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This week, the placenta is fully formed
Pregnancy

This week, the placenta is fully formed

3 min readWeek 13
Key takeaways
3 min
  • Understand that your fully formed placenta now produces progesterone and estrogen to maintain a healthy pregnancy naturally.
  • Know that the 16mm-thick placenta effectively blocks harmful substances from reaching your developing baby.
  • Recognize that your baby's brain, skeletal system, and reflexes are rapidly developing even though movements aren't felt yet.
  • Expect clearer ultrasound images showing defined facial features, spine, and organ development.
  • Consult your doctor about additional testing if carrying twins to determine the best care plan for your healthy pregnancy.

A fully formed placenta produces progesterone and estrogen to maintain pregnancy while acting as a protective barrier. At 16mm thick, it blocks harmful substances and prevents immune system rejection, ensuring optimal fetal development and a healthy pregnancy outcome.

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This week, the placenta is fully formed

The placenta now produces the progesterone and estrogen needed to support the pregnancy. It is about 16mm, or about 0.6 inches, thick. Which is thick enough to successfully block most harmful substances (including drugs) which could threaten the baby’s health and development. In addition, the placenta prevents the mother’s immune system from mistaking the baby for an external threat.

This week, the placenta is fully formed - This week, the placenta is fully formed

The baby’s brain continues to grow, and more reflexes develop. They flinch, make fists, purse their lips, grimace, and put their fingers in their mouth. You won’t be able to feel these movements yet, and the baby will be sleeping most of the time.

The baby’s skeletal system is growing quickly. Growth is controlled by the thyroid, and calcium from the mother’s diet hardens the bones. The long bones of the limbs develop, ribs appear, and the skull and spine harden.

The head is no longer pressed into the chest [1]. You can see a clearly defined chin, nose, and brow arches on the face. The eyes and ears are positioned correctly and symmetrically [1].

The baby's skin is very thin and delicate, and due to the almost complete absence of subcutaneous fat, they are red and wrinkled. Their skin reveals an underlying network of capillaries (small blood vessels).

The respiratory system has now developed. It may look like the baby is breathing, but since the glottis is still closed, these movements are largely for strengthening and training the muscles of the chest and diaphragm. Nevertheless, the movement makes a small quantity of amniotic fluid enter the baby’s lungs.

If you are expecting twins

You may be asked to take additional tests. At this point it is important to determine which type of twins you are carrying: monozygotic (identical) or dizygotic (fraternal). Both the prenatal care and the delivery plan will depend on this.

What we can see on an ultrasound

The baby lies on their back, resting against the uterus, which makes the spine visible on the ultrasound. The umbilical cord, with one vein and two arteries, appears within the darkness of the amniotic fluid. A dark spot on the chest reveals the heart and blood vessels. A strip-like diaphragm appears, and the liver and intestines are visible in the abdominal cavity.

Against the placenta is the round, small, and structured head of the baby. The bones of the skull, forming the cranium, protect the growing brain. The brain’s large hemispheres are visible, as is the plexus of nerve fibers connecting them (the corpus callosum).

The facial structure, nose, and lips are clearly visible in the image. Since the baby’s chin is no longer pressed against their chest, their small neck is now visible.

This week, the placenta is fully formed - This week, the placenta is fully formed
  1. heart

  2. umbilical cord

  3. the brain

  4. spine

The second image shows a rarer sight: triplets! Three babies grow together in the uterus, each in their own amniotic sac, sharing one placenta. The baby in the middle is more clearly visible than their siblings, the head and legs being quite noticeable.

This week, the placenta is fully formed - This week, the placenta is fully formed
  1. three babies

  2. amniotic sac


  1. Brewer S. The Pregnant Body Book. Dorling Kindersley Publishing Staff, 2012, pp. 108-109.

Frequently asked questions

A fully formed placenta produces essential hormones like progesterone and estrogen to maintain pregnancy. It also acts as a protective barrier, blocking harmful substances from reaching your baby while preventing your immune system from rejecting the fetus.

When fully formed, the placenta is approximately 16mm or 0.6 inches thick. This thickness is sufficient to effectively filter out most harmful substances that could threaten your baby's development.

Ultrasounds show clear images of the baby's spine, brain hemispheres, facial features, and neck. You can also see the umbilical cord, heart, diaphragm, and internal organs like the liver and intestines.

Your baby is still very small and spends most of their time sleeping. Although they're developing reflexes like making fists and grimacing, these movements are too subtle for you to feel yet.

Additional testing may be recommended to determine if you're carrying identical or fraternal twins. This identification is crucial for developing appropriate prenatal care and delivery plans for your specific situation.

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 6, 2025

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