During the fourth month of pregnancy, or the start of the second trimester, the fetus undergoes significant development and changes. This period is crucial for the overall growth of the fetus and the health of the expectant mother. Here’s an overview of what occurs during the fourth month of pregnancy:
Fetal Development
Size and Growth:
By the end of the fourth month, the fetus is approximately 5 to 6 inches long and weighs around 4 to 6 ounces. This stage marks a period of rapid growth. The fetus begins to resemble a miniature human more closely, with proportionate limbs and features.

Physical Features:
During the fourth month, the fetus develops distinct facial features. The eyes, which have been migrating from the sides of the head to the front, are now more centered. Eyebrows and eyelashes start to form, and the fetus can make facial expressions. The ears are fully developed and positioned on the sides of the head. The body becomes more proportionate, with well-defined limbs and fingers, which are now fully formed and capable of grasping.
Skin and Hair:
The fetus’s skin is still translucent, but it is beginning to form layers. The development of hair follicles on the scalp begins, although visible hair may not yet be present. Lanugo, a fine, soft hair, starts to cover the fetus’s body, serving to protect the delicate skin and regulate body temperature.
Organ Development:
Major organs continue to mature. The digestive system becomes more functional as the fetus swallows amniotic fluid, which helps in the development of the gastrointestinal tract. The liver and spleen start to produce blood cells. The kidneys are now functioning and producing urine, which is excreted into the amniotic fluid.
Movement:
By the end of the fourth month, the fetus begins to make more noticeable movements. These movements, often described as flutters, are generally too subtle for the mother to feel at this stage but may become more apparent as the pregnancy progresses. The fetus practices movements such as kicking, stretching, and turning.
Maternal Changes
Physical Symptoms:
The fourth month is often associated with a reduction in the intensity of early pregnancy symptoms like morning sickness and fatigue. Many women begin to feel more energetic and experience a noticeable increase in appetite. The second trimester is typically characterized by a decrease in nausea and vomiting, making it a more comfortable period for many expectant mothers.
Body Changes:
The abdomen begins to visibly expand as the uterus grows to accommodate the developing fetus. The increase in uterine size can cause a noticeable change in the shape of the abdomen, often referred to as the “baby bump.” The increased blood flow and hormonal changes can also lead to changes in skin pigmentation, such as the appearance of a linea nigra, a dark line running from the belly button to the pubic area.
Emotional Changes:
Hormonal fluctuations continue to influence emotions and mood. While some women might experience mood swings, many find that their mood stabilizes during this period. The second trimester is often a time when women start to feel more connected to their pregnancy and may experience a sense of excitement as they begin to plan for the arrival of their baby.
Prenatal Care:
Regular prenatal visits become increasingly important during this stage. Healthcare providers will monitor the growth and development of the fetus through ultrasound scans and other diagnostic tests. These visits also involve checking the mother’s health, including blood pressure, weight, and overall well-being. It’s an opportunity for expectant mothers to discuss any concerns or questions with their healthcare provider.
Diet and Lifestyle:
Maintaining a balanced diet rich in essential nutrients is crucial for the health of both the mother and the fetus. Adequate intake of vitamins and minerals, such as folic acid, iron, calcium, and protein, supports fetal development and helps prevent complications. Staying hydrated and engaging in moderate physical activity, as advised by a healthcare provider, can also contribute to overall well-being.
Preparing for the Future:
As the fourth month progresses, many expectant parents begin preparing for the arrival of their baby. This may include planning for the baby’s nursery, researching childbirth options, and attending prenatal classes. The anticipation of the baby’s arrival often brings a mix of excitement and preparation, as parents get ready to welcome their new family member.
In summary, the fourth month of pregnancy is a time of significant development for the fetus and positive changes for the expectant mother. The fetus grows rapidly, with increased development of physical features and organ functionality. The mother typically experiences a reduction in early pregnancy symptoms and begins to adjust to the physical and emotional changes of pregnancy. Regular prenatal care, a healthy lifestyle, and preparation for the baby’s arrival are essential aspects of this stage.