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The baby’s reflexes get more precise
Pregnancy

The baby’s reflexes get more precise

3 min readWeek 19
Key takeaways
3 min
  • Watch for increased fetal movements when exposed to loud sounds or music as your baby's reflexes become more sophisticated around mid-pregnancy.
  • Expect meconium formation in your baby's intestines during this stage, which is completely normal and consists of digestive cells and bile.
  • Notice subcutaneous fat developing around your baby's neck, chest, and kidneys, which helps smooth skin wrinkles and regulate body temperature.
  • If you're carrying twins, expect extra scans on the schedule your care team sets; twins who share a sac are scanned more often because their cords can get tangled.

During mid-pregnancy, babies develop precise reflexes including finger sucking, swallowing, and responding to sounds. Subcutaneous fat forms around the neck, chest, and kidneys while meconium develops in the intestines, marking significant developmental milestones.

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The baby’s reflexes get more precise

The baby can now move their arms and legs, grimace, suck on a finger, frown, swallow, get the hiccups, open their mouth, and play with the umbilical cord [1]. Your expectant partner may have noticed, or will notice soon, that the baby’s movements become more pronounced if someone is talking loudly next to her or if loud music is playing.

The baby’s digestive system continues to improve. In the intestine, meconium is now present. Meconium is the baby’s first feces, consisting of cells from the digestive tract, bile, and dead epithelial cells that line the mucous membrane of internal organs [2].

Subcutaneous fatty tissue continues to form. It will gradually help fill out the baby’s skin, smoothing wrinkles and softening its bright red color. Subcutaneous fat is deposited primarily around the neck, chest, and kidneys. Outside, the skin is still covered with a layer of primordial fat that protects it from irritation and helps retain heat.

If your partner is expecting twins

The babies are now about the size of large cucumbers. They move quite actively and play with the umbilical cord. If they have a common fetal sac, then there is a high risk that the umbilical cords will intertwine. Therefore, mothers of identical twins often have to go in for additional ultrasounds [3]. If each twin has their own fetal sac, the cords can't get tangled, but twins are still scanned more often than a single baby.

What we can see on an ultrasound

The baby is lying with their back to the screen, which makes it possible to see the left shoulder, armpit, forearm, elbow, and wrist. The neck is easier to see, around which subcutaneous fat is gradually being deposited.

The baby’s reflexes get more precise - The baby’s reflexes get more precise
  1. hand

  2. head

The following image is sweet because we can see the baby’s tiny heels. The length of the feet at this time is just under 3 cm (28 mm). We can see the smallest details, such as the rounded calcaneus and metatarsal ossicles, which appear as small white squares.

The baby’s reflexes get more precise - The baby’s reflexes get more precise
  1. feet

In the following image, the baby’s position is not the most convenient, but because they are actively moving, they can take the most unexpected positions.

The head is against the chest, the forehead and nose are visible, and the lips are too. We can also see the spine, the left shoulder, and the hand, which are lying along the body. You can see the baby’s leg, including the thigh, lower leg, and right patella, with the feet resting on the placenta.

The baby’s reflexes get more precise - The baby’s reflexes get more precise
  1. spine

  2. leg

  3. head

  4. hand


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Frequently asked questions

Babies develop sophisticated reflexes around mid-pregnancy, including the ability to suck fingers, swallow, and respond to external sounds. These reflexes become more pronounced as subcutaneous fat develops and the nervous system matures.

Meconium is your baby's first feces, consisting of digestive tract cells, bile, and dead epithelial cells. It forms in the intestines during mid-pregnancy and is completely normal part of fetal development.

Identical twins sharing a fetal sac have higher risks of umbilical cord entanglement, requiring additional ultrasounds. Twins with separate fetal sacs don't have this risk, but they are still scanned more often than a single baby.

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

This article is based on peer-reviewed research and trusted medical sources.

  1. Brewer S. The Pregnant Body Book. Dorling Kindersley Publishing Staff, 2012, p. 134.
  2. Pediatric Clinical Care, Meconium.
  3. Physiologic Effects of Multiple Pregnancy on Mother and Fetus. Jennifer M. H. Amorosa, Jane Cleary-G
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