24 Weeks Pregnant: Symptoms, Ultrasound, & Belly Size

Creator: Deboshree Bhattacharjee
Published: 2017-12-11 11:03:43

By Deboshree Bhattacharjee | Updated: 06/01/2025

Medically Reviewed By

Dr. Rima Sonpal (Gynecologist/Obstetrician)

The second trimester of your pregnancy is about to end, and you are on the verge of the third trimester now. The baby’s growth is progressing well, and your growing belly is proof of the changes happening to you and the baby. You, on the other hand, are dealing with a lot of things happening inside your body, like backaches, swollen feet, leg cramps, and super sensitive breasts and gums in 24 weeks of pregnancy. Amidst late-pregnancy discomforts, you have thicker hair to boast, a beautiful belly, and light baby movements. A lot is happening in the 24th week of pregnancy, and we are here to keep you updated on all that information.

Your Baby’s Growth During Pregnancy – Week 24

At week 24, your baby has been steadily gaining about six ounces every week, weighs around 1.32 pounds, and is nearly a foot in length. Most of the baby’s weight is a result of its muscles, bones, fat and growing organs. The lungs are fully developed, but they still need to develop more to work well enough outside the uterus (1). The baby’s face is extremely small but nearing complete formation, with its hair, eyebrows and eyelashes producing its beautiful look (2). Your baby’s hair hasn’t developed any colour yet since the pigments have yet to show up. Your baby’s skin is very tender and highly transparent, and a closer look at it will show bones, blood vessels and its organs, too. Their tastebuds are developing, they can now hear sounds outside of the uterus, and their eyes are more developed than before, so they can now respond to light (3).

What Is the Baby’s Size?

You will be very keen to know how your baby is growing. At 24 weeks pregnant, the baby’s size is now almost as large (or small) as an ear of corn when measured from its head to heel, which is approximately 11.8 inches (4). Your baby is practising breathing through its nostrils now, preparing for the real world. However, it is the amniotic fluid that is being inhaled now instead of air.

Common Body Changes

The many bodily changes during pregnancy that you will experience as you enter the 24th week will leave you worried, but be patient, and these will pass, too. The area around the abdomen and breasts will become dry and itchy as the skin stretches across it. Your uterus will also feel tight, which is due to the Braxton Hicks contractions one experiences during this period (5).

Symptoms of Pregnancy at Week 24

You are likely to experience the following symptoms once you enter week 24 of your pregnancy, so read on for a heads-up:

1. Backaches

This symptom probably continues from earlier and gets worse as days go by. Your uterus grows correspondingly with your baby, and this pushes the uterus against your spine, straining and curving it. Also, remember, your back must work that much harder to carry the growing baby, and this leads to pain.

2. Swelling of the feet

This is a common symptom during this time of pregnancy and is caused due to excess fluids in the body. The swelling is usually on the ankles, feet and hands. However, you should watch out for swelling that spreads to other parts of the body, such as the face, hands, and fingers. Also, severe swelling on one foot and none on the other could be a sign of preeclampsia, another dangerous pregnancy complication.

3. Cramps

Leg cramps can be a sign of dehydration, so drink lots of water during the day, stretch your legs often and go out for walks to keep them at bay. Cramps could also be due to a nutritional deficiency, which should be brought to your doctor’s notice as soon as possible.

Other pregnancy symptoms at 24 weeks pregnancy are stretch marks, swollen gums, indigestion and heartburn, bloating, feeling hot, chances of vaginal infections, thicker hair, shinier skin, and sometimes brown patches on the face, which is called the mask of pregnancy (4) (6).

Belly at 24 Weeks of Pregnancy

The fundal height or belly size at 24 weeks pregnant will probably be around 24 centimetres, plus or minus two centimetres. This is basically the fundal height, which is the distance measured between your pubic bone and the top of your uterus (7). At 24 weeks of pregnancy, you will experience slightly stronger and more pronounced kicks than earlier. Your partner, too, can feel the baby moving around and kicking. You will have to control weight gain for a healthy pregnancy, but gaining 6 to 7 kilograms by the 24th week is normal, so do not worry. It is the sudden weight gain over a couple of weeks that should be a cause of concern for you and should be brought to your doctor’s notice.

