The belly scaling while moving through the dungeon is tied to the cum meter. At 200 cum the belly is at 100% scaling, assuming the cumflation feature is turned on in the settings.
As for pregnancy? I don't know. there have been a lot of requests for it, but I'm not too keen on adding it as a game mechanic. If I were to add it to a cinematic it would probably be in a happy ending style game over or something.
Edit: Formatting.