The third trimester marks the final phase of pregnancy. Starting at week 28 and lasting until birth, this period involves significant changes in both the mother’s body and the baby’s development. In this article, we’ll cover the common symptoms, how to manage discomfort, essential prenatal visits, and tips for preparing for labor and delivery.
Key Takeaways
- The third trimester begins at week 28 and lasts until birth, requiring close monitoring of maternal and fetal health.
- Common symptoms include Braxton Hicks contractions, increased fetal movement, and discomfort, which can be managed through various techniques.
- Regular prenatal visits are essential for monitoring baby’s growth and preparing for labor, while emotional support and home preparations are crucial for a smooth transition to parenthood.
When Does the Third Trimester Begin?

As your pregnancy progresses, the third trimester marks a significant milestone. Officially starting at week 28, this period is recognized by major health organizations as the final phase before your baby’s birth. During this time, your body undergoes substantial changes to support the growing baby, and you might notice your baby bump becoming more prominent. This trimester lasts until birth, which typically occurs around 39 to 40 weeks of pregnancy.
However, it’s important to note that approximately 30 percent of babies may linger past the 40-week mark. As the due date approaches, closely monitor your health and the baby’s development. Understanding the third trimester timeline helps you prepare mentally and physically, making sure you are ready for labor.
Common Symptoms in the Third Trimester

As the baby grows, the third trimester brings a host of new symptoms. Many expectant mothers experience Braxton Hicks contractions, which are often referred to as “practice contractions” or false contractions. These can be uncomfortable, but they are generally not painful and do not indicate the onset of labor. Additionally, you might notice an increase in leg cramps, which can be quite common during this stage of pregnancy.
Heartburn is another frequent complaint, caused by the growing uterus pushing the stomach upward. Increased fetal movement is also a key indicator of your baby’s well-being. Monitor these movements and report any significant changes to your healthcare provider.
As your pregnancy progresses, these symptoms, along with other symptoms like weight gain and swollen veins, are all part of the body’s preparation to gain weight for the baby’s arrival, including the development of stretch marks.
Managing Discomfort
Effectively managing discomfort during the third trimester can significantly improve your quality of life. Back pain, a common issue due to the increased weight and shifting center of gravity, can be alleviated by applying heat to sore areas. Elevating your legs can also help reduce swelling and discomfort caused by varicose veins.
Taking deep breaths and practicing relaxation techniques can ease the strain on your rib cage and provide relief from some of the physical stressors. Avoiding soft cheeses and other unpasteurized products prevents potential infections that could complicate your pregnancy.
Prenatal Visits and Screenings
Regular prenatal visits are essential during the third trimester. These visits typically occur every two weeks until the 36th week, then weekly until delivery. During these appointments, your healthcare provider will monitor the baby’s growth, check for signs of preterm labor, and ensure that both you and the unborn baby are healthy. Prenatal care includes screening tests, including ultrasounds, which are essential to assess the baby’s position, amniotic fluid levels, and overall well-being.
A pelvic exam may also be performed to determine the dilation and effacement of the cervix as labor approaches. These visits allow you to discuss your birth plan, address concerns, and receive guidance on what to expect as the due date approaches.
Childbirth classes offer valuable insights and practical tips, further preparing you for labor and giving birth.
Fetal Development Milestones

The third trimester is a period of rapid development for your baby and the trimesters leading up to it have laid the foundation. Key milestones include:
- Maturation of the lungs and kidneys, with lungs typically maturing completely by 38 to 40 weeks.
- Substantial growth of the baby’s brain, developing skills such as blinking and dreaming.
- By the end of the third trimester, the baby can see and hear sounds from the outside world.
Key developments and processes during late pregnancy include:
- Touch receptors fully develop around week 29 or 30, allowing the baby to respond to touch.
- Regular screenings monitor these developments, ensuring the baby is growing as expected.
- Around week 36, the baby’s head may drop into the pelvic cavity, a process known as lightening, signaling that delivery is near.
When ready to be born, the baby typically has the following characteristics:
- Measures 19 to 21 inches in length
- Weighs between 6 to 9 pounds
- Has bones, especially those in the skull, that remain pliable to facilitate passage through the birth canal
- Has a fully developed vernix caseosa, a protective coating on the skin, by 38 to 40 weeks, providing additional protection during baby’s birth. When the baby arrives, these characteristics are crucial for a smooth transition, helping the baby develop and supporting baby’s growth.
Preparing for Labor and Delivery

