Welcome to week 28! This is a significant milestone, as you're officially entering the third trimester of your pregnancy. It's a time when many parents-to-be start to shift their focus more intently towards birth preparation and meeting their baby.
What's happening with baby
Around week 28, your baby is continuing to grow rapidly, now roughly the size of an eggplant. Their brain is developing at an incredible pace, forming billions of neurons. Their eyes are also maturing, and they can now open and close them, even detecting light changes from outside your womb. Fat layers are continuing to build beneath their skin, helping them regulate body temperature after birth. You might also notice more distinct movement patterns as they practice breathing motions and refine their reflexes, getting ready for the world outside.
What you might be feeling
As your baby grows, you might notice an increase in physical sensations. Fatigue can return, sometimes even more intensely than in the first trimester, as your body works hard to support your growing baby. Braxton Hicks contractions might become more frequent, which are your uterus practicing for labor. You might also experience some new aches and pains as your ligaments soften and your center of gravity shifts. Emotionally, it's common to feel a mix of excitement, anticipation, and perhaps some nerves about labor and parenthood. Nesting instincts might kick in, prompting you to organize and prepare your home.
A doula's lived take
Entering the third trimester can feel like a big step. From my experience as a doula, I've seen that this is often when the practicalities of birth and postpartum really start to sink in. It's a wonderful time to lean into curiosity and gather information. You might find yourself thinking more about your birth preferences, or what kind of support feels right for you. Remember, you get to decide what feels best for your body and your family. One option might be to start exploring different comfort measures for labor or discussing your wishes with your birth partner. This period is less about 'doing' and more about 'preparing' – creating a calm, clear, and confident mindset for what's ahead. It's also a common time for the Tdap vaccine, which offers protection for your baby after birth. Your provider is your best resource for discussing the timing and benefits for your specific situation.
Questions worth asking your provider
As you move through the third trimester, having open conversations with your care team is key. Here are a few questions you might consider asking:
- What are the recommendations for the Tdap vaccine, and when is the best time for me to receive it?
- What signs should I be looking for that might indicate preterm labor?
- What resources do you recommend for birth preparation classes or infant care information?
- How can I best manage common third-trimester discomforts like back pain or swelling?
- What is the process for discussing my birth preferences and creating a birth plan?

