24 Weeks Pregnant: Viability Milestone Week
Medically reviewed by
Maureen Kelly, RN — 20+ years in L&D, postpartum, NICU, and women’s health.
Reviewed against ACOG, AAP, and Mayo Clinic guidance. Meet Maureen →
Medical Disclaimer: This article is for informational purposes only and should not replace professional medical advice. Always consult with your healthcare provider.
At 24 weeks, you’ve reached a critical milestone—the viability threshold. If born now, your baby would have a chance of survival with intensive NICU care. Your baby is about the size of an ear of corn, weighing roughly 1.3 pounds and measuring about 12 inches. This week brings the glucose screening test and continued rapid development of your baby’s lungs and brain.
Baby Development at 24 Weeks
Your baby is approximately 12 inches long and weighs about 1.3 pounds—the size of an ear of corn. This week marks the viability milestone—with advanced NICU care, babies born at 24 weeks have about a 60-70% survival rate, though they face significant health challenges.
Your baby’s lungs continue developing surfactant. The brain is growing rapidly with increasingly complex neural pathways. Your baby’s face is almost fully formed, and they’re developing regular sleep-wake cycles. Taste buds are fully functional, and your baby may show preferences for sweet flavors in the amniotic fluid.
Your Body This Week
Your uterus is about the size of a soccer ball. Weight gain is typically 14-20 pounds total. The glucose screening test for gestational diabetes is typically done between weeks 24-28. See our gestational diabetes diet guide for preparation and prevention tips.
You may experience Braxton Hicks contractions more frequently. Back pain, heartburn, and swelling continue. Your skin may feel increasingly itchy as it stretches.
Common Symptoms at 24 Weeks
Glucose test preparation: You’ll drink a sweet glucose solution and have blood drawn after an hour. This screens for gestational diabetes, which affects 2-10% of pregnancies.
Linea nigra: The dark line on your abdomen may be more prominent. It fades after delivery.
Pelvic pressure: As your baby grows, you may feel increased pressure in your pelvic area.
Restless legs: This uncomfortable sensation in your legs, especially at night, is common. Stretching and magnesium may help.
What to Do This Week
Complete your glucose screening test. If results are elevated, you’ll do a follow-up 3-hour glucose tolerance test. Early detection and management of gestational diabetes leads to excellent outcomes.
Start thinking about your hospital bag. While it’s early, making a list now helps you prepare gradually.
Continue exercising. Safe pregnancy exercises support healthy blood sugar levels and reduce discomfort.
Nutrition Spotlight: Blood Sugar Management
Balanced blood sugar supports your energy and reduces gestational diabetes risk. Pair carbohydrates with protein and healthy fats, choose whole grains over refined, eat regular small meals, and limit sugary drinks and snacks. Visit our pregnancy nutrition guide.
When to Call Your Doctor
- Vaginal bleeding or fluid leaking
- Regular painful contractions
- Severe headaches or vision changes
- Sudden severe swelling
- Decreased fetal movement
- Signs of UTI
See our when to call your doctor guide.
Frequently Asked Questions
What happens if I fail the glucose screening?
An elevated result doesn’t mean you have gestational diabetes. You’ll do a 3-hour follow-up test. If diagnosed, it’s manageable with diet, exercise, and sometimes medication.
What does viability mean at 24 weeks?
Viability means your baby could potentially survive outside the womb with intensive medical care. At 24 weeks, survival rates are about 60-70%, improving each additional week.
Why do I have restless legs at night?
Restless leg syndrome is common in pregnancy, possibly related to iron deficiency, hormonal changes, or nerve compression. Stretching, magnesium, and iron supplementation may help.
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Key takeaways for the second trimester
- Energy typically returns. Many people feel their best during the second trimester.
- The anatomy scan (around weeks 18–22) is a comprehensive ultrasound that checks fetal organ development and confirms placenta position.
- Quickening — first felt fetal movement — typically begins between weeks 16 and 22, earlier in subsequent pregnancies.
- Glucose screening for gestational diabetes is usually scheduled between weeks 24 and 28.
- By 24 weeks, viability is reached with intensive NICU support; by 28 weeks, survival rates exceed 90% in well-equipped centers.
When to call your provider
Call your OB-GYN, midwife, or labor and delivery unit right away if you experience:
- Heavy vaginal bleeding (more than light spotting)
- Severe abdominal or pelvic pain
- A severe headache that doesn’t respond to acetaminophen
- Sudden facial, hand, or leg swelling
- Vision changes (spots, blurring, light sensitivity)
- Decreased fetal movement after 28 weeks (fewer than 10 movements in 2 hours during baby’s active period)
- Signs of preterm labor: regular contractions, pelvic pressure, low back pain, fluid leaking
- Fever over 100.4°F (38°C)
When in doubt, call. Your provider would always rather hear from you about a non-issue than miss something important.
Frequently asked questions about week 24
How big is the baby at 24 weeks pregnant?
At 24 weeks, your baby is roughly the size of an ear of corn (~11.8 inches, 1.3 lb). Size estimates vary from baby to baby and are based on standardized growth charts (ACOG, NICHD).
What symptoms are common at 24 weeks pregnant?
Common second-trimester symptoms include round ligament pain (sharp pulls in the lower belly), nasal congestion, mild leg cramps, increased appetite, and the first felt fetal movements. Many people report feeling their best in this trimester.
What prenatal appointments happen around 24 weeks?
The glucose challenge test for gestational diabetes is typically performed between weeks 24 and 28.
When should I worry at 24 weeks pregnant?
Decreased fetal movement after you have started feeling consistent kicks, severe headache, vision changes, sudden swelling, severe abdominal pain, vaginal bleeding, leaking fluid, or signs of preterm labor (regular contractions before 37 weeks) warrant immediate evaluation.
Is what I’m feeling at 24 weeks normal?
Most of the symptoms experienced at 24 weeks are part of typical pregnancy and reflect your body’s adjustments. If anything feels alarming, severe, or unusual for you, contact your provider — trust your instincts.
Sources
- American College of Obstetricians and Gynecologists (ACOG). Your Pregnancy and Childbirth: Month to Month (current edition). acog.org
- American Academy of Pediatrics. Caring for Your Baby and Young Child (current edition).
- Mayo Clinic. Pregnancy week by week. mayoclinic.org
- National Institute of Child Health and Human Development (NICHD). Pregnancy and Pregnancy Loss research and guidance.