38 Weeks Pregnant: Preparing for Your Baby's Arrival

Congratulations! At 38 weeks pregnant, you're in the final stretch of your pregnancy journey. This week is all about fine-tuning your body and baby for the upcoming delivery. Let’s explore what’s happening with your baby, your body, and how you can prepare for labor and life with your newborn.

Your Baby at 38 Weeks

At 38 weeks, your baby is full-term and ready to meet the world!

• Size and Weight: Your baby is roughly the size of a leek, weighing 6.5–7 pounds and measuring around 19.5–20 inches long.
• Development:
• The brain and lungs are still maturing, but your baby is otherwise ready for life outside the womb.
• Their skin is now smooth and plump, thanks to layers of fat they've accumulated.
• Position: Most babies are head-down at this stage. If not, your provider may discuss options for turning the baby or preparing for a cesarean delivery.

Did you know? Babies born at 38 weeks typically thrive and need minimal medical intervention.

Changes in Your Body

As your body prepares for labor, you may experience the following symptoms:

• Braxton Hicks Contractions: These “practice” contractions may intensify, but they’re irregular and subside with rest.
• Pelvic Pressure: Your baby may have dropped lower into your pelvis (lightening), making breathing easier but increasing pressure on your bladder.
• Changes in Discharge: You might notice increased vaginal discharge, possibly tinged with blood—this is called the “bloody show” and can signal that labor is near.
• Swelling: Mild swelling in your hands, feet, or face is normal, but contact your provider if it’s sudden or severe.
• Nesting Instinct: You may feel a burst of energy to clean, organize, or prepare for your baby.

Signs of Labor to Watch For

Labor could start any day now, so it’s essential to know the signs:

1. Regular Contractions: These are different from Braxton Hicks—labor contractions become stronger, longer, and closer together.
2. Water Breaking: A sudden gush or a steady trickle of fluid could mean your amniotic sac has ruptured.
3. Bloody Show: A sign that your cervix is dilating.
4. Lower Back Pain: Persistent, radiating pain can be a labor sign, especially if it accompanies contractions.

When to Call Your Provider:

• If your contractions are regular and follow the 5-1-1 rule (5 minutes apart, lasting 1 minute, for 1 hour).
• If you suspect your water has broken.
• If you notice reduced fetal movement.

Tips for the Week

1. Finalize Your Hospital Bag: Include essentials like comfortable clothes, toiletries, snacks, and important documents. Don’t forget a going-home outfit for your baby!
2. Install the Car Seat: Ensure your baby’s car seat is securely installed and meets safety standards.
3. Practice Relaxation Techniques: Breathing exercises, meditation, or gentle yoga can help you stay calm and prepare for labor.
4. Stay Nourished and Hydrated: Eat small, nutritious meals and drink plenty of water to keep your energy up.
5. Communicate with Your Provider: Ask any last-minute questions about your birth plan or delivery preferences.

Common Questions at 38 Weeks
Q: Is it safe to go into labor at 38 weeks?Yes, babies born at 38 weeks are considered full-term and usually require little to no medical intervention.
Q: What if I don’t feel any signs of labor yet?This is perfectly normal. Some women don’t experience signs until labor begins, while others may notice subtle changes weeks in advance.
Q: Can I induce labor naturally?While walking, bouncing on an exercise ball, or nipple stimulation might help encourage labor, always discuss these methods with your provider first.

Celebrate This Moment

You’ve come so far, and your baby will be here before you know it! Use this week to cherish the little kicks, reflect on your journey, and rest as much as possible. Whether it’s your first baby or your fourth, this is a special time to embrace with excitement and calm.