First trimester, week 9
9 weeks pregnant: Goodbye tail, hello toes
- Size of a
- Cherry

- Length
- 2.3 cm crown to rump
- Weight
- 2 g approximate
- Heart rate
- 150–180 bpm typical range
- Due date
- 217 days away 23% of the way
At 9 weeks pregnant, your baby is about the size of a cherry: roughly 2.3 cm from crown to rump, weighing about 2 g. You’re in your first trimester, with about 31 weeks to go until your due date.
Your baby this week
- The tail has almost disappeared, and the toes are separating.
- All the major organs are present in basic form. The heart has divided into four chambers.
- External genitals are starting to form but look the same in boys and girls for a few more weeks.
Your body this week
- Your waist may start to thicken and your usual jeans may feel snug, mostly from bloating.
- Heartburn and constipation can begin as progesterone relaxes your gut.
- Headaches are common in the first trimester. Rest, fluids and regular meals help. Check with your provider before taking any painkiller, and avoid ibuprofen unless advised.
- Typical weight gain so far
- 0.3–1.3 kg
- Your uterus
- About the size of a lemon
Weight gain range is for a pre-pregnancy BMI of 18.5–24.9 (IOM guideline). Your provider may advise differently.
Scans, tests and checkups
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This weekFirst prenatal visit & bloodwork Checkup
Health history, blood pressure, urine, blood type and Rh factor, blood count, and infection screening (hepatitis B, HIV, syphilis, rubella immunity). The UK aims to see you by 10 weeks.
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This weekEarly / dating ultrasound Ultrasound
Confirms the pregnancy is in the uterus, sees the heartbeat, counts babies and dates the pregnancy. Often part of the first visit or combined with the 12-week scan.
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From week 10NIPT (cell-free DNA blood test) Blood test
A blood test that screens for Down syndrome (trisomy 21), trisomies 18 and 13, and can report sex chromosomes. It is a screening test. A high-chance result is confirmed with CVS or amniocentesis.
Baby’s sex: Sex from ~10 weeks, typically >98–99% accurate
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From week 10CVS (chorionic villus sampling) Diagnostic
Diagnostic test on a tiny placenta sample, offered after a high-chance screening result or known family condition. The NHS gives the miscarriage risk as less than 1 in 200 for most pregnancies. The UK usually does it at 11–14 weeks.
Baby’s sex: Diagnostic, only done for medical reasons
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From week 11NT scan / 12-week scan Ultrasound
Measures the fluid at the back of the baby’s neck (nuchal translucency). Combined with blood hormones, it estimates the chance of chromosomal conditions. The window is about 11 weeks to 13 weeks 6 days.
Real size, next to an adult hand
Growth curve
When to call your midwife or doctor at 9 weeks
Call your midwife, doctor or maternity unit straight away, day or night, if you have any of these:
- Vaginal bleeding, with or without cramps.
- Strong pain low on one side of your belly, pain at the tip of your shoulder, or feeling faint. These can be signs of an ectopic pregnancy, which needs urgent care.
- Being sick so often that you can’t keep fluids down for a day.
- Fever of 38 °C (100.4 °F) or higher, or pain or burning when you pee.
- Pain or swelling in one leg, chest pain, or sudden shortness of breath. These can be signs of a blood clot.
- Feeling very low, hopeless or anxious most days. If you feel you might harm yourself, get emergency help.
Based on NHS and ACOG guidance. This list isn’t complete. If something feels wrong, call anyway. In an emergency, call your local emergency number.
Tip for this week
Ask about screening choices now. NIPT, the combined test and the 12-week scan all have time windows that open soon.
Myth or fact?
Is the Ramzi theory accurate for predicting gender?
MythNot reliably. The Ramzi theory guesses the sex from which side the placenta is on at about 6 weeks, and we found no peer-reviewed study that confirms it works.
Read the evidenceCommon questions at this stage
More myths around week 9
Questions people ask about week 9
Can you tell the gender at 9 weeks?
Not by ultrasound. The genitals still look the same. A blood test (NIPT) from 10 weeks can report the baby’s sex chromosomes if you want to know.
How big is the baby at 9 weeks?
About 2.3 cm from crown to rump and about 2 grams, roughly the size of a cherry.
References
- NHS Best Start in Life: 9 weeks pregnant
- NHS: Your antenatal appointments
- NHS: Ectopic pregnancy
- NHS: Miscarriage
- NHS: Vomiting and morning sickness
- Mayo Clinic: Fetal development, the first trimester
- MedlinePlus (US National Library of Medicine): Fetal development
Advice differs between countries, so follow your own care team’s plan. Weights from week 20 are the WHO median, and earlier weights are approximate. How we check this.
All 40 weeks
First trimester Weeks 1–13
From conception to a fully formed, tiny fetus. The most rapid change of the whole pregnancy.
Second trimester Weeks 14–27
Growth, movement and senses. Often the most comfortable stretch for parents.
Third trimester Weeks 28–40
Weight gain, brain and lung maturation, and getting into position for birth.