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Week 28 of Pregnancy

At week 28, you’re entering the third trimester! Prepare for the final stretch with baby’s growth, body changes, and essential prenatal tips.

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All you need to know

You're now in the third trimester, & your baby is growing rapidly. At 28 weeks pregnant, you may be feeling a mix of excitement and anxiety as your due date approaches. Let's look at what's happening with your baby and your body during this crucial stage.

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Week 28 Pregnancy Symptoms

At week 28, your body adapts to your baby's growth, bringing new changes. Explore the common symptoms and learn how to manage them effectively.

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Shortness of breath

Your expanding uterus puts pressure on your diaphragm, making it harder to take deep breaths.

Braxton Hicks contractions

These practice contractions may become more noticeable as your body prepares for labour.

Backache and pelvic pain

The extra weight of your baby can strain your back and pelvis.

Frequent urination

Your baby's position puts pressure on your bladder, leading to more bathroom trips.

Swelling on face, hands and feet

Fluid retention can cause swelling, especially in the later stages of pregnancy.

Remember, you may not experience all of these symptoms. If you have any concerns, always consult your doctor.

Your Baby in Week 28

At 28 weeks, your baby is growing rapidly, developing essential systems, and showing more activity. Discover how they’re preparing for life outside the womb!

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Baby’s Growth in the Womb

Organ Development

Your baby's organs are continuing to mature. The immune system is developing, with the placenta playing a vital role in transferring antibodies from you to your baby. The central nervous system is now advanced enough for your baby to regulate their body temperature. Red blood cells form in the bone marrow, preparing your baby for life outside the womb.

Physical Features

Your baby's eyelids can now open and close, and they have eyelashes. They may even have a full head of hair at this stage. Your baby can blink and experience REM (rapid eye movement) sleep, indicating they are now experiencing dreams. Your baby's skin is becoming smoother and less wrinkled by accumulating fat.

Weight of the Foetus

At 28 weeks, your baby weighs around 1 kg and measures approximately 37-38 cm from head to toe or about 25-28 cm from crown to rump. It is steadily gaining weight, which will continue in the coming weeks.

Movement of the Baby

At this stage, you'll likely feel your baby moving frequently. They are kicking, stretching, and grasping and may change positions often. Your baby can also respond to stimuli, such as loud noises or your touch. It's a good idea to start counting fetal movements. You can expect 10 kicks, rolls, or other movements in two hours.

Here is what your baby looks like

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At 28 weeks, you’re in the home stretch! Focus on staying active, eating well, and preparing for the exciting weeks ahead as your baby grows.

Dr. Veena H

Your Body in Week 28 of Pregnancy

As your pregnancy progresses, your body undergoes various changes to support your growing baby. Here are some of the common changes you can notice.

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Physiological Changes During Week 28 of Pregnancy

Breast Changes

Your breasts may feel fuller and more tender due to increased blood flow and preparation for milk production. You may notice colostrum, a yellowish fluid, leaking from your nipples.

Hair, Skin, and Nails

Hormonal changes may cause your hair to grow faster and thicker. Your skin could become more sensitive, with stretch marks on your belly, breasts, and thighs. You may also experience sensitivity to sunlight, heat, detergents, chlorine, and certain foods. Additionally, your nails may grow more quickly.

Respiratory and Cardiovascular System

As your uterus expands, it puts pressure on your diaphragm, leading to shortness of breath. Your increased blood volume may cause occasional heart palpitations. You may also experience bloating and gas during this time.

Vaginal Discharge

Increased vaginal discharge is common during pregnancy due to hormonal changes. As long as the discharge is clear or white and doesn't have a strong odour, it’s normal.

Uterus Size and Position

At 28 weeks, your uterus is about 7-8 cm above your belly button. As it grows, it pushes your abdominal organs upward and outward, causing your belly to protrude more noticeably. You might also experience water retention in your ankles, feet, and face.

Placenta Position

The placenta plays a crucial role in your baby's growth and development, providing oxygen and nutrients while removing waste products.

TopTips for Week 28

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Choose together

Make an informed decision along with your family about your pregnancy treatment options.

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Calm labour

Practice yoga or hypnotherapy techniques to ease stress and discomfort in abnormal labour.

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Healthy gains

Gaining weight during pregnancy is normal, a gain of 11-14 kgs during 9 months is healthy.

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Stay active

Exercising during your pregnancy is encouraged, practice antenatal yoga or brisk walking.

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Health check-in

Get your vaccinations and treat infections to prevent miscarriage or preterm labour

Medical Scans and Check-Ups

 Monthly prenatal checkups are essential to monitor your health and your baby's development. During week 28, your doctor may recommend the following scans and checkups:

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Prenatal Visit

You will have monthly prenatal appointments to monitor your health and your baby's growth. Your doctor will measure your fundal height and check your blood pressure and the baby's heartbeat.

Glucose Screening Test

Between 24 and 28 weeks, you may undergo a glucose screening test to check for gestational diabetes. This involves drinking a glucose solution and testing your blood sugar levels after an hour.

Rhesus (Rh) Antibody Screening

If you have a negative blood type, you may receive an anti-D immunoglobulin injection around 28 weeks to prevent your body from developing antibodies that could harm your baby.

FAQs

Why am I experiencing more fatigue?

Fatigue is common in the third trimester due to the increased demands on your body. Your blood volume has increased to support your growing baby, which can leave you feeling tired. Try to rest when you can and maintain a balanced diet to keep your energy levels up.

Why is my vaginal discharge increasing?

Increased vaginal discharge is a normal part of pregnancy, caused by hormonal changes. As long as the discharge is clear or white and doesn't have a strong odor, it's nothing to worry about. If you notice any itching, burning, or unusual odor, contact your doctor, as these may be signs of an infection.

Why am I experiencing mood swings?

Hormonal fluctuations during pregnancy can lead to mood swings and emotional changes. It's normal to feel a range of emotions, from excitement to anxiety. Be gentle with yourself and try to find healthy ways to manage stress, such as talking to loved ones, practising relaxation techniques, or seeking support from a mental health professional if needed.

What exercises are safe during week 28?

Moderate exercise is generally safe and beneficial during pregnancy, as long as your doctor has given you the go-ahead. Safe exercises may include walking, swimming, prenatal yoga, and low-impact aerobics. Listen to your body and avoid overexertion. Stay hydrated and wear comfortable, supportive clothing.

What exercises should I avoid?

Avoid high-impact exercises, contact sports, and activities that involve lying flat on your back for prolonged periods. Steer clear of exercises that put you at risk of falling or abdominal trauma. If you're unsure about the safety of an exercise, consult your doctor.

What should I eat during week 28?

Focus on a balanced diet that includes lean proteins, whole grains, fruits, vegetables, and healthy fats. Ensure you're getting enough iron from sources like lean red meat, poultry, fish, beans, and leafy greens. Calcium is also essential for your baby's bone development, so include dairy products, leafy greens, and fortified plant-based milk in your diet.

What foods should I avoid?

Avoid raw or undercooked meats, fish high in mercury (such as shark, swordfish, and king mackerel), and unpasteurised dairy products. These foods can carry harmful bacteria or toxins that may put you and your baby at risk. Limit your caffeine intake and avoid alcohol.

Is it normal for my baby to have hiccups?

Yes, it's common for babies to have hiccups in the womb. You may feel rhythmic, jerky movements in your belly when your baby has hiccups. This is completely normal and not a cause for concern.