What does my baby look like?
Have you noticed they are getting into a pattern of sleeping and waking? When you're in bed at night, feeling relaxed and trying to sleep, you might find they're wide awake and wriggling.
A baby born at this stage would need a lot of help in the neonatal unit, as their body is still very immature and not ready to cope in the outside world yet.
Your pregnancy symptoms in week 23
More vaginal discharge?
A slight increase in vaginal discharge during pregnancy is totally normal, especially if the weather is hot. You may find that it’s a mild-smelling, milky fluid, which is fine.
However, if it is smelly, itchy or a yellowy-greenish colour, contact your doctor or midwife as you may have an infection that needs to be treated. If the discharge is heavy, use a sanitary pad, not a tampon.
What to do in week 24
Take the whooping cough vaccination
You’ll be offered a whooping cough vaccination to boost your levels of antibodies, which will then be passed on to your baby for protection.
There's a lot of whooping cough (pertussis) around and babies cannot have vaccinations too young, which puts them at risk.
Young babies with whooping cough are often very unwell and most will be admitted to hospital because of their illness. When whooping cough is particularly severe, they can die.
The best time to get vaccinated to protect your baby is from week 16 up to 32 weeks of pregnancy. You can have the vaccine anytime from 16 weeks but if you have it after 38 weeks it may be less effective.
Research into the vaccine has shown that it’s very safe, with no ill-effects for pregnant women or their babies.
Living with symphysis pubis dysfunction (SPD)?
If you’re suffering with SPD, try different exercises until you find one that works. Some women say cycling causes no pain while walking is very painful, others recommend swimming or aquanatal exercises.
If you’re swimming, avoid the breast stroke as this is likely to cause more pain. The key thing to remember is to stop any activity that causes pain.
“Once a week I went to an antenatal exercise class run by two midwives. They helped me to adapt certain moves to accommodate my SPD (symphysis pelvic dysfunction).”
Laura, mum of two
Keep up the calcium
Make sure your diet is rich in calcium, as this is good for your baby’s bone development. Calcium is found in dairy products, oranges, nuts, pulses and broccoli. You should also be taking 10mcg of vitamin D a day in pregnancy, which helps with calcium absorption.
Calling all dads-to-be
You’ll find loads of helpful information on our website, geared for mums and dads - but we’ve also got some FAQs specifically for dads-to-be - on pregnancy, sex and labour.
- NHS Choices. You and your baby at 21–24 weeks pregnanthttp://www.nhs.uk/Conditions/pregnancy-and-baby/pages/pregnancy-weeks-21-22-23-24.aspx (Page last reviewed: 28/02/2017 Next review due: 28/02/2020).
- MedlinePlus Calcium and bones http://www.nlm.nih.gov/medlineplus/ency/article/002062.htm (Page last reviewed June 2018).
- NHS Choices. Vitamins and minerals http://www.nhs.uk/Conditions/vitamins-minerals/Pages/Vitamin-D.aspx (Page last reviewed: 03/03/2017 Next review due: 03/03/2020).
- PHE (2017) Whooping cough and pregnancy. Public Health England. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/624265/WhoopingCough_A5_booklet.pdf
ℹLast reviewed on June 27th, 2018. Next review date May 27th, 2021.
By rosemary (not verified) on 12 Jul 2018 - 07:02
last week my baby kick regularly,but this week he doesn't kick that much,am worried,is anything the matter.
By Midwife @Tommys on 13 Jul 2018 - 13:32
We would normally expect baby's movements to start to develop a pattern from about 24 weeks of pregnancy, if you feel your baby has been moving regularly and these are now reduced then I would advise for you to call your maternity unit to be reviewed.
By Traciey (not verified) on 30 Jun 2018 - 20:45
I have no breast change, no enlarged tummy n usually feel comfortable sleeping on my right hand side. Is it normal
I Also have this spotting for a day or two without any cramps. Is there any cause of alarm
By Midwife @Tommys on 2 Jul 2018 - 12:32
Hi Traciey, Any spotting at 24 weeks should be investigated. Please contact your midwife or maternity department for advice and assessment. Best wishes
By Bhoomika (not verified) on 27 Jun 2018 - 14:11
I am 24th week pregnant now some time I have strong movement of baby some times it is so quiet it is normal and I Hv anteriar placenta as per my last sonography..