24 Weeks Ultrasound and Other Tests

Around this time of pregnancy, your doctor will suggest an ultrasound test. In your 24 weeks pregnant ultrasound, you will see how the fat formation has begun its process, which makes your baby’s skin opaque. The internal organs and blood vessels will no longer be visible due to this. Along with this, an oral glucose tolerance test or a glucose screening test can be scheduled around this week to check the presence of gestational diabetes, which occurs due to raised levels of pregnancy hormones (8).

What to Eat

There are enough theories and misconceptions floating around 24 weeks pregnant food to eat to leave you confused about what your 24th-week pregnancy food should be, so read on to get a clear idea.

Include a lot of high-fibre food in your diet, like whole wheat rotis, dalia (cracked wheat), wholegrain bread, fresh fruits and dry fruits/nuts.
Remember to drink water so that it is absorbed by fibres and helps tackle constipation.
Carrots, oranges, sweet potatoes and palak (spinach) are wonderful sources of Vitamin A in the form of beta-carotene and should be a part of your diet during this time.

While eating out at restaurants, watch out for the loaded sugars, calories and fats hidden in regular food. The best way is to eat a little bit at home so you do not arrive hungry at the restaurant and eat your way through the treats that tempt you. A handful of nuts or a slice of your favourite fruit is ideal to eat before eating out.

Tips & Care

Here are some care tips to follow to ensure a healthy and safe twenty-four weeks of pregnancy.

Dos

To reduce foot swelling, keep them at an elevated level while sitting down.
Create a light exercise routine like a short walk to keep a good posture and backache away.
For itchy and dry eyes, use eye drops after checking with your doctor.
Stay hydrated with clear, drinking water.

Don’ts

Do not use stretch-mark creams, hair colour or skin moisturisers before consulting with your physician.
Sleeping on your back for long periods is not recommended, as this could put pressure on your major blood vessels.
Stay away from highly caffeinated teas and soft drinks, alcohol, smoke or second-hand smoke, and pollution (9).

What You Need to Shop For

As you enter week 24 of your pregnancy, there are a few things that you should begin shopping for. Maternity wear should be at the top of your shopping list now since your expanding belly may not fit in those old gowns and pants. You can invest in maternity tops & shirts from Bella Mama. This is because as your belly grows, your regular tops will start to shink up. So, having some extra length in your tops will help a great deal. Try maternity dresses & skirts to flatter your blooming body or a tunic top for comfort and style. Bring home earplugs and eye patches, as these will help you sleep better, and you will wake up feeling rested. If you are planning a baby’s room, start getting stuff in a slow and steady manner (going overboard with kid stuff is quite common, though) and decorate the room before it announces its arrival.

FAQs

1. Can I wake up on my back at 24 weeks of pregnancy?

In 24 weeks of your pregnancy, you should avoid sleeping on your back or tummy. The safest position for your baby is to sleep on your side, preferably left in your second and third trimesters. Place a pillow underneath the belly or between the bent knees.

2. Should I worry about dizziness or light-headedness during this time of pregnancy?

Feeling light-headed, faint, or dizzy is a common symptom in the first trimester of pregnancy. It can be fixed by staying hydrated or standing up slowly when sitting or lying down. However, if you feel dizzy in your second or third trimester often, you should bring this up in your next appointment. If you suddenly feel faint or pass out at any stage of your pregnancy, you should not wait any longer and consult your doctor about it to rule out any underlying health conditions, like preeclampsia, pulmonary embolism, or peripartum cardiomyopathy.

Every day and every passing week will be different for the mother-to-be, and the 24th week will bring in its own set of challenges and little worries. However, a little bit of confidence and self-belief should help you tide over these temporary issues. If you have any questions about 24 weeks pregnancy progress or experience any sudden unusual symptoms, do not hesitate and consult your doctor.