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The baby alternates between sleep and wakefulness
Pregnancy

The baby alternates between sleep and wakefulness

2 min readWeek 23
Key takeaways
2 min
  • Recognize that your baby develops circadian rhythms around 22 weeks, creating distinct active and calm periods throughout the day.
  • Expect increased nighttime movement as your baby's sleep schedule may not align with yours during this stage of pregnancy.
  • Monitor your baby's development including eyebrow formation, body hair growth, and brown fat layer development for temperature regulation.
  • Understand that fraternal twins may have completely different sleep-wake cycles, potentially causing continuous movement sensations.
  • Track fetal development through ultrasound observations showing sleeping positions, organ development, and spinal formation.

Early signs of pregnancy at 22 weeks include distinct baby movement patterns as circadian rhythms develop. Babies alternate between active and calm periods, often moving more at night when mothers are trying to sleep, creating noticeable kick patterns.

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The baby alternates between sleep and wakefulness

By this week, circadian rhythms start to influence the baby. At certain times they will be very active, while at others they become calmer.

The baby alternates between sleep and wakefulness - The baby alternates between sleep and wakefulnessBut your baby's daily routine may not match yours, so don't be surprised if they start turning over in the evening and at night when you’re ready to go to bed [1]. At this stage, a baby that is awake can be quite active, they can swallow amniotic fluid, suck a toe and push their legs.

Outwardly, your baby is also changing. Babies develop eyebrows and body hair, and a layer of brown fat forms to help with thermoregulation [2]. In boys, testicles begin to descend.

If you are expecting twins

If you’re carrying fraternal twins (each has its own placenta and its own fetal sac), then their sleep and wake schedules may not coincide. And they are definitely not going to adapt to mom's. So it is possible that you will feel the children's movements non-stop.

What can be seen on the ultrasound

The baby is lying on the left side, facing the screen. This position allows you to see the outline of the face, including the nose and eyes. A thin layer of fine, fluffy hair, called lanugo, is visible on the head.

Both of the baby’s hands are near the right ear, this posture suggests they are asleep.

The light spots on the left side of the image are the legs and knees. The placenta is visible at the top of the photo.

The baby alternates between sleep and wakefulness - The baby alternates between sleep and wakefulness
Frequently asked questions

At 22 weeks, early signs include feeling distinct patterns of baby movement, increased nighttime activity, and stronger kicks. Your baby develops circadian rhythms, creating noticeable active and calm periods throughout the day.

Babies begin developing circadian rhythms around 22 weeks of pregnancy. This creates alternating periods of sleep and wakefulness, though their schedule often doesn't match the mother's sleep pattern.

Your baby's sleep-wake cycle may be opposite to yours during pregnancy. When you're ready to sleep, your baby might be in an active phase, leading to increased movement and kicking at nighttime.

At 22 weeks, ultrasounds can show facial features like nose and eyes, fine body hair (lanugo), sleeping positions with hands near ears, and internal organs. The spine appears as a white arc with distinguishable vertebrae.

Fraternal twins often have independent sleep-wake cycles that don't coincide with each other or the mother's schedule. This can result in almost continuous movement sensations as one twin is often active while the other sleeps.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated June 3, 2025

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