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This week marks a developmental milestone for your baby
Pregnancy

This week marks a developmental milestone for your baby

2 min readWeek 20
Key takeaways
2 min
  • Recognize that all internal organs are formed and functional by this pregnancy milestone week.
  • Expect baby movements to become more pronounced if you're already feeling them, though not all mothers feel movement yet.
  • Understand that twins experience more cramped conditions, making their movements more noticeable to mothers.
  • Monitor ultrasound images to see detailed development of head features, heart chambers, and limb formation.
  • Know that the baby's nervous system continues producing neurons and improving brain connections.

This pregnancy week marks a major developmental milestone where all internal organs are formed and functional. The baby can see, hear, swallow, and suck, while the nervous system continues producing neurons and improving brain connections throughout development.

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This week marks a developmental milestone for your baby

All of your baby’s internal organs are formed and more or less ready to carry out their functions [1]. Your baby can see, hear, and can swallow, and suck.

This week marks a developmental milestone for your baby - This week marks a developmental milestone for your babyThe baby’s nervous system continues to produce neurons and improve interneuron connections. Their cerebral cortex forms grooves and convolutions, and the differentiation of the cortex’s functional divisions continues. The endocrine system — which produces hormones for everything from metabolism and sleep to growth regulation and sexual function — works at full capacity, playing its role in the functioning of all of your baby’s organs and systems.

At this time, not all mothers can feel their baby’s movements [1]. But if you already notice them, they will soon become more pronounced.

If you are expecting twins

The babies are starting to get a little cramped, so you can probably feel their every movement very clearly, while mothers carrying single pregnancies haven’t felt anything at all.

What can be seen on ultrasound

The image shows a baby during your current week of pregnancy. The baby is lying on their left side, facing the screen.

A clearly defined contour of the head allows you to examine in detail the frontal bones, paired nasal bones, and chin. The upper and lower jaws are separated by a narrow strip — which is the mouth.

This week marks a developmental milestone for your baby - This week marks a developmental milestone for your baby
  1. placenta

  2. hands

  3. head

In the next picture, the heart is clearly divided into the atria and ventricles. Above the spine, in the lower part of the image, the aorta is barely noticeable.

The stomach is visible, it looks like a dark oval in the image. Deep in the amniotic fluid, you can see the baby’s hand.

This week marks a developmental milestone for your baby - This week marks a developmental milestone for your baby
  1. stomach

  2. hand

  3. head

  4. heart

The next image shows twins. One of them sits in the foreground while the other lies slightly higher.

You can see the tiny feet and toes of the baby in the foreground. The limbs of the other baby are partially visible.

This week marks a developmental milestone for your baby - This week marks a developmental milestone for your baby
  1. legs

  2. head


  1. Brewer S. The Pregnant Body Book. Dorling Kindersley Publishing Staff, 2012, p. 136, 139.

Frequently asked questions

Not all mothers feel baby movements at the same time during pregnancy. If you're already noticing movements, they will become more pronounced in the coming weeks.

All internal organs are formed and ready to function by this developmental milestone. The baby can see, hear, swallow, and suck.

Twins start getting cramped earlier, making their movements more noticeable. Mothers carrying twins can feel every movement clearly while single pregnancy mothers may not feel anything yet.

Ultrasounds show clearly defined head contours, separated heart chambers, the stomach, and detailed limb development. You can examine facial bones, nasal bones, and chin features.

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 5, 2025

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