By Midwife @Tommys on 28 Jun 2018 - 13:02
Congratulations on your pregnancy!
Each baby develops their own pattern of movements-the movements increase until approximately 32 weeks and then the number of movements stays roughly the same until birth
As you have an anterior placenta you may have been advised that you may sometimes not feel movements as strongly; however you should still be aware of them. If you are worried at any time that your baby is moving less than is normal for your baby then you should contact your midwife asap.
I have attached a link with more information for you:-
By Victoria (not verified) on 10 Jun 2018 - 19:30
Hello, just a prompt that your info about the whooping cough vaccination isn't up to date, they now offer it from 16 weeks.
Thanks for all the great work and info!
By Midwife @Tommys on 11 Jun 2018 - 16:08
Thank you so much for this. It is correct on our whooping cough page and will be amended on this page today. Appreciate your comments. Best wishes Tommy's midwives
By Rashi (not verified) on 18 Mar 2018 - 01:06
Hi...i am 24 week pregnant. I have some personal issues due to which i am crying a lot for past 1 week.i tried stop crying...but i cant..i am really that whether it will affect my baby's health..please help me with this...
By Midwife @Tommys on 19 Mar 2018 - 16:39
Hi Rashi, I am sorry that you are feeling so unhappy. I hope that you are getting the support that you need to help you. There is no reason to believe that your distress will affect your baby. Please look after yourself and make sure that you are eating well and getting out each day. If we can be of any help please don't hesitate to ask. Best wishes
By Manisha (not verified) on 19 Jan 2018 - 14:33
Hi I'm 24weeks pregnant and last appointment was on 11th Nov 17 after that I did my scanning on 21st Dec 17th, I next appointment with the midwife is on 14th Feb 18th, I can feel the moves but I'm worried cz someone told me that they have appointments every month n fr me after a long time.
By Midwife @Tommys on 19 Jan 2018 - 15:25
The timing can vary slightly, and it depends on whether this is your first baby or not. If this is your first baby then you would normally have an appointment at about 25 weeks, so next week for you and then have one when you are about 28 weeks which will be your appointment on the 14th of February. If you need an appointment next week then do call your midwife to have one booked. Take care x
By maryann (not verified) on 4 Jan 2018 - 14:46
am 24 weeks pregnant but my breast seems not to be big and my tommy as well.But do feel the kicking of my baby,some times it kicks hard some times it deos'nt,i need some piece of advice from (Tommy)
By Midwife @Tommys on 4 Jan 2018 - 16:34
Every pregnancy is different for every woman so try not to worry or compare how you look to anyone else. Your breasts do not always change or get bigger, especially at this stage of pregnancy. Your midwife should be measuring your bump at each A/N appointment from now on, so any concerns then she will refer you to have a scan. You should have also had a scan a few weeks ago which would have measured the size of your baby. It can depend on your size and as well as baby's position as to how your bump looks. From now on your baby is likely to start to develop a pattern with their movements, and become more settled and predictable. If you have any concerns then do contact your midwife to be reviewed. Take care x
By Sara (not verified) on 4 Jan 2018 - 08:19
Hi I 'm 24 weeks pregnant and for the cervix I 'm in bed rest , my right side of vaginas and stomach has the pain or aching when I want to waking and moving I think I have thrush sometimes I want to know is it dangerous or I must go to doc, my next appointment will be 2 weeks later
By Midwife @Tommys on 4 Jan 2018 - 16:22
Hi, sorry to hear that you are experiencing pain at the moment. You do not say why you are on bed rest at the moment, however if you are experiencing on going pains then it is important to contact your maternity unit to be reviewed.
By Sara (not verified) on 25 Dec 2017 - 22:45
Hi I'm 24 weeks pregenant and recently I am experiencing sever pain in my leg/hip when I walk.is this anything 2 b concerned about?
