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Pregnancy Guide·Second Trimester

Week 18: Hearing Begins

Sweet potato (~14cm)·Last reviewed: 25 April 2026
Quick answer

At week 18, your baby can hear sounds for the first time. Ears have moved to their final position, and myelin is coating the nerves. According to Nuhah's pregnancy guide, your baby is now about the size of a sweet potato and is covered in a protective waxy coating called vernix.

Baby development at week 18

Ears move to their final position on the sides of the head. The baby may start hearing sounds - your heartbeat, digestive system, and eventually your voice. Myelin starts coating the nerves, which speeds up nerve signal transmission. Vernix caseosa (a waxy, protective coating) covers the skin. The baby is active, rolling, kicking, and stretching, though you may not feel all of it yet.

Your body this week

Your bump is clearly visible now. You may feel movement more frequently and more clearly. Backache can begin as your centre of gravity shifts. Some people notice skin changes including darkening of the nipples, linea nigra, and occasionally melasma (darker patches on the face). Your blood pressure may be slightly lower than usual, which can cause dizziness.

Things to do this week

1
Your anomaly scan is approaching (usually at week 20) - make sure it is booked
2
Start talking and singing to your baby - they can hear you
3
If you are experiencing back pain, try a pregnancy pillow for sleeping
4
Begin thinking about nursery setup if you plan to have one

Frequently asked questions

Can my baby hear me at 18 weeks?

Your baby's hearing is developing and they can hear internal sounds like your heartbeat and digestive system. By around weeks 25-26, they will begin to hear external voices, and by weeks 27-30 they may respond to your voice and loud sounds. Talking and singing to your bump helps with bonding.

What is vernix?

Vernix caseosa is a white, waxy coating that covers the baby's skin from around week 18. It protects the skin from the amniotic fluid and helps regulate temperature. Some babies are still coated in vernix at birth.

Related reading

Wellbeing
The Second Trimester: What to Expect
Scans & Appointments
The 20-Week Anomaly Scan: What to Expect
Baby Development
When Do You Feel Your Baby Move for the First Time?

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