As the due date approaches, preparing for labor and delivery becomes a priority. One of the key signs that labor begins is when the baby’s head turns downward, usually during the last couple of weeks of pregnancy. Recognizing labor signs, such as regular contractions or water breaking, is crucial for ensuring timely arrival at the hospital, especially as the due date is happening.
Pelvic floor exercises are essential in strengthening the muscles supporting the bladder and uterus in the pelvic area, which can help reduce the risk of incontinence before and after delivery. Including the Group B Streptococcus test in your birth plan, typically done between weeks 35 and 37, is important for preventing infections during delivery.
Packing a hospital bag with essentials like baby clothes, toiletries, and important documents can make the experience smoother and less stressful. Childbirth classes provide valuable information and techniques for managing labor and delivery, helping you feel more prepared and confident.
What to Avoid During the Final Weeks
During the final weeks of pregnancy, certain activities and substances should be avoided to ensure the safety of both mother and baby. Long-distance travel is discouraged as the due date nears, to mitigate the high risk of going into labor far from medical help. Additionally, using hot tubs or saunas can lead to overheating, which poses risks during pregnancy. As you approach the home stretch, it’s essential to prioritize your health and well-being.
Avoid consuming unpasteurized products, as they can harbor harmful bacteria dangerous to both you and the baby. By taking these precautions, you can help ensure that good things happen and a safe and healthy end to your pregnancy journey.
Staying Active and Healthy
Staying active during the third trimester can have numerous benefits, including improved sleep quality and increased energy levels. Engaging in regular physical activity enhances stamina, helping mothers cope better with labor and potentially shortening its duration. Suitable exercises include brisk walking, swimming, and non-contact sports, which are safe for both mother and baby.
Moderate physical activity is recommended almost daily to help mothers stay active while engaging in conversations during exercise. Safe activities such as walking, half squats, and hip extensions are beneficial. Hydration is crucial, so pregnant women should drink water before, during, and after exercise to prevent overheating.
If you feel fatigued or uncomfortable, it’s important to reduce the intensity and volume of exercise. Meditation and breathing exercises are also effective techniques for managing stress and enhancing relaxation during pregnancy. Physical activities like yoga or walking can elevate mood through the release of endorphins, contributing to overall well-being.
Emotional Well-being and Support
The final trimester can be emotionally challenging, as physical discomfort and anticipation of labor increase. Pregnancy hormones can lead to heightened emotions, making anxiety and stress common experiences during this period. Acknowledge these feelings and seek professional support, such as counseling, to address overwhelming emotions and develop coping strategies.
Discussing emotional health with your midwife, especially if anxiety persists, can provide additional support. Taking time each day to bond with the baby through simple gestures can improve your emotional connection and well-being.
Baby-Friendly Hospitals and Care Options
Choosing a baby-friendly hospital can greatly impact your childbirth experience. These hospitals offer optimal care for infant feeding and mother-baby bonding. They promote skin-to-skin contact immediately after birth, which helps stabilize the newborn’s body temperature and blood sugar, fostering a strong bond between mother and baby.
Rooming-in allows mothers and babies to stay together during the hospital stay, facilitating easier breastfeeding and connection. In a Baby-Friendly Hospital, care teams help new mothers initiate breastfeeding within an hour of delivery, offering support and guidance through this crucial process.
Preparing Your Home for Baby’s Arrival

Preparing your home for the baby’s arrival involves more than just decorating a nursery. A comprehensive baby essentials checklist typically includes must-have items and optional extras, allowing parents to prioritize their purchases based on their needs and budget. Newborn clothing should focus on comfort and practicality, with bodysuits and snap-front tops being ideal for easy dressing and diaper changes.
Essential changing supplies, such as diapers, wipes, and a changing table or mat, ensure quick and hygienic diaper changes. Investing in a diaper pail can help contain odors from used diapers, adding convenience to diaper changes. A baby monitor is recommended for keeping an eye on the baby during sleep, providing parents peace of mind when they are out of the room.
Safety essentials include a baby thermometer and basic medications like liquid paracetamol, which may be necessary for treating any fevers. Setting up a safe sleeping environment involves using a crib or bassinet that meets safety standards, along with a firm mattress and no loose bedding.
Creating a welcoming nursery can include items like a nursing chair for comfortable feeding and a playmat for tummy time. Assessing the space in your home to ensure it accommodates all the baby gear while remaining safe and accessible is crucial. Joining antenatal classes can connect expectant parents with others, providing a supportive environment to share experiences and concerns.
Summary
Navigating the third trimester is an exciting and transformative journey, filled with physical changes and emotional highs and lows. From understanding when the third trimester begins to preparing for labor and delivery, every step is crucial in ensuring a healthy pregnancy and a smooth transition into parenthood. By staying informed, managing discomfort, and seeking support, you can make these final weeks as comfortable and enjoyable as possible. As you prepare to welcome your baby, remember that every experience is unique, and seeking guidance from healthcare professionals can provide the reassurance and support you need.
Frequently Asked Questions
Is the 3rd trimester 27 or 28?
The third trimester begins at 28 weeks. Therefore, it is accurate to consider 28 weeks as the start of the third trimester.
When does the third trimester officially begin?
The third trimester officially begins at week 28 of pregnancy. This is an important milestone as it marks the final stage before delivery.
What are common symptoms during the third trimester?
Common symptoms during the third trimester include Braxton Hicks contractions, leg cramps, heartburn, and increased fetal movement. These symptoms are typical as the body prepares for childbirth.
How often should I have prenatal visits in the third trimester?
During the third trimester, you should have prenatal visits every two weeks until the 36th week, and then weekly until delivery.
What should I avoid during the final weeks of pregnancy?
During the final weeks of pregnancy, you should avoid long-distance travel, hot tubs, saunas, and unpasteurized products to ensure your safety and that of your baby. Prioritize rest and healthy choices during this important time.








