13th week: The second trimester begins
- Weeks and days
- 12+0 to 12+6
- Month
- 4
- Trimester
- 2
The 2nd trimester begins with the 13th week of pregnancy. This week, the fetus grows from about 54 to 74 millimeters, and its bladder now fills with urine. Nuchal translucency can still be measured until 13+6.
Week 13 of 40
Calculate your weekHow big is the fetus?
54 to 74 mm
By the end of the week, the fetus is about the size of a peach. Its bladder fills with urine and can be seen on ultrasound as a dark circle.
Crown-rump length according to the UNSW Embryology table; the NHS gives the same values. A peach usually measures 61 to 73 mm.
This week
Your baby
- From now on, the movements become more varied in speed and strength. You cannot feel them yet.
- The sex organs are formed by the 14th week of pregnancy.
- The heart continues to beat a little more slowly; by 14+0, the rate drops on average to about 156 times per minute.
Your body
- The median hCG level is 66,676 mIU/ml; 27,832 to 210,612 is normal. More in the hCG levels chart.
- For about half of pregnant women, nausea continues until the end of the 14th week of pregnancy.
- Your belly gradually becomes visible; the uterus can now be felt above the pubic bone.
What matters now
- First-trimester screening with nuchal translucency is still possible until 13+6.
- In Germany, the Robert Koch Institute (RKI) recommends the flu vaccination for all pregnant women from the 2nd trimester, that is, from now on.
- In Switzerland, from the 13th week of pregnancy, you no longer pay a deductible or a co-payment for maternity benefits.
Get checked right away: heavy bleeding, severe or persistent abdominal pain, fever, pain when urinating, or vomiting where you cannot keep anything down.
On ultrasound
- 12+0
Bladder should be visible in the lower abdomen by now at the latest.
- 12+0
Sex was correctly identified in studies at 12 completed weeks in 75 to 99 out of 100 cases.
- 13+6
Nuchal translucency can be measured up to this day, at a crown-rump length of 45 to 84 mm.
In Germany, under the prevailing interpretation of the Genetic Diagnostics Act (Gendiagnostikgesetz), the sex may only be disclosed from 14+0. In Switzerland, this is already allowed from 12+0 after an NIPT.
Frequently asked questions about the 13th week of pregnancy
Is the 13th week of pregnancy in the 1st or 2nd trimester?
In the 2nd trimester. According to the German way of counting, it begins with the 13th week of pregnancy, that is, at 12+0. Professional societies in the USA only count it from 14+0.
What is the risk of miscarriage in the 13th week of pregnancy?
In a large London study with an examination between 11+0 and 13+6, about 1 in 100 pregnancies still ended in miscarriage after that.
Can you see the sex in the 13th week of pregnancy?
Often, yes. Whether your doctor is allowed to tell you depends on the country: in Germany, under the prevailing interpretation, only from 14+0.
Which month is the 13th week of pregnancy?
The 4th month of pregnancy, in the 2nd trimester. Figures such as 12+4 weeks also belong to the 13th week of pregnancy.
Sources
- Fetal Development, UNSW Embryology
- 13 weeks pregnant, NHS
- Weeks 13 to 16 of pregnancy, familienplanung.de, Federal Institute for Public Health (BIÖG), as of 13 June 2024
- de Vries JI et al.: The emergence of fetal behaviour, Early Hum Dev 1982;7:301
- Hyett JA et al.: Fetal heart rate in trisomy 21 and other chromosomal abnormalities at 10-14 weeks of gestation, Ultrasound Obstet Gynecol 1996;7:239
- Bilardo CM et al.: ISUOG Practice Guidelines (updated), performance of 11-14-week ultrasound scan, Ultrasound Obstet Gynecol 2023;61:127
- Beta-HCG, test directory with the table from the Roche Elecsys HCG+β package insert, Ulm University Hospital (Universitätsklinikum Ulm), as of 8 July 2020
- Lacroix R et al.: Nausea and vomiting during pregnancy, a prospective study, Am J Obstet Gynecol 2000;182:931
- Evaluation of the Obstetric Patient, Merck Manual Professional
- S2e guideline on first-trimester diagnostics and therapy at 11 to 13+6 weeks of pregnancy, AWMF 085-002, valid until 31 December 2028
- Vaccination during pregnancy (Impfen in der Schwangerschaft), FAQ, Robert Koch Institute (RKI), as of 27 March 2025
- Federal Act on Health Insurance (Bundesgesetz über die Krankenversicherung, KVG), Art. 64, Swiss Confederation, edition of 1 July 2026
- Whitlow BJ et al.: The sonographic identification of fetal gender from 11 to 14 weeks of gestation, Ultrasound Obstet Gynecol 1999;13:301
- Efrat Z et al.: First-trimester determination of fetal gender by ultrasound, Ultrasound Obstet Gynecol 1999;13:305
- Genetic Diagnostics Act (Gendiagnostikgesetz), § 15, Federal Ministry of Justice
- Svensson: Prenatal diagnostics (Pränataldiagnostik), Duncker & Humblot 2023
- Health Care Benefits Ordinance (Krankenpflege-Leistungsverordnung, KLV), Art. 13, Swiss Confederation, edition of 1 August 2026
- Akolekar R et al.: Prediction of miscarriage and stillbirth at 11-13 weeks and the contribution of chorionic villus sampling, Prenat Diagn 2011;31:38