Week 28 of Pregnancy: Hello, Third Trimester!

Welcome to Week 28, a wonderful milestone on your journey. You’ve now entered the third trimester—the final stretch before you meet your baby! This week is often filled with a mix of excitement, curiosity, and maybe a little bit of nervousness. That’s completely normal. Whether you’re feeling energetic or in need of a few more naps, each feeling is part of your unique experience.

Your baby is now about the size of an eggplant and growing quickly. Their eyes are opening and closing, and they’re able to tell light from dark inside your womb. You might even notice stronger kicks or gentle rhythms when your baby gets the hiccups. These movements are a lovely way for your baby to say, “I’m here!”

As for you, your body is working hard to support this final stage of pregnancy. It’s common to notice some new changes, such as a growing belly, achy legs, or feeling more out of breath than before. Many moms start to experience Braxton Hicks contractions, which feel like a tightening across your belly. These are your body’s gentle practice for the big day ahead and are usually not a cause for concern.

This is also a good time to start thinking about your birth plan and making any needed preparations at home. You might find yourself organizing baby clothes, setting up a crib, or attending childbirth classes. All these small steps help you feel more ready and confident.

Here are a few things you might notice or consider this week:

• More frequent prenatal appointments to closely monitor your health and the baby’s growth
• Growing excitement—and maybe a little worry—about labor and delivery
• Time to talk with dad or your support person about your wishes for the birth
• Setting aside moments to rest, hydrate, and care for yourself

This week marks a period of preparation and anticipation. Trust in your body and lean on those around you for support. You’re doing an amazing job, and every day brings you one step closer to meeting your baby. Take a deep breath and savor these moments—you’re in the home stretch!

Your Baby’s Development This Week

Welcome to week 28—there’s so much happening with your little one! Your baby is about the size of a large eggplant now, measuring close to 10 inches from the top of their head to their bottom and weighing just over 2 pounds. As you begin your third trimester, your baby is busily preparing for life outside the womb.

One of the most exciting changes this week is how active your baby’s brain is becoming. Billions of nerve cells are forming, making your baby’s brain more complex every day. In fact, your little one is now experiencing sleep cycles, including periods of REM sleep. That means your baby might even be dreaming right now! Sometimes, you might notice more movement inside your belly at certain times, which could be your baby switching between different sleep and wake cycles.

Your baby’s eyesight is also developing quickly. Their eyelids are opening, and they’re able to blink. If you shine a light onto your belly, your baby may actually respond by turning away. Eyelashes and eyebrows have started to come in, giving your baby even more of that adorable newborn look. Bright lights or loud noises might make your baby wiggle or kick, showing that their senses are getting stronger.

Inside your baby’s lungs, important changes are happening. Even though your baby won’t take their first real breath until birth, they’re practicing by moving amniotic fluid in and out of their lungs. While these lungs still need more time to mature, this practice is a big step toward their first cry. If your baby were to arrive early, doctors now have much better tools to help them breathe, thanks in part to this stage of lung growth.

This week, your baby’s body is learning to adjust its own temperature too. The central nervous system—made up of the brain and spinal cord—can now help keep your baby warmer and more comfortable, which is an important skill for life outside the womb.

For baby boys, another change is underway: the testicles are beginning to move down into the scrotum. Meanwhile, your baby’s digestive system is growing stronger, with intestines that are coiling and getting ready to handle nourishment in the outside world. The immune system is also strengthening, better preparing your baby to fight off germs later on.

Here’s what’s going on at a glance:

• Movement: You may feel more obvious kicks, stretches, and even hiccups as your baby’s muscles get stronger.
• Senses: Your baby can react to light and sound and may even recognize your voice and the voices of close family members.
• Practice Breathing: Your baby is “breathing” amniotic fluid to exercise their lungs.
• Temperature Control: Beginning to regulate their body heat a little more independently.

As your baby grows, you may notice changes in their patterns of movement. Keep an eye on your baby’s kicks—consistent movement is a great sign of well-being. Take a moment each day to enjoy these flutters and stretches; it’s your baby’s way of making their presence known and reminding you they’re growing stronger every week. If you have concerns or notice a sudden change in movement, don’t hesitate to reach out to your care provider—you know your baby best.

Changes in the Mother’s Body

As you reach week 28, you’re officially in the third trimester—an exciting milestone! Your body is working hard to nurture your growing baby, and you’ll likely notice several new changes and sensations. These can feel a little overwhelming at times, but most are simply a sign that both you and baby are getting ready for the big day. Here’s what you might expect in this stage of your pregnancy journey:

1. Your Growing Belly

Your abdomen may feel noticeably larger and firmer as your uterus expands upward and outward. You might be carrying most of your bump higher now, and your balance can shift as your center of gravity changes. Don’t be surprised if friends or family start commenting on how much you’ve “popped!” You may find yourself needing to support your belly more, or even looking into a maternity support belt for comfort, especially if you spend much of your day on your feet.

