As you step into week 38, your baby is now considered "early term," a significant milestone in your pregnancy journey. This means that while full term officially begins next week, your baby is well-developed and ready for life outside the womb should they choose to arrive. It's a time often marked by a blend of excitement, readiness, and perhaps a little impatience.
What's happening with baby
At 38 weeks, your baby is roughly the size of a leek, continuing to refine their systems and gain crucial weight. Their lungs are typically mature and ready for their first breaths. They're still accumulating fat layers, which are vital for regulating their body temperature after birth. Your baby's brain development is ongoing at a rapid pace, and they're practicing essential skills like breathing, sucking, and swallowing in preparation for their arrival. The vernix caseosa (the protective, waxy coating) and lanugo (fine hair) that covered their skin are largely shedding, though some may remain, especially in creases.
What you might be feeling
This week, you might notice an increase in Braxton Hicks contractions, which can feel like a tightening or hardening of your abdomen. These are your body's way of practicing for labor. Pelvic pressure and discomfort might intensify as your baby settles deeper into your pelvis. Sleep can become more elusive due to discomfort, frequent bathroom trips, or simply an active mind. Many parents-to-be experience a strong nesting instinct, feeling a sudden urge to clean, organize, and prepare their home for the baby's arrival. Emotionally, you might be feeling a mix of eagerness, nervousness, and profound love as you anticipate meeting your little one. It's perfectly normal to feel a spectrum of emotions during these final weeks.
A doula's lived take
In these final weeks, the focus often shifts from "what's happening" to "when will it happen?" From my experience as a doula, I encourage clients to lean into this waiting period with a sense of calm and trust in their body's innate wisdom. This is a time to prioritize rest, even if it feels difficult. Gentle movement, like walking or swimming, can be supportive for both your physical and emotional well-being. It's also a wonderful time to connect with your partner or support person, reviewing your birth preferences and discussing how you envision your early postpartum days. Remember, you get to decide how you spend these precious final days of pregnancy. One option might be to create a calm, supportive environment for yourself, focusing on activities that bring you peace and joy. This period is a unique time of transition, and allowing yourself grace and patience can be incredibly empowering.
Questions worth asking your provider
As you near your estimated due date, having clear information can bring a lot of confidence. Here are some questions you might consider asking your OB or midwife:
- What are the definitive signs of labor that warrant calling or coming in?
- What are my options for pain management during labor, and when should I discuss them?
- What is the typical process if my water breaks before contractions start?
- What should I expect in the immediate hours after birth, both for myself and the baby?
- Are there any specific signs or symptoms I should be particularly aware of this week that would require an immediate call?
Your provider is your best resource for your specific situation, and having these conversations can help you feel more prepared and clear.
