Week 22 of Pregnancy: Baby’s Skin and How to Treat Heartburn (Acidity)

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In week 22 of pregnancy, you are in the middle of the second trimester, a stage in which many women feel more energetic and comfortable compared to the first months.

This is an ideal time to strengthen the bond with your baby by talking to them, stroking your belly, or even playing music, as their sense of hearing is more developed.

Symptoms

  • More noticeable baby movements
    You may feel your baby’s kicks and turns more clearly, especially during times of rest.
  • Belly growth
    Your uterus continues to expand, which can create a feeling of heaviness in your abdomen.
  • Back and pelvic pain
    As the uterus grows, posture changes and can cause discomfort in the lower back and pelvic area.
  • Leg cramps
    They may occur more frequently, especially at night, due to pressure on nerves and circulation.
  • Swelling in feet and ankles
    Fluid retention is common at this stage, especially after standing for a long time.
  • Increased appetite
    It is normal to feel hungrier, as the baby needs more nutrients. Ideally, choose healthy, balanced meals.
  • Skin changes
    The linea nigra may appear on the abdomen, and facial spots may develop due to hormonal changes.
  • Increased vaginal discharge
    Discharge may become more abundant and clear, which is normal as long as there is no bad odor or abnormal color.
  • Constipation and gas
    Hormonal changes and pressure from the uterus on the intestines can slow digestion.
  • Occasional fatigue
    Although many women feel more energetic, some may still experience tiredness.

Baby’s size

In week 22, your baby continues to grow quickly, and their development is progressing by leaps and bounds.

  • Size: Approximately 27–28 cm from head to toe, similar to a papaya.
  • Weight: Around 450–500 grams.

Changes and Development This Week
Greater Sensory Development
Their hearing is more developed and they can already recognize external sounds, such as your voice and music. Their sense of touch improves, and they begin to explore their environment by touching their face or sucking their thumb.

  • Skin and Appearance
    Their skin is still thin and translucent, but little by little they are accumulating fat under the skin to regulate their temperature at birth. It is covered by vernix caseosa, a white substance that protects the skin from amniotic fluid.
  • Developing Organs
    Their lungs continue to mature, although they are not yet ready to function outside the uterus.
    Their digestive system is in training, swallowing small amounts of amniotic fluid.
  • Stronger Movements
    Their muscles are getting stronger, and you will likely feel more kicks and movements inside your belly.
  • Stronger Heartbeat
    The baby’s heart beats more strongly and, on some occasions, it can be heard with a stethoscope over the abdomen.

What Should You Do?

  • Maintain a balanced diet
    Consume foods rich in protein, calcium, iron, and essential fatty acids for the baby’s development.
    Include fruits and vegetables to provide vitamins and fiber and prevent constipation.
    Drink enough water to stay hydrated and reduce swelling.
  • Monitor weight and health
    Gradual weight gain is recommended. By this week, it is normal to have gained between 4.5 and 6.5 kg.
    Attend medical checkups to monitor the baby’s growth and maternal health.
  • Stay active with moderate exercise
    Do activities such as walking, prenatal yoga, or swimming to improve circulation and reduce back pain.
    Avoid high-impact exercises or those that involve a risk of falling.
  • Take care of posture and rest
    Sleep on your side, preferably on the left side, to improve blood flow.
    Use pillows to support your back and legs and reduce pressure on the pelvis.
    Avoid standing for prolonged periods.
  • Encourage connection with the baby
    Talking to them, playing music, or stroking your belly helps strengthen the bond.
    The baby already perceives sounds, so they can recognize the mother’s voice.
  • Pay attention to symptoms
    It is normal to feel cramps, swelling, or back pain, but if there are symptoms such as bleeding, severe pain, or frequent contractions, it is important to see a doctor.
  • Prepare for the third trimester
    Although there is still some time before the third trimester, this is a good time to learn about childbirth and breastfeeding.
    Some expectant mothers begin planning the purchase of baby items.

Nutrition in week 22 of pregnancy

Protein for the baby’s development
Protein is essential for the formation of tissues and muscles. Include sources such as:
Lean meats (chicken, turkey, lean beef)
Low-mercury fish (salmon, canned tuna in water, tilapia)
Eggs
Legumes (lentils, beans, chickpeas)
Nuts and seeds (walnuts, almonds, chia)

Calcium for strong bones
The baby needs calcium to strengthen their bones and teeth. Recommended sources:
Dairy (milk, yogurt, cheese)
Leafy greens (spinach, kale, broccoli)
Almonds and sesame seeds
Tofu and plant-based beverages fortified with calcium

Iron to prevent anemia
Iron is essential for red blood cell production and to prevent maternal fatigue. Iron sources:
Lean red meats
Spinach and Swiss chard
Legumes (lentils, chickpeas)
Fortified whole-grain cereals
It is recommended to combine these foods with vitamin C (citrus fruits, strawberries, peppers) to improve iron absorption.