2. Physical Discomforts

Backaches and pelvic discomfort can become more frequent as pregnancy hormones make your joints softer and the extra baby weight strains your muscles. Many women also notice more swelling in their feet and ankles—especially after standing or sitting for long periods. To help reduce swelling, rest with your feet up, try gentle stretches, and wear comfortable shoes. Compression socks may also offer relief if advised by your provider.

3. Breathing Changes

As your uterus grows, it can put pressure on your lungs and diaphragm, making you feel a bit short of breath, especially when climbing stairs or after a brisk walk. Slow down, take breaks, and practice good posture to give your lungs more room. If you feel unusually breathless or dizzy, let your doctor know right away.

4. Changes in Sleep and Rest

Many expectant moms find it harder to sleep soundly around this time. Finding a comfortable sleeping position can be a challenge with a growing bump. Placing a pillow between your knees or supporting your belly with a small cushion can help. Remember, lying on your left side is recommended for the best circulation.

5. Noticing Colostrum

Your breasts might feel fuller and more sensitive now. You could see a little yellowish liquid (colostrum) leaking—your body’s way of preparing for breastfeeding. This is perfectly normal, but if the leakage bothers you, soft nursing pads can be worn inside your bra.

• Increased Braxton Hicks Contractions: Gentle, irregular tightening sensations in your belly are common as your body rehearses for labor. They should be mild and go away with rest or changing positions.
• Skin Sensitivity: You might notice new patches of darker skin or freckles, especially on your face or belly. Protect your skin with sunscreen, as you may be more prone to sunburn now.
• Digestive Ups and Downs: Heartburn, constipation, and occasional indigestion can show up in the third trimester. Eat smaller meals, drink water throughout the day, and include fiber-rich foods.
• Feeling Baby’s Movements: Your baby’s kicks and hiccups may be more noticeable now. These are precious signs of your growing child—enjoy them, and start tracking daily movement if recommended by your healthcare provider.

Remember, every pregnancy is different. If you’re worried about anything you’re feeling—or not feeling—never hesitate to contact your healthcare team. You’re not alone on this journey, and there’s always someone ready to help.

Your Week 28 Prenatal Checkup: What to Expect

Welcome to the third trimester! At this stage, your prenatal visits usually start happening every two weeks instead of once a month. These appointments become more frequent now as your baby’s growth speeds up and your body continues to change. Here’s what you can expect at your checkups around week 28:

• Measuring Your Bump: Your care provider will gently measure your belly from your pubic bone to the top of your uterus (called the fundal height). This helps make sure your baby is growing well and on track for your due date.
• Blood Pressure and Urine Tests: Checking your blood pressure and testing urine is important now. It helps spot any early signs of pregnancy conditions like preeclampsia or gestational diabetes—problems that are easier to manage if caught early.
• Gestational Diabetes Screening: Around 28 weeks, most women do a simple test called the glucose challenge. You’ll drink a special sugary drink, then have your blood drawn an hour later. While it may taste a bit sweet, it’s an important way to check how your body handles sugar and to keep you and your baby healthy.
• Listening to Baby’s Heartbeat: Your provider will let you listen to your baby’s heartbeat. It’s often a magical moment for parents, and it reassures you that all is well inside.
• Kick Count Guidance: Now is a great time to start tracking your baby’s movements each day. Your caregiver might teach you how to do “kick counts”—simply paying attention to how often your baby squirms and kicks. Most healthy babies will move at least 10 times in two hours when they’re awake. Call your provider if you notice a big decrease or any change.
• Talking About Symptoms and Changes: Bring up any new symptoms since your last visit, even if they seem minor. Common things to discuss include headaches, swelling, changes in vision, new aches, or feeling unusually tired. No question is too small, so don’t hesitate to ask!
• Rho(D) Immune Globulin Shot (if needed): If your blood type is Rh-negative, your provider may recommend a shot called RhoGAM this week. It helps keep your pregnancy and future ones safe by preventing blood-type problems between you and your baby.

Your checkup is about much more than just measurements and tests—it’s a chance for you to share how you’re feeling, get support, and make sure you have what you need as you head into these final maternity months. If you have questions or want extra guidance (even about things like sleeping comfortably or handling backaches), be sure to bring them up. Your care team is here to help you feel confident and cared for every step of the way.

