
You’re now 24 weeks pregnant, and the changes are becoming more visible both externally and internally. You are officially six months pregnant and heading towards the final stretch of your second trimester. At this point, many mothers feel the weight of pregnancy both physically and emotionally. Though exciting, it also presents challenges that require patience, preparation, and self-care.
As your body works overtime to nurture your growing baby, you may begin to feel more tired, and discomforts such as leg cramps, back pain, and swelling may become more frequent. These issues are completely natural at this point in pregnancy. But understanding the developments happening to both you and your baby can ease anxiety and help you embrace this important stage of your journey.
Common Symptoms at 24 Weeks Pregnant

Braxton Hicks Contractions
Braxton Hicks contractions are common by the 24th week of pregnancy. They’re sometimes referred to as “false labor” contractions and occur when the uterus tightens and relaxes in preparation for the real thing. These contractions are usually irregular, painless, and may subside when you change positions or hydrate. However, if you notice frequent, painful, or regular contractions, reach out to your doctor as these could be signs of preterm labor.
Leg Cramps and Swollen Ankles
You may experience leg cramps, especially during the night. These are often due to increased pressure on the nerves and blood vessels in your legs, or dehydration. Gentle stretching before bed and staying hydrated can help relieve or prevent them. Additionally, swollen ankles and feet are caused by water retention and the growing uterus pressing on veins. Elevating your feet throughout the day and wearing comfortable shoes with good support can provide relief.
Round Ligament Pain and Backaches
As your uterus expands, the ligaments supporting it stretch and can cause sharp or dull pains in your lower abdomen. This is called round ligament pain and is generally harmless but uncomfortable. Your center of gravity is also shifting, leading to postural changes that can contribute to lower back pain. A pregnancy support belt, prenatal yoga, or light stretching may help ease the discomfort.
Skin Itching and Dryness
Skin stretching, especially around your belly and breasts, can lead to itchiness and dryness. Some women notice more stretch marks forming during this period. Applying a moisturizing lotion or oil that’s safe for pregnancy can help reduce the itch and support skin elasticity.
Other Common Symptoms
- Constipation and gas due to hormonal changes and the growing uterus pressing against your digestive organs
- Increased vaginal discharge, which is usually normal unless it has a strong odor or color change
- Shortness of breath caused by the expanding uterus pressing on the diaphragm
- Fatigue, which may be related to poor sleep, anxiety, or iron deficiency
Medical Check-Ups and Tests at 24 Weeks
Glucose Screening Test
One of the most important tests during this stage is the glucose challenge test, which screens for gestational diabetes. It’s typically done between 24 and 28 weeks. You’ll drink a sugary solution and have your blood drawn after an hour. If your results are high, a follow-up glucose tolerance test may be needed to confirm the diagnosis. Managing gestational diabetes is crucial for a healthy pregnancy and birth.
Blood Pressure and Fetal Growth
At your prenatal appointment, your doctor will also monitor your blood pressure, weight gain, fetal heartbeat, and fundal height (the size of your uterus). These measurements ensure your baby is growing properly and help identify any potential issues such as preeclampsia or intrauterine growth restriction (IUGR).
Baby’s Growth and Development at 24 Weeks

Your baby is growing rapidly at this stage, weighing approximately 1.5 pounds (680 grams) and measuring about 12 inches long (30 cm)—the length of an ear of corn. Although they’re still small, most of the essential organs and systems are in place and maturing fast.
Lung Development and Surfactant Production
The lungs are developing alveoli (tiny air sacs) and starting to produce surfactant, a substance that prevents the lungs from collapsing after birth. This is a crucial milestone in preparing your baby for life outside the womb.
Brain and Sensory Development
The brain is undergoing a major growth spurt, especially in the cerebral cortex, the area responsible for thinking and memory. Neural pathways are forming rapidly, and your baby is becoming more responsive to sounds and touch. You may notice increased fetal movements, including kicks and rolls, especially after eating or during rest.
Facial Features and Skin
Your baby’s face is now fully formed, although the skin is still thin and translucent. Eyelids are still shut, but the eyes are moving behind them. Tiny eyebrows and eyelashes are also developing.
Taste Buds and Amniotic Fluid
Taste buds are maturing, and studies suggest that babies can begin to taste the flavors of the foods you eat through the amniotic fluid. This is a fascinating way your diet begins to influence your baby’s preferences even before birth.
Emotional and Mental Well-Being
Navigating Emotional Changes
Emotions can run high during pregnancy, especially as your body changes and the reality of motherhood sets in. You may feel excited, anxious, happy, and overwhelmed—all in one day. Hormonal fluctuations and physical discomfort can contribute to mood swings. Talking to a therapist, partner, or prenatal support group can help you process your feelings and provide much-needed emotional support.
Staying Mentally Prepared
Keeping a pregnancy journal or engaging in mindfulness activities such as deep breathing or meditation can help reduce stress and create a more peaceful mindset as you approach the third trimester.
Practical Tips and Planning
Start Baby-Proofing Your Home
Even though your baby won’t be mobile for a few months after birth, it’s never too early to start preparing your home. Secure furniture, cover outlets, and make sharp corners safer. Begin creating a safe and cozy space for your newborn.
Plan Your Maternity Leave
If you’re working, now is the time to inform your employer about your pregnancy and plan your maternity leave. This allows your workplace enough time to accommodate your absence and ensures you get the proper documentation and support from HR.
Prepare for the Third Trimester
The third trimester comes with its own set of challenges. Use this time to:
- Research birthing classes and sign up if possible
- Finalize your birth plan
- Start shopping for baby essentials (diapers, bottles, clothes, etc.)
- Discuss your birth options with your healthcare provider
Nutrition and Healthy Habits
Eat a Balanced Diet

Your baby needs nutrients to grow strong and healthy. Make sure your diet includes:
- Protein (chicken, fish, legumes)
- Iron (leafy greens, fortified cereals)
- Calcium (milk, yogurt, cheese)
- Healthy fats (avocados, nuts)
- Whole grains (brown rice, oats)
- Plenty of fruits and vegetables
Avoid raw or undercooked seafood, deli meats, and excessive caffeine. Drink plenty of water to stay hydrated and reduce swelling.
Prenatal Vitamins and Supplements
Continue taking your prenatal vitamins, especially those with folic acid, iron, DHA, and calcium. If you’re vegan or vegetarian, talk to your provider about vitamin B12 supplementation.
Light Exercise and Rest
Try gentle activities like walking, swimming, or prenatal yoga to stay active and support circulation. Rest is just as important—make sure you’re getting enough sleep and using pillows to support your body during the night.
When to Call Your Doctor
Call your healthcare provider immediately if you experience:
- Severe abdominal pain or cramping
- Heavy vaginal bleeding
- Painful or frequent contractions
- Severe swelling in the face or hands
- Sudden changes in vision
- A decrease in fetal movement
These could be signs of complications like preeclampsia or preterm labor and require immediate attention.
Final Thoughts: You’re in Month 6!
At 24 weeks pregnant, you’re officially six months along and heading into your third trimester in just a few short weeks. This is the time to embrace the beauty of the journey while staying informed and prepared. Your baby is thriving, and while you may face some physical and emotional hurdles, remember that each day brings you one step closer to meeting your little one.
Keep attending your prenatal appointments, take your glucose test, eat well, rest often, and surround yourself with positivity. You’re doing an amazing job, and both your body and baby are working in harmony toward a beautiful beginning.
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