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Week 38 of Pregnancy

In Week 38, your baby is nearly ready for birth! Expect more discomfort, increased pressure, and exciting milestones as labor approaches.

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All you need to know

Congratulations on reaching the 38th week of your pregnancy journey! You're almost at the finish line, with your little one getting ready to meet you. This week is filled with anticipation, excitement, and a few final preparations as you eagerly await the arrival of your 

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Week 38 Pregnancy Symptoms

As you near the end of your pregnancy, you may experience a range of symptoms that signal your body is gearing up for labour. Some common symptoms during week 38 include:

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Pelvic pressure 
As your baby descends into the pelvis, you may feel increased pressure and discomfort in your pelvic area.

Braxton Hicks contractions 
These practice contractions may become more frequent and intense, helping your uterus prepare for the real thing.

Increased vaginal discharge 
You may notice an increase in vaginal discharge, which is normal as long as it's not accompanied by unusual odours or itching.

Fatigue 
With the extra weight and discomfort, you may find yourself feeling more tired than usual.

Nesting instinct 
Many women experience a sudden burst of energy and the urge to clean, organise, and prepare for the baby's arrival.

Remember, not all women experience the same symptoms. If you have any concerns or notice any unusual changes, reach out to your doctor.

Your Baby in Week 38

 Your little one is almost ready to make their debut! Here's what's happening with your baby during week 38

 

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Baby’s Growth in the Womb

Organ Development 
At this stage, your baby's organs are fully developed and ready to function outside the womb. The lungs are the last major organ to mature, and they continue to produce surfactant, a substance that helps the lungs expand and contract with each breath.

Physical Features 
Your baby's appearance resembles what you can expect at birth. Most of the lanugo (fine body hair) has fallen out, but your baby may still have some vernix caseosa, a white, creamy substance that protects the skin from the amniotic fluid. Your baby's bowels are also filled with meconium, a greenish-black substance that will become their first bowel movement after birth.

Weight of the Foetus 
By week 38, your baby weighs approximately 3.2 kg and measures about 35 cm from head to bottom. However, keep in mind that these are averages, and babies can vary in size and weight.

Movement of the Baby 
As your baby grows and has less room to move around, you may notice a change in their movement patterns. Instead of big kicks and rolls, you may feel more squirms and wiggles.

Here is what your baby looks like

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You're so close! Trust your body, embrace the journey, and remember, every step brings you closer to meeting your little one. You’ve got this!

Dr Veena H

Your Body in Week 38 of Pregnancy

Your body has been through an incredible journey, and it continues to change and prepare for the big day. Here's what you can expect during week 38:

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Physiological Changes During Week 38 of Pregnancy

Breast Changes
As your breasts prepare for breastfeeding, you may notice some leaking of colostrum, the nutrient-rich first milk your body produces. This is completely normal and a sign that your body is gearing up to nourish your baby.

Hair, Skin, and Nails
Your skin may feel stretched and itchy, especially around your growing belly. Moisturising regularly can help alleviate discomfort. You may also notice that your nails are growing faster than usual, thanks to pregnancy hormones.

Respiratory and Cardiovascular System
As your uterus takes up more space in your abdomen, it can press against your lungs and diaphragm, causing shortness of breath and a faster heart rate. This is normal, but if you experience severe difficulty breathing or chest pain, contact your doctor immediately.

Vaginal Discharge
Increased vaginal discharge is common during this stage of pregnancy. As long as the discharge is clear or white and doesn't have a strong odour, it's nothing to worry about. However, if you notice any unusual changes or suspect a vaginal infection, let your doctor know.

Uterus Size and Position
By week 38, your uterus has expanded to fill most of your pelvis and abdomen, which can cause discomfort and a shifted centre of gravity. You may feel pressure in your pelvic area as your baby's head engages in preparation for birth.

Placenta PositionThe placenta, your baby's lifeline throughout pregnancy, is about 17-18 cm across and can weigh up to 1 kg at this point. It processes an impressive 12 litres of blood per hour, ensuring your baby receives the necessary nutrients and oxygen.

