3rd Trimester

Month 7: Third Trimester Begins

Weeks 28-32 of Pregnancy

Seventh month of pregnancy illustration

Welcome to the third trimester - the final stretch of your pregnancy journey! Your baby is growing rapidly and becoming more aware of the world outside. While this trimester can bring new physical challenges, it is also filled with excitement as you prepare to meet your little one. Every kick and movement brings you closer to holding your baby in your arms.

What is Happening This Month

The seventh month marks significant developments in your baby's brain and sensory systems. Your baby is increasingly responsive to light, sound, and touch. You might notice patterns in their activity - perhaps they are more active after meals or in the evening. This is also when many women experience the "nesting instinct" and feel compelled to prepare their home for baby's arrival.

Week-by-Week Development

Week 28

Baby can blink and has eyelashes. The brain can control breathing and body temperature (with help).

Week 29

Baby's muscles and lungs continue maturing. The head is growing to accommodate the rapidly developing brain.

Week 30

Baby's bone marrow has taken over red blood cell production. Vision is about 20/400, and can clearly see up close.

Week 31

Baby can process information and track light. All five senses are now developed and functioning.

Week 32

Baby's bones are hardening, except the skull which remains soft for delivery. Fingernails reach fingertips.

Your Baby's Development

By the end of month 7, your baby has grown to about the size of a large aubergine (35-38cm) and weighs approximately 1000-1200 grams (1-1.2kg). Major developments include:

  • Eyes can open, close, and blink - baby may even see light through your belly
  • Brain waves show rapid eye movement (REM) sleep - your baby is dreaming!
  • Taste buds are developed and baby shows preferences for certain flavours
  • Lungs continue maturing but would still need help if born now
  • Baby is gaining weight rapidly, developing fat layers for temperature regulation
  • Bone marrow has taken over red blood cell production
  • Baby responds to your voice and may recognise familiar sounds
  • The nervous system is developed enough to control some body functions
  • If born now, baby would have a good chance of survival with some initial medical support

Size Comparison

Your baby is about the size of a large aubergine

35-38 cm (14-15 inches) | 1-1.2 kg

Changes in Your Body

The third trimester brings new physical challenges as your body works hard to support your growing baby. Remember, these symptoms are temporary and signal that your body is doing exactly what it needs to do:

Weight Gain

Expect to gain about 450g (1 pound) per week as baby grows rapidly

Heartburn

Growing uterus pushes stomach upward, causing acid reflux

Shortness of Breath

Less room for lungs to expand as baby takes up more space

Frequent Urination

Baby's head may press on your bladder, increasing bathroom trips

Sleep Challenges

Finding comfortable positions becomes harder; consider a pregnancy pillow

Lightning Crotch

Sharp pains in pelvis as baby's head presses on nerves and your pelvis gradually widens

Important Care Tips

Increased Monitoring

Your antenatal appointments become more frequent in the third trimester - typically every 2-3 weeks. Your healthcare provider will monitor your blood pressure, baby's growth, heart rate and position. Do not skip appointments even if you feel well - they are crucial for detecting any complications early.

Movement Monitoring

Get to know your baby's normal pattern. If you notice a significant decrease or increase in movement, contact your midwife or GP immediately.

Important Vaccinations

Get your whooping cough (pertussis) vaccine between weeks 27-36, ideally around week 28. This protects your baby in their first weeks of life. Also ensure your flu and Covid vaccines are up to date if you are pregnant during flu season. All three are safe and recommended during pregnancy.

Nesting & Preparation

Channel that nesting energy wisely! Start washing baby clothes, setting up the nursery, and packing your hospital bag. But do not overdo it - delegate heavy tasks and take regular breaks. This is also a good time to buy and install the car seat and ensure you know how to use it properly.

When to Contact Your Midwife, GP or Obstetrician

As you enter the third trimester, certain symptoms need immediate attention. Contact your healthcare provider right away if you experience:

  • Decreased/increased fetal movements or no movement
  • Signs of preterm labour: regular contractions, pelvic pressure, backache
  • Vaginal bleeding or fluid leakage
  • Severe or persistent headache
  • Vision changes (blurring, spots, flashing lights)
  • Sudden swelling in face and hands
  • Severe upper abdominal pain
  • Persistent vomiting or inability to keep fluids down
  • Calf/leg swelling or tenderness
  • Shortness of breath, dizziness or palpitations

Looking Ahead

Month 8 brings you even closer to meeting your baby! Continue preparing practically and emotionally for birth and parenthood. You will have your next routine antenatal appointment around 32 weeks. Remember that every pregnancy is different - some women feel energetic in the third trimester while others need more rest. Listen to your body, accept help when offered, and do not hesitate to discuss any concerns with your healthcare team. You are doing an amazing job!

Schedule an Appointment

To schedule an appointment, or to request further information, please send us a message or contact us on +44 7388 111607.