Nutritional Tips and Physical Exercise

As you step into your third trimester, your body and baby both need extra care and mindful choices. Eating well and moving safely can help you feel your best, keep your energy up, and support your growing baby. Here’s how you can make the most of nutrition and exercise at 28 weeks:

• Boost Your Protein Intake: Protein is the building block for your baby’s rapidly developing muscles, tissues, and brain. Try to add an extra serving each day — think an extra egg at breakfast, a handful of nuts, some hummus, or a piece of grilled chicken or tofu. Small changes can make a big difference!
• Smart Snacks for Steady Energy: As your baby grows, you might feel hungry more often. Choose wholesome snacks like chopped carrots with yogurt dip, a banana with peanut butter, or whole grain crackers with cheese. These will help keep your blood sugar steady and curb those sudden hunger pangs.
• Watch Your Iron and Vitamin C: If you’ve been feeling more tired or lightheaded, your iron levels may be dipping. Boost your iron by choosing lentils, red meat, spinach, and pumpkin seeds, and pair them with vitamin C-rich foods like oranges, strawberries, or bell peppers to help your body absorb more iron.
• Stay Hydrated, Especially Now: Your blood volume continues to rise, so you need plenty of fluids. Aim for water, herbal teas, or a splash of juice with lots of ice. Carry a water bottle and take small sips throughout the day—this can also help with swelling and constipation.
• Limit Heartburn Triggers: If you’re noticing heartburn more often, try smaller, more frequent meals and avoid spicy, greasy, or very acidic foods. Sitting upright after eating or propping yourself up with pillows at night can also ease discomfort.

Along with nutrition, gentle physical activity can help keep your mood up, improve circulation, and even promote better sleep. Here’s how to exercise safely at 28 weeks:

• Choose Pregnancy-Safe Activities: Walking, swimming, and prenatal yoga are great choices because they’re low-impact and easy on your joints. If you’re new to exercise, start slow—a short daily walk counts!
• Stretch to Soothe Aches: Simple stretches can ease lower back pain and leg cramps. Prenatal yoga or gentle stretching before bed can help you unwind and may make nighttime more comfortable.
• Practice Deep Breathing: Try breathing exercises or meditation to relax your body and mind. Slow, deep breaths not only reduce stress but can also prepare you for labor down the road.
• Listen to Your Body: If you feel dizzy, overly tired, or experience any pain, pause and rest. Every pregnancy is unique—don’t compare yourself to others, and don’t hesitate to check with your healthcare provider if you’re unsure about any activity.

Remember, small changes add up. Combining mindful eating and gentle movement will help both you and your baby stay strong and healthy for the exciting weeks ahead!

Weekly Checklist

Welcome to your third trimester! At 28 weeks, your baby is busy growing and getting ready for the world, and your body is also working hard. Here are some caring reminders and fresh tips just for you this week:

• Start or continue daily kick counts. Try to pick the same time each day, when your baby is usually active. Lie on your side and notice if you feel at least 10 movements within two hours. If you feel less, call your provider for reassurance.
• Book your next prenatal appointment. From this week on, most doctors like to see you every two weeks. Jot down any questions you have so you don’t forget at your visit.
• Notice changes in swelling. Mild puffiness in your feet is common now, but if you notice sudden or severe swelling—especially in your face or hands—get in touch with your doctor to be safe.
• Check in with your sleep habits. Try using extra pillows between your knees or behind your back for support. If leg cramps wake you up, gentle stretching before bed may help.
• Stay steady with iron-rich foods. Iron needs rise in your third trimester. Sneak spinach into omelets, snack on dried apricots, or add beans to salads. Pairing these with vitamin C-rich foods (like oranges or tomatoes) can help your body absorb the iron better.
• Monitor water intake. Aim to keep a bottle handy and sip throughout the day. Staying hydrated can help prevent constipation, reduce swelling, and support baby’s healthy growth.
• Give yourself breaks. Take a few minutes each day to put your feet up, especially if you’ve been on them a lot. Short rests help ease swelling and boost your energy.
• Stretch to ease aches. Try gentle prenatal yoga or simple stretches to relieve back pain and stiffness. Always move slowly and stop if something doesn’t feel right.
• Protect your skin in the sun. Hormone changes can make skin darker in spots, so wearing sunscreen and a hat when outdoors helps prevent dark patches from getting worse.
• Look out for signs of early labor. Unusual symptoms—such as strong cramping, vaginal bleeding, leaking fluid, or more than four contractions in an hour—should be reported right away, just to be on the safe side.
• Continue prenatal vitamins. Even though your baby’s spine and bones have mostly formed, daily folic acid, iron, and calcium remain essential for healthy development.
• Start thinking about birth plans and childcare. It’s not too early to imagine what you’d like for your labor or who can help care for you or your older children after delivery.

Remember—every pregnancy is unique. Listen to your body, lean on your support system, and never hesitate to reach out to your care team with questions or worries. You’re doing an amazing job!

