Second Trimester Symptoms: What to Expect & How to Cope

The second trimester is often referred to as the "golden period" of pregnancy. For many women, it’s the most comfortable of all three trimesters, offering a reprieve from the challenges of early pregnancy. Here’s everything you need to know about this exciting stage, from physical changes to essential precautions.
Second Trimester Symptoms of Pregnancy: What to Expect
According to Johns Hopkins Medicine, the second trimester begins around week 14 of pregnancy and lasts until the end of week 27. Spanning months four to six, this 14-week period is marked by significant physical and emotional changes, as well as rapid fetal development.
How Should I Feel in My Second Trimester?
Many women experience relief from early pregnancy symptoms such as nausea and breast tenderness. Increased energy levels and a heightened sense of well-being are common during this stage.
Second Trimester Symptoms: Week by Week
While some symptoms subside, others may emerge due to your growing belly and rising hormone levels. Common second-trimester symptoms include:
- Congestion: Increased blood flow to the mucus membranes may cause nasal congestion or snoring.
- Swelling: Mild swelling in the ankles and feet is common by week 22. To manage this, stay active, elevate your feet, and avoid prolonged standing or sitting.
- Sensitive Gums: Hormonal changes can cause gum sensitivity or bleeding. Bright red, easily bleeding gums may signal gingivitis, which requires prompt dental care.
- Leg Cramps: Hormonal shifts, weight gain, and possible calcium or magnesium deficiencies contribute to leg cramps. Maintaining a balanced diet helps alleviate this symptom.
- Dizziness: Relaxed blood vessels can lower blood pressure, causing lightheadedness. Eat small meals and stay hydrated to minimize dizziness.

How Do You Know if a Baby Is OK in the Second Trimester?
Monitoring Fetal Movement and Growth
By week 18, your baby may begin to yawn and hiccup, and by week 21, you’ll likely feel their first kicks. Regular prenatal visits ensure your baby’s development is on track.
Second Trimester Ultrasound Guidelines
Around 18 to 22 weeks, an anatomy scan assesses the baby’s growth, organ development, and overall health. This crucial ultrasound can also reveal the baby’s sex if desired.

Second Trimester Symptoms Not to Ignore
Danger Signs of Pregnancy in the Second Trimester
While most symptoms are normal, some require immediate medical attention. These include:
- Heavy vaginal bleeding
- Severe abdominal pain
- Fever over 101.5°F
- Symptoms of preeclampsia, such as sudden weight gain, significant swelling, or vision changes
- Signs of gestational diabetes, such as extreme thirst and frequent urination
More Second Trimester Symptoms: Discharge and Cramps
- Vaginal Discharge: An increase in clear or white discharge is typical, but green, yellow, or foul-smelling discharge requires medical evaluation.
- Cramps: Mild cramping is often caused by ligament stretching. However, severe or persistent cramps could signal a problem and should be checked by a healthcare provider.

2nd Trimester of Pregnancy Precautions: How to Take Extra Care
To protect yourself and your baby, it’s essential to follow these precautions:
- Avoid Back Sleeping: Lying flat on your back can restrict blood flow.
- Steer Clear of High Temperatures: Hot tubs, saunas, and other high-temperature environments can be harmful.
- Maintain a Balanced Diet: Include essential nutrients and avoid raw or unpasteurized foods to reduce the risk of infections.
- Stay Active: Engage in safe prenatal exercises to boost overall health.

Looking Ahead to the Third Trimester With ANB Baby
The second trimester is a time of growth and preparation. By understanding what to expect and taking necessary precautions, you’ll set a strong foundation for the months ahead. As the third trimester approaches, savor these special moments and continue preparing for your baby’s arrival. For all your baby needs, visit ANB Baby. We’re here to support your journey from pregnancy to the toddler years, making every step a little easier and more joyful.