TopTips for Week 38

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Parenting prep

Learn more about parenting by taking classes on breastfeeding, infant CPR, and first aid.

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Baby’s nest 

Get ready to welcome your newborn baby by building a nursery in your home.

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Be mindful 

Avoid heartburn by eating small and frequent meals during the day to help with digestion.

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Take Prenatal Vitamins

Ensure you take prenatal vitamins throughout your pregnancy and the postpartum period

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Healthy gains

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

Medical Scans and Check-Ups 

During week 38, your doctor will continue to monitor your progress and your baby's well-being. Some essential check-ups and tests that may be performed during this time include

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Routine Check-Ups

Your doctor will check your blood pressure and weight. Blood tests and urine tests may be advised to detect potential infections.

Ultrasound

During your weekly prenatal visit, your doctor will check if your baby is in a head-down position and assess whether the head has shifted into the pelvis. They will also check the baby’s size and position, assess amniotic fluid levels, and examine placental function, ensuring your baby continues to thrive as you approach delivery.

Biophysical Profile (BPP)

Your doctor may perform a biophysical profile (BPP) to assess your baby's breathing, movement, muscle tone, heart rate, and amniotic fluid if needed. A low score may require closer monitoring or early delivery.

Group B Streptococcus (GBS) Screening

Between weeks 36 and 38, your doctor will test for the presence of GBS bacteria in your vagina and rectum. If you test positive, you'll receive antibiotics during labour to prevent transmission to your baby.

Cervical Exam

Your doctor may perform a cervical exam to check for signs of dilation, effacement, and the baby's position in preparation for labour.

Non-stress Test (NST)

This test uses a small dose of pitocin to trigger mild contractions and assess how your baby’s heart rate responds. It’s usually done in late pregnancy if concerns arise from other tests or if the mother has risk factors like diabetes, high blood pressure, or post-term.

FAQs

Is it normal to feel more Braxton Hicks contractions at 38 weeks?

Yes, it's common to experience an increase in Braxton Hicks contractions as you near your due date. These practice contractions help prepare your uterus for labour and can be irregular and less intense than true labour contractions.

What should I do if I think I'm in labour?

If you suspect you're in labour, contact your doctor or follow the instructions provided by your birthing facility. Signs of labour include regular, increasingly intense contractions, water breaking, and bloody show (mucus plug discharge).

How can I tell the difference between Braxton Hicks and real labour contractions?

Braxton Hicks contractions are usually irregular, less painful, and don't increase in intensity or frequency. True labour contractions come at regular intervals, last longer, and become more intense over time. If you're unsure, always err on the side of caution and contact your doctor.

Is it safe to have sex at 38 weeks pregnant?

In most cases, sex during pregnancy is safe, even in the later stages. However, if you have a high-risk pregnancy or your doctor has advised against it, it's best to avoid sexual activity. Always consult with your doctor if you have any concerns.

What should I pack in my hospital bag?

Some essential items to pack in your hospital bag include comfortable clothing, toiletries, nursing bras, maternity pads, a going-home outfit for your baby, and any important documents or paperwork. It's a good idea to have your bag packed and ready to go by week 38, just in case.

How often should I feel my baby move at 38 weeks?

You should still feel your baby move regularly at 38 weeks, although the movements may feel different due to the limited space in your uterus. If you notice a significant decrease in movement or haven't felt your baby move for an extended period, contact your doctor immediately.

Is it normal to feel more tired and uncomfortable at 38 weeks?

Yes, it's common to feel more fatigued and uncomfortable as you near the end of your pregnancy. The extra weight, pressure, and discomfort can make it difficult to sleep and go about your daily activities. Listen to your body and rest when you need to.

What can I do to prepare for labour and delivery?

To prepare for labour and delivery, attend childbirth classes, practice relaxation techniques, and discuss your birth plan with your doctor and support person. It's also important to have a plan in place for getting to the hospital and arranging for childcare if you have other children.