When to Call Your Provider 

Your body and your baby are both working hard at this stage—so it’s natural to have questions or concerns. Most symptoms you feel are part of normal pregnancy, but certain changes need prompt attention. If any of the following occur, don’t hesitate to call your doctor or midwife for support and guidance:

• Less Baby Movement: If you notice that your baby isn’t moving as much as usual, or you don’t feel at least 10 movements within two hours during a time when your baby is usually active, get in touch with your provider. Your baby’s movements are an important sign of their well-being.
• Sudden or Severe Swelling: While mild swelling in your feet or ankles can be expected, suddenly swollen hands, face, or around the eyes may signal something more serious. Trust your instincts—if your rings and shoes suddenly don’t fit, give your doctor a call.
• Vision Changes: Blurred vision, seeing spots, flashes of light, or difficulty focusing are not typical and require prompt attention, especially if they come on suddenly.
• Severe Headache: A splitting headache that won’t go away or doesn’t improve with rest or fluids should never be ignored—especially if it’s accompanied by dizziness or vision changes.
• Painful or Persistent Contractions: Occasional tightening (Braxton Hicks) is usually normal, but regular contractions that don’t go away or become painful may be an early sign of labor. If you notice this pattern, reach out for professional advice, especially if contractions come every 10 minutes or faster.
• Leaking Fluid or Bleeding: Call your provider right away if you have a sudden gush, a steady trickle of fluid from your vagina (which might be your water breaking), or any vaginal bleeding—no matter how light.
• Burning or Pain While Urinating: If you notice discomfort, burning, or pain when going to the bathroom, or if you have a fever, chills, or back pain, let your healthcare provider know. Urinary tract infections are more common during pregnancy and should be treated promptly.
• Shortness of Breath or Chest Pain: Feeling more breathless is common as your uterus grows, but if you suddenly struggle to catch your breath, have chest pain, or notice a rapid heartbeat, seek help right away.
• Itching All Over: Mild itching on your belly can be from stretching skin, but intense, constant itching, especially on your hands and feet, could mean a liver problem called cholestasis and should be checked out soon.
• High Fever: Let your doctor know if you have a temperature over 100.4°F (38°C) that doesn’t come down, especially if it’s accompanied by chills, body aches, or a sore throat.

Never feel embarrassed to check in if you’re unsure about a symptom or just need some extra reassurance. Your peace of mind is as important as your physical health, and your healthcare team is there to support you every step of the way.

Preparations for Baby

As you move into week 28, you’re entering the home stretch! It’s normal to feel both excitement and nerves as your baby’s arrival gets closer. Here are some comforting and practical ways to help you and your home feel more ready for your little one’s debut:

• Create Your Baby’s Sleep Space: Set up the crib or bassinet in a spot that feels peaceful and safe. Make sure the mattress is firm and free of pillows, stuffed animals, and blankets for your baby’s safety. Washing sheets and swaddles in gentle detergent can also help prevent skin irritation.
• Stock Up on Everyday Essentials: Now is a great time to gather items you’ll use often, like newborn diapers, wipes, gentle baby wash, and soft clothing in a few sizes to see what fits best. Having these on hand can help you feel more confident and less rushed later.
• Plan for Feeding: Whether you hope to breastfeed, pump, or formula feed, gather the basics you’ll need—such as nursing bras, bottles, or a breast pump (many insurance plans cover pumps, so check ahead). Setting up a cozy feeding spot with a chair, pillow, and water bottle makes those midnight feeds a little more comfortable.
• Practice Soothing Techniques: Try learning a few ways to comfort newborns, like gentle rocking, swaddling, and soft “shh” sounds. Practicing these now, even if just with a soft toy, can make you feel more ready.
• Prepare for Visitors and Help: If friends or family plan to visit in the first weeks, think about gently sharing your wishes about timing and support. Setting up a meal train or asking for help with household chores can make those first days smoother.
• Install the Car Seat: It’s wise to install the infant car seat ahead of time, so you’re not figuring it out in a rush. Most fire stations or baby stores offer installation checks to make sure it’s secure.
• Refresh on Baby Safety: This could be a good moment to review safe sleep guidelines, baby-proof major hazards in your home, and learn basic first aid or infant CPR if you haven’t yet.
• Emotional Preparation: Take some quiet time for yourself or with your partner to talk about hopes, worries, and practical plans for when baby comes home. Journaling or making a list of things that comfort you can help you stay steady during sleepless nights or emotional days.
• Self-Care Matters Too: Remember to rest, nourish yourself, and reach out for support when you need it—caring for yourself is just as important as setting up for your baby.

Every step you take now is an act of love for your little one. Go at your own pace, and know it’s perfectly okay to ask for help or reassurance. You’re doing beautifully, and your baby is so lucky to have you waiting for them.