Essential fatty acids for brain development
Healthy fats support the development of the baby’s brain and nervous system. Recommended sources:
Fatty fish (salmon, sardines)
Avocado
Olive oil and flaxseed oil
Nuts and seeds

Fiber to prevent constipation
The growth of the uterus can slow digestion, so fiber helps prevent constipation. Key sources:
Fresh fruits and vegetables
Whole-grain breads and cereals
Beans and legumes
Chia and flaxseed

Proper hydration
It is important to drink at least 2 liters of water per day to prevent fluid retention and improve digestion. You can also include:
Natural juices with no added sugar
Caffeine-free herbal teas
Homemade broths

Foods to avoid:
Ultra-processed foods (high in sodium and added sugars)
Fish high in mercury (swordfish, shark, bluefin tuna)
Raw or undercooked meats and eggs (to avoid infections)
Unpasteurized cheeses (risk of listeria)
Excess caffeine (no more than 200 mg per day, equivalent to one cup of coffee)

Supports the baby’s development
Improves oxygenation and blood flow to the placenta, benefiting the baby’s growth.

Recommended exercises this week
30-minute daily walks.
Prenatal yoga or Pilates.
Swimming or water exercises.
Strengthening exercises for legs and back.

Exercises to avoid
Contact or high-impact sports.
Heavy weightlifting.
Exercises that involve lying on your back for a long time.

Exercise in week 22 of pregnancy

Reduces back pain and improves posture
Strengthens the muscles of the back, abdomen, and pelvis, which helps better support the baby’s weight.
Improves posture and reduces pressure on the spine.

Reduces swelling and improves circulation

Exercise activates blood circulation, reducing fluid retention and swelling in the legs and feet.
Prevents varicose veins and improves venous return.

Increases energy and reduces fatigue

Exercising helps maintain energy levels, improving mood and reducing the feeling of tiredness.

Improves sleep quality

Helps combat insomnia and improves the quality of rest.
Reduces anxiety and stress, promoting better emotional well-being.

Controls weight gain

Helps maintain healthy weight gain during pregnancy.
Supports blood sugar control and reduces the risk of gestational diabetes.

Strengthens the pelvic floor and facilitates childbirth

Exercises such as prenatal yoga and Kegel exercises strengthen the pelvic floor muscles, preparing the body for labor.
It may reduce the duration of labor and facilitate postpartum recovery.

Things You Should NOT Do:

Do not carry heavy objects
Lifting excessive weight can cause back pain and increase pressure in the pelvic area.
It can also increase the risk of injuries or premature contractions.

Avoid uncomfortable postures or standing for long periods
Standing for long periods can cause swelling in the legs and feet.
It is recommended to take breaks, change positions, and wear comfortable shoes.

Do not consume raw or undercooked foods
Raw meats, eggs, and fish can contain dangerous bacteria such as listeria or salmonella.
Avoid unpasteurized cheeses and deli meats unless heated.

Do not expose yourself to extreme temperatures
Avoid saunas, hot baths, or intense exercise in the sun, as they can cause dehydration or changes in blood pressure.

Do not self-medicate
Some medications can affect the baby’s development. Always consult your doctor before taking any medication, even over-the-counter ones.

Do not consume excessive caffeine
It is recommended not to exceed 200 mg of caffeine per day (equivalent to one cup of coffee).
You should also limit the consumption of caffeinated soft drinks and teas.

Avoid stress and lack of rest
Sleeping at least 7–8 hours a day is key to the health of the mother and baby.
Practicing relaxation techniques such as deep breathing or prenatal yoga can help reduce anxiety.

Do not do high-impact or dangerous exercises
Contact sports, activities with a risk of falls, or sudden movements can be dangerous at this stage.
Choose gentle exercises such as walking, swimming, or guided stretching.

Do not ignore unusual symptoms
If there is bleeding, severe pain, regular contractions, or changes in the baby’s movements, you should see a doctor immediately.

Frequently Asked Questions

In week 22, the baby measures approximately 27–28 cm from head to toe and weighs around 430–500 grams, similar in size to a large bell pepper.

Yes, at this stage the baby’s movements are more noticeable and may feel like small kicks, turns, or bubbles. However, intensity and frequency vary in each pregnancy.

As the uterus grows, it presses on the stomach, which can cause reflux and heartburn. To relieve it, it is recommended to eat small portions, avoid spicy or fatty foods, and not lie down immediately after eating.

Yes, unless your doctor indicates otherwise. In most cases, sexual intercourse does not pose a risk, but it is important to find comfortable positions and avoid any discomfort.

Yes, fluid retention is common at this stage. It is recommended to elevate your legs, stay hydrated, and avoid standing for long periods. If swelling is excessive or is accompanied by headache and blurred vision, you should consult your doctor.

In most cases, yes. However, it is important to consult your doctor, especially in high-risk pregnancies. It is recommended to move around during the flight, wear compression stockings, and stay well hydrated.

Yes, this is a good time to plan for the baby’s arrival, buy what you need, and organize the space without rushing or stress.

As your belly grows, it can cause back discomfort. It is recommended to maintain good posture, use supportive pillows for sleeping, and do gentle exercises such as prenatal yoga or swimming.

Yes, some women may experience Braxton Hicks contractions, which are painless and sporadic. If contractions are regular or painful, you should see a doctor.

It is important to follow a balanced diet rich in protein, calcium, iron, and fiber. Excess caffeine, ultra-processed foods, and raw or undercooked foods should be avoided.

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