By Midwife @Tommys on 3 Jan 2018 - 11:03
it sounds as if you might be suffering with SPD, this is quite common and very uncomfortable. I have posted a link about it below for you to have a read. Please go to be reviewed by a midwife at your hospital who can do an urgent review to physio for you as you benefit from a support belt and physio for day to day movement.
Please take good care of yourself
By Stella (not verified) on 4 Dec 2017 - 16:37
I'm 24 week and my baby is 22kg and my midwife says the baby is very small. please what should I do
By Midwife @Tommys on 5 Dec 2017 - 12:41
Thank you for posting. Have you had a recent scan? Is this is the estimated fetal weight of your baby? If the midwife is concerned you should be referred to your consultant and a plan of care and extra scans organised for the remainder of your pregnancy. We can discuss this in more detail if you give us a call on 0800 0147 800 or email us [email protected]
By Anonymous (not verified) on 4 Dec 2017 - 01:34
hi, i am 24 +1 and last night i had the most agonising stomach pain, which only lasted for about 15/30 seconds but felt like hours, and it happened for about 10 mins repetitively, is this braxton hicks or should i have gone to hosptial? (i am R neg blood type if that makes a difference)
By Midwife @Tommys on 4 Dec 2017 - 15:40
Hello. Can I assume that you are feeling well today and that you are feeling good fetal movements? It is unusual for Braxton hicks to be painful so there may be a different cause here. Are your bowel movements normal? Hopefully you won't experience it again. You only need to consider your Rhesus status if you have a bleed. If you are still unsure and not able to get hold of your midwife you can call us on 0800 0147 800. Best wishes
By Anonymous (not verified) on 1 Nov 2017 - 18:56
iam 24weeks pregnant and i
usually have a heart burn,what do I do? although its my second pregnancy. what do I take to calm it down
By Midwife @Tommys on 2 Nov 2017 - 14:10
Hi, Thank you for your comment.
Heart burn can effect many women in pregnancy and there are remedies that can be used to help this. An over the counter antacid medication like Gaviscon may help. You can buy these from the chemist or you can go and see your GP who will be able to give you a prescription for some medication to help with heartburn and you should get free prescriptions in pregnancy with your maternity exemption card. Hope this helps, take care, Tommy's Midwives x
By Anonymous (not verified) on 25 Oct 2017 - 22:35
Always tired don't know what the cause
By Midwife @Tommys on 26 Oct 2017 - 12:54
Hi, Thank you for your comment.
Being tired in pregnancy can be very normal as your body is working hard to grow your baby, but if you are feeling that you are tired all the time and this is not getting better then it could be a sign that you are anaemic. Having low iron levels in pregnancy can happen and it is easily treated with iron tablets. You can always see your GP or midwife about this and they can do a simple blood test to check your iron levels and prescribe treatment if this is needed. Hope this helps. Take care, Tommy's Midwives x
By Anonymous (not verified) on 21 Oct 2017 - 22:55
hi iam 24 week pergant and I have a tsc problem it is save for my baby
By Midwife @Tommys on 23 Oct 2017 - 11:57
Hi, Can you clarify what you mean by tsc problem? Thanks
By Vanessa (not verified) on 21 Sep 2017 - 21:55
Hi Tommy. I had an ultrasound scan @ 24 weeks and my sonographer said it's a girl. So I'll like to find out its there any chance it could be a boy. Don't know if scans are 100% accurate.
By Midwife @Tommys on 22 Sep 2017 - 11:46
Most scans are quite accurate at showing the gender of your baby however they are not 100%, it depends on the position of the baby and the view that the sonographer was able to get. The only 100% way of knowing if when the baby is born.
By Comfort (not verified) on 19 Sep 2017 - 14:32
I find difficult in sleeping is it safe to sleep on my back
By Midwife @Tommys on 19 Sep 2017 - 16:20
thank you for posting. I'm sorry you are having a difficult time sleeping at the moment. At 23 weeks it would be good to start getting into the habit of lying on your left side to sleep. Gathering all your pillows to make yourself comfortable for sleep. After 16 weeks the weight of your pregnant uterus can affect blood flow from your lower body to your heart and slow placental blood flow to your baby if you lie on your back to sleep. After 28 weeks it is important to avoid sleeping on your back as there is a proven increased risk to stillbirth
Please don't panic if you do wake up on your back just try to get yourself back into a left side position to reduce your risk after 28 weeks.
