeks, though premature, have a survival rate from 40.6% to 64.2%  with proper medical care. According to the American College of Obstetricians and Gynecologists (ACOG), a periviable birth is defined as occurring between 20 0/7 and 25 6/7 weeks of gestation. A baby born at this gestational age still faces significant risks of complications and prolonged hospitalizations.

Each additional week of pregnancy during this critical period provides a survival benefit and helps reduce the length of a preemie’s hospitalization.

If you are expected to deliver between 24 and 34 weeks of pregnancy, it is standard practice to administer a medication called antenatal corticosteroids while you are still pregnant. This medication helps prepare your baby’s lungs for life outside the womb and reduces the risk of other preemie complications. It is typically only given when delivery is anticipated within this gestational range

👉Find out more: 

27 Weeks pregnant: Baby’s growth, symptoms, and tips for the third trimester

28 Weeks pregnant: Entering the third trimester with key insights

Tests to expect at 26 weeks pregnant

At 26 weeks pregnant, your healthcare provider will focus on monitoring your health and your baby’s growth with the following tests:

  • Glucose tolerance test (GTT): This test screens for gestational diabetes and may be done anytime between 24 and 28 weeks, with 26 weeks being the average time. You’ll drink a sugary liquid, and your blood will be drawn to measure how your body processes glucose. If results are abnormal, additional testing may be needed.
  • Blood pressure monitoring: Regular checks help detect high blood pressure or early signs of preeclampsia, ensuring both you and your baby are safe.
  • Fetal heartbeat and movements: Your provider will listen to your baby’s heartbeat using a Doppler device and may ask about movement patterns to ensure your baby is active and developing as expected.
  • Urine test: A urine sample will be checked for protein (a sign of preeclampsia), helping identify potential complications early.
  • Blood tests (if needed): Additional blood work may be performed to check for anemia or monitor iron levels, which are important for maintaining your energy and supporting your baby’s oxygen supply.
  • Ultrasound (if recommended): If there are concerns about growth, position, or amniotic fluid levels, your doctor may suggest a follow-up ultrasound to ensure your baby is progressing normally.

These routine checks at 26 weeks are essential to ensure both you and your baby remain healthy as you approach the third trimester. Be sure to bring up any concerns or changes you’ve noticed with your provider.

Health tips and self-care at 26 weeks pregnant

  • Stay hydrated: Drink plenty of water to support your body’s increased blood volume and reduce swelling.
  • Practice good posture: Use a support pillow or lumbar cushion to alleviate back pain.
  • Rest and elevate: Elevate your feet when sitting to reduce swelling and improve circulation.
  • Eat small meals: Combat heartburn by eating smaller, more frequent meals and avoiding spicy or fatty foods.
Take control of your pregnancy journey!

Track your symptoms with Femia and get tailored

health advice right on your phone

Try Femia now

Questions from the Femia community

  • How to navigate nesting urges and relationships?

    Nesting is a natural instinct to prepare for your baby’s arrival, but it’s important to balance it with rest and open communication. Discuss your nesting plans with your partner to involve them and share tasks, ensuring it doesn’t strain your relationships.

  • How do I select a hospital?

    Consider factors like proximity, facilities (e.g., neonatal care), reviews, and your provider’s affiliation. Tour potential hospitals to understand their policies on labor, delivery, and postpartum care. Discuss your preferences and birth plan with your doctor.

  • Is swelling normal at 26 weeks?

    Mild swelling in the feet and ankles is common, but sudden or severe swelling, especially in the face or hands, should be reported to your doctor as it may indicate preeclampsia.

The bottom line

At 26 weeks pregnant, your baby is growing rapidly, practicing breathing, and responding to sounds. Your body is adapting with a larger bump and new symptoms, like Braxton Hicks contractions or mild swelling. Focus on hydration, rest, and preparation as you near the third trimester.

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