26 Weeks Pregnant: Signs, Symptoms and What to Expect

26 Weeks Pregnant: Signs, Symptoms and What to Expect


You’re now 26 weeks pregnant, nearing the end of the second trimester. This stage marks a period of continued growth and refinement, both in your baby and in your own body as it adapts to meet the increasing demands of pregnancy. As you cross this milestone, it’s common to feel a mix of confidence from how far you’ve come and anticipation for the final stretch ahead. 

At this point, fetal development accelerates, and maternal changes continue to evolve. Many people find the baby’s movements more predictable, their own symptoms more pronounced, and nutritional needs especially important. This guide walks you through the key things to know at 26 weeks pregnant.

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Baby at 26 Weeks

Your baby continues to grow rapidly this week. At 26 weeks your baby measures approximately 9 inches from crown to rump and weighs around 1.7 pounds

Recent developmental milestones include:

  • Eyes beginning to open more regularly and start tracking light, even though eye color is still forming. 

  • Continued accumulation of body fat, which helps shape your baby’s features and supports temperature regulation after birth.

  • Lung maturation with increased practice breathing movements and continued neural development for sound and light response. 

By this stage, your baby’s eyes may be opening and responding to light and dark, signaling growing sensory awareness. 

As baby becomes more active and spatially aware, you may notice rhythmic patterns in movement, including stretches, kicks, and even hiccups—a normal part of lung development. 

Your Symptoms at 26 Weeks

Physical changes that many expectant parents report around this point include:

Growing belly and uterine pressure
Your uterus continues expanding upward, and the top of it may now be felt a couple of inches above your belly button. This growth contributes to pressure, stretching sensations, and an expanding bump. 

Sleep challenges
It’s common to experience trouble falling asleep or staying asleep, as baby’s movements increase and your body adapts to changes in posture, heart rate, and nocturnal bathroom trips. 

Swelling & circulation changes
Mild swelling in the feet, ankles, or hands is relatively common due to fluid retention and changes in circulation. 

Braxton Hicks contractions
Irregular uterine tightening, often called “practice contractions," may be more noticeable as your body prepares for labor, although they are not usually painful. 

Digestive changes
Heartburn, indigestion, and constipation can persist or intensify as your uterus grows and digestive motility slows. 

Headaches and “pregnancy brain”
Hormonal fluctuations, sleep disruption, and increased physical demand may contribute to headaches and occasional memory lapses. 

These symptoms are common at 26 weeks, but if anything feels severe, sudden, or concerning, be sure to reach out to your healthcare provider.

How Big Is Your Pregnant Belly

By 26 weeks, your bump is usually quite noticeable. On average, the top of your uterus (fundal height) is beginning to align with 26 centimeters above your pubic bone, tracking roughly with your gestational week. 

As your baby continues to grow, you may notice:

  • A stretching or itching sensation as skin expands.

  • Rounding of the belly with increased outward curve.

  • Changes in posture due to shifting center of gravity.

Comfort measures — such as wearing supportive maternity clothing and using gentle body moisturizers — can ease physical strain.

Prenatal Care & Screening Around Week 26

Between weeks 24 and 28, most providers will screen for gestational diabetes with an oral glucose tolerance test, which helps assess how well your body processes sugar. 

At your prenatal visit around week 26, your healthcare team may:

  • Monitor blood pressure and weight gain.

  • Check fundal height.

  • Listen to your baby’s heartbeat.

  • Review any symptoms or discomfort you’re experiencing.

These check-ins help ensure both maternal and fetal wellbeing and provide an opportunity to address questions about nutrition, movement, sleep, and planning for the third trimester.

Tips for Nutrition at 26 Weeks

At 26 weeks pregnant, nutrition is a powerful tool for supporting you and your baby:

Increase nutrient density
Your baby’s growth accelerates in the second trimester, and your body’s nutritional demands rise. Focus on nutrient-rich foods that provide:

  • Protein for fetal tissue growth and maternal muscle support.

  • Iron to support increased blood volume and help prevent fatigue.

  • Choline for brain and nervous system development.

  • Calcium and vitamin D for skeletal development.

  • Healthy fats including DHA for neurological and eye development. 

Regular meals and balanced snacks
Smaller, balanced meals that pair protein with complex carbohydrates and vegetables can help manage heartburn, stabilize blood sugar, and support steady energy.

Hydration
Staying well-hydrated supports circulation, amniotic fluid levels, and digestion.

Prenatal vitamins
A consistent prenatal that includes key micronutrients (including folate, iron, choline, calcium, and DHA) remains foundational at 26 weeks. Discuss with your provider whether your prenatal formula is right for this stage.

Movement & Comfort Practices

Regular, gentle activity—such as walking, prenatal yoga, or swimming—can support circulation, ease muscle tension, and promote restful sleep. Always consult your provider before beginning or modifying exercise routines.

Supportive practices include:

  • Using a pregnancy pillow to ease nighttime discomfort.

  • Incorporating gentle stretches into your day.

  • Taking short breaks to rest during prolonged sitting or standing periods.

Listening to your body and pacing yourself helps manage both physical discomfort and energy levels.

Emotional Well-Being at 26 Weeks

It’s common to experience a mix of excitement and anxiety this week. Your baby’s movements may feel more defined, and thoughts about birth and parenthood may become more vivid. Emotional changes are a normal part of the pregnancy experience. If feelings of overwhelm or persistent stress arise, consider connecting with your provider or a mental health professional for additional support.

When to Call Your Provider

Reach out to your healthcare team if you experience:

  • Severe or persistent abdominal pain

  • Vaginal bleeding or fluid leakage

  • Sudden or severe swelling

  • A notable decrease in fetal movement

  • High blood pressure concerns or severe headaches

Prompt communication ensures that any concerns are addressed quickly and supports your and your baby’s health.

The Takeaway

At 26 weeks pregnant, you and your baby are both deep into meaningful growth and adaptation. Your baby’s development continues rapidly, especially sensory awareness and lung maturation, while your body works hard to support these changes. Thoughtful prenatal care, balanced nutrition, and mindful self-care practices can help you navigate this week with confidence and comfort.

Remember: every pregnancy is unique. If anything feels unexpectedly intense, unusual, or concerning, trust your instincts and consult your healthcare provider.

 

References:

  1. NHS, Week 26
  2. Babycenter, 26 Weeks Pregnant
  3. What to Expect, 26 Weeks Pregnant

This article is for informational purposes only. It is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment and we recommend that you always consult with your healthcare provider. To the extent that this article features the advice of physicians or medical practitioners, the views expressed are the views of the cited expert and do not necessarily represent the views of Perelel.