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What Changes In Your Body During the Second Trimester?

by Samaira Farid,
Dr Shree Datta
Medically reviewed by Dr Shree Datta
A person in a mirror adjusting their shirt over a bare stomach.
The information in this article is for general informational purposes only and does not substitute for professional medical or dietary advice, particularly during pregnancy. If you are outside the UK, please consult your local doctor, midwife, or healthcare provider for guidance that reflects your country's recommendations.

If the first trimester left you queasy, exhausted, and living in a body that felt unfamiliar, the second often brings a shift. The relentless tiredness can lift, the queasiness may ease, and your bump becomes something you can see and feel. The second trimester runs from around week 13 to week 27 or 28 of pregnancy, and some of its body changes are among the biggest of the whole pregnancy. Knowing what to expect can help you make sense of what your body is doing.1

Oestrogen, energy, and feeling like yourself again

The deep tiredness that ran through your first trimester often eases as your body settles into pregnancy. Your energy can come back, and you may find this the most comfortable stretch of the whole nine months. It does not go this way for everyone though. You might keep feeling drained or unwell, and that sits within the normal range too.2

You may notice your skin looking flushed or brighter, the so-called 'pregnancy glow'. That comes largely from rising oestrogen and the extra blood flow moving through your body. The shift can go the other way too, leaving your skin oilier or bringing pigmentation changes. Both are normal responses to the hormones of pregnancy.3

Woman smiling with towel near her face in bathroom mirror.

Your growing bump and skin changes

As your uterus grows, your bump becomes more visible through the second trimester. Your skin stretches to make room, and that can bring stretch marks across your tummy, thighs, or breasts. The areas growing fastest can feel itchy as the skin pulls.4

Round ligament pain: a common second trimester discomfort

You may feel a sharp twinge or a dull ache low down on one or both sides of your belly or groin. It often catches you off guard when you change position, cough, sneeze, or roll over in bed. This is round ligament pain, one of the most common things to come up in the second trimester.5

The reason is simple. The round ligaments that hold your uterus in place are stretching as it grows. Sudden movements can set off a brief spasm, and the pain usually passes quickly.6

A few things can take the edge off. Moving more slowly when you change position helps, as does supporting your bump when you cough or sneeze. Gentle stretching and sleeping on your side with a pillow between your knees can ease it too.7

Other physical changes worth knowing about

You might also run into headaches, nosebleeds, or bleeding gums around this time. These are common and often come down to the hormonal shifts and the extra blood your body is moving to support your pregnancy.8

Heartburn, indigestion, and constipation can carry over from the first trimester or turn up for the first time now. They come from the same hormones, plus the growing pressure your uterus puts on the organs around it. If you want to try something from the pharmacy, check with your midwife or pharmacist first, as not everything is suitable in pregnancy.9

Feeling your baby move for the first time

Feeling your baby move for the first time is one of the milestones of this trimester, a moment called quickening. It can feel like a flutter, a light tap, or even a bubble. It usually happens somewhere between 16 and 24 weeks, though the timing varies a lot.10

If anything about your second trimester worries you, whether it is pain, itching, headaches, or changes in your baby's movements, call your midwife, GP, or maternity unit. They are the right people to check what you are feeling.

Frequently Asked Questions

Sources

  • [1] Week-by-week guide to pregnancy

    The second trimester spans from around week 13 to week 27 or 28 of pregnancy.

  • [2] Week-by-week guide to pregnancy

    The extreme tiredness that characterised the first trimester often subsides during the second. Energy can return, and many people find this the most comfortable phase of pregnancy. This is not universal.

  • [3] How Will My Body Change in the Second Trimester?

    Rising oestrogen levels and increased blood flow can contribute to changes in skin and circulation, sometimes described as a 'pregnancy glow'.

  • [4] Week-by-week guide to pregnancy

    As your uterus grows, your bump becomes more visible, which can lead to stretch marks on your tummy, thighs, or breasts, and itchy skin.

  • [5] Round ligament pain

    Round ligament pain is often felt as a sharp twinge or a dull ache on one or both sides of the lower abdomen or groin.

  • [6] Round ligament pain

    The round ligaments that support the uterus stretch as it grows, which can trigger brief spasms, particularly with sudden movements like coughing or rolling over in bed.

  • [7] Round ligament pain in pregnancy

    Managing round ligament pain can include moving slowly when changing position, supporting your bump when you cough, gentle stretching, and sleeping on your side with a pillow between your knees.

  • [8] Week-by-week guide to pregnancy

    Headaches, nosebleeds, and bleeding gums are common in the second trimester and are often linked to hormonal changes and increased blood volume.

  • [9] Week-by-week guide to pregnancy

    Heartburn, indigestion, and constipation can continue or start in the second trimester, caused by hormones and the pressure from the growing uterus.

  • [10] 16 weeks pregnant guide - Best Start in Life

    Feeling the baby move for the first time (quickening) can feel like a flutter and typically happens between 16 and 24 weeks.