Anna- Tommy's Midwives
By Carmen (not verified) on 25 Nov 2017 - 21:27
I was pregnant three time's. I know ,When the baby move to much at night . You Cant sleep. Drink warm milk with sugar cinnamon. Or warm Milk with chocolate. Believe me. It work. My three pregnant. The baby full a sleep. And you can sleep to.
By Midwife @Tommys on 28 Nov 2017 - 09:14
Thank you for your comment
By Vratz (not verified) on 16 Aug 2017 - 08:42
Hi Tommy, I am over 24 weeks pregnant now but still feel no movement of my baby. However, the scan show that everything is normal. What should I do? Thanks
By Midwife @Tommys on 16 Aug 2017 - 10:27
Hi Vratz. Congratulations on your pregnancy. If this is your first pregnancy, it can take a little longer for you to recognize fetal movements, as you have not felt this before. But by now, usually you can feel something.
Sometimes an anterior placenta (a placenta at the front of your bump) can reduce how much you are able to feel fetal movements as it cushions the sensations. You can ask your midwife where you placenta is next time you see her.
If you have a higher than average body mass index (ie, you are overweight) this can contribute to feeling your baby less. The more adipose tissue (fat) there is around the tummy area, the more this can impact how much movement is felt. You can discuss this with your midwife too if you do have a raise BMI.
But it is also sensible to err on the side of caution and continue to be seen regularly if this lack of felt movement persists. You are always well within your rights to take yourself into your locaL day assessment unit, triage or labour ward to be checked for fetal movements. Please take care and feel free to contact us again if you have further concerns
By Vratz (not verified) on 24 Aug 2017 - 11:07
yes, its my first and higher BMI. I had my apt. with a midwife and she said everything seems to be progressing fine. I'm just craving to feel that kick (in absence of any other craving). Thank you so much for reassuring and your response.
By Anonymous (not verified) on 24 Jul 2017 - 00:15
Hi Tommy,Just think thinking if ultra sound can be false at 22 weeks about the gender of the baby.Am doing great and baby is fine also.
By Midwife @Tommys on 24 Jul 2017 - 15:36
Hi. Great to hear that your baby is doing well. You are correct that it is not possible for the sonographer to be 100% certain when confirming the gender of the baby by scan at 22 weeks. The main purpose of the anomaly scan is to check for any abnormalities in the baby. Best wishes
By courtney (not verified) on 30 May 2017 - 14:28
Can constipation and gas cause a lot of pain? Kind of like menstrual pains but they come and go
By Midwife @Tommys on 31 May 2017 - 11:24
Yes, constipation and gas can cause abdominal pain, however, during pregnancy, it is vital that any abdominal pain, at any gestation of pregnancy, is urgently reviewed by a midwife or obstetric doctor at your local hospital tirage/labour ward/day assessment unit. Please go get checked out if you have no already done so.
By Anonymous (not verified) on 24 Nov 2016 - 11:42
I had a bleed on Tuesday had to stay in over night bleeding has stopped now am feeling loads of pressure when I stand and walk around is this normal?
By Midwife @Tommys on 24 Nov 2016 - 12:06
Hi, Without seeing you it would be difficult to reassure you that all is normal. I recommend that you call your midwife or maternity unit even if you were see 2 days ago. Best wishes
By Midwife @Tommys on 14 Nov 2016 - 10:41
We are ever so sorry to hear this Sarah. Sorry for your loss.
Please feel free to email us or call and speak to a midwife if you feel you need more support or information!
Please look after yourself!
By Sarah (not verified) on 13 Nov 2016 - 04:49
Hi Tommy, thanks for your regular update about my pregnancy. Unfortunately, I had a miscarriage so I am not pregnant anymore. Thanks Sarah.