At 24 weeks and 0 days the fetus is usually considered "viable" by most doctors. That means it has a reasonable chance of surviving if born prematurely.
During the 24th week, the fetus continues to gain good weight. Weighing in at more than 1 1/3 pounds, the fetus is gaining weight thanks to bone development, muscle growth and organ growth. For pregnant women with multiples, the 24th week is earliest time the fetuses could be born and survive. If multiples are born in the 24th week, they will require neonatal intensive care for many months before heading home.
The uterus has reached two inches above the navel. There is no hiding the pregnancy now as the tummy is sticking out far enough for the world to notice. Between weeks 24 and 28, the attending physician will order a gestational diabetes test. The test involves drinking a sugary liquid and having blood drawn at various intervals to test the body’s reaction to high levels of sugar. Women with gestational diabetes can have healthy babies, they simply need to monitor glucose levels throughout the pregnancy and switch to a low carbohydrate diet. Women carrying multiples will need to carefully note any changes in vaginal discharge or contractions. Preterm labor is common and may start with a vaginal infection.
Take plenty of pictures from week 24 until the end of pregnancy. Though pregnant women commonly say they do not want their picture taken, they will love to gaze at the photos in the future when baby is growing up.
Preterm labor can start at any time. Some expecting women notice changes such as lower back pain and abdominal cramping. Irregular and occasional contractions, maybe 2-3 per day are common as the uterus prepares for birth. However, if contractions come in a patterned cycle or grow stronger and closer together, and you experience more than 2-3 per hour, then the doctor should be immediately notified. These symptoms are not typical of Braxton Hicks contractions and may indicate a more serious problem like premature labor.
Dehydration is a major problem. Sometimes, women find themselves in the hospital with problems only to find out that they are just dehydrated. Dehydration can occur quickly. Fighting off dehydration is simple as long as the expecting woman drinks plenty of water throughout the day. The recommendation is for at least 8-10 cups of fluid, preferably water or thin juices a day. Making it a habit to carry a water bottle at all times helps keep the body hydrated.