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The Third Trimester- Weeks 29 to Birth

The third trimester

What is happening?

During this period the baby increasingly matures as well as gains weight.  At 34 weeks of pregnancy the baby weighs around 2 kilograms and their chances of survival are very good. The lungs are much more mature and able to cope with life outside the uterus. The baby’s fingernails have now reached their fingertips and the toenails are better developed.

At 38 weeks of pregnancy the baby will be around 45-55cm long and around 3000-4000gms. From now on the baby is classified as ‘full term’ and is likely to be born at any time. The toenails now reach the tips of the toes and fingernails will extend beyond the tips of the fingers. The baby will tend to flex its limbs and have a firm grasp if you put a finger in its hand. During the last couple of months the baby puts on around 200gm a week. The white vernix, which was covering the skin, has now mostly come off, giving the amniotic fluid it white flecked appearance. The testes should now be in the scrotum in males. The baby can suck very effectively.

Changes in your body

The last trimester is the most uncomfortable one. It is also often the most emotional one. As the baby grows the mother may start to feel increasingly tired and find it hard to sleep at night. Everything inside that cosy, watery world is getting very cramped. Backache is more common due to the weight of the baby combined with softening of ligaments due to the hormones of pregnancy. Women often get stretch marks in the third trimester. It is common to become increasingly breathless as the baby presses upwards, compressing the lungs. Indigestion may also worsen at this time, as the uterus pushes on the stomach.

The baby’s head may start to descend into the pelvis in the last couple of weeks causing increased pressure on the mother’s bladder and back.

As the birth approaches women become very focused on the upcoming event and fears arise. As they get the nursery ready and lay out the tiny clothes the reality hits that soon they will be mothers. It is natural for them to wonder, with the lack of sleep and raging hormones, if they will be able to cope with the demands of this great unknown. There is nothing wrong with a good cry!

Appointments and tests

From 29 weeks until 36 weeks you will have antenatal visits every 2 to 3 weeks and then weekly from 36 weeks until the birth.

Some women will be offered a low vaginal swab to screen for a common type of bacteria called, Group B Strep. At 36 weeks of pregnancy you may be asked to have another blood test to check for anaemia again. If you have a negative blood group you may be offered another injection of Anti D, between 34 and 36 weeks.

Most women who attend preparation for parenthood classes do so during the last trimester. This is a good opportunity to discover more information and useful tips for coping with the birth and parenthood. It also helps provides social connections with other couples having babies at the same time as you are. Some couples who meet in these classes remain friends for the rest of their lives.

Somewhere between 38 and 42 weeks labour begins and the baby emerges from its watery world and greets its parents. That first cry opens up 25 million air sacs in the lungs, which up until now have been filled with fluid. The lungs empty of fluid and fill with air and blood is re-directed into the lungs, then all over the body. A new life is born. For the parents an amazing journey has ended and another called parenthood is about to begin.

Third Trimester Guide for Pregnant Women

Baby’s development
Weighs around 2 kilograms (34 weeks)
Baby is full term and weighs 3-4 kilograms (38 weeks)
Putting on about 200grams a week
 
Changes in your body
Increasingly tired
More backache
Stretch marks more likely
Swollen ankles and hands
Difficulties sleeping
More breathless
Indigestion may worsen
Going to the toilet more often
Baby’s movements more deliberate
 
Appointments and tests
2 to 3  weekly visits until 36 weeks
1-2 weekly visits from 36 weeks until birth
Parenting and birth preparation classes
36 weeks-possible blood test for anaemia
34-36 weeks blood test for antibodies if blood group negative and anti D injection
Possible vaginal swab for Group B Strep bacteria
Dr Hannah Dahlen is the Associate Professor of Midwifery at the University of Western Sydney. She has been a midwife for more than 20 years. Hannah is also an executive member of the Australian College of Midwives, NSW Branch. She has researched women's birth experiences at home and in hospital and published extensively in this area. Hannah's website is www.hannahdahlen.com.au

Comments

3 comment(s) on this page. Add your own comment below.

Naveen
Nov 6, 2013 1:58am [ 1 ]

I want to ask about my wife,she is five days overdue by her first pregnancy and want know that is,will there be any problem in pregnancy because she wants normal delivery she doesn't want to operate.and Secondly,is there any problem if a baby doesn't take any movement for a day.

Please doctor answer our question as soon as possible because me and my wife is little worried.

Thanks & Regards Naveen Kumar Vishwakarma

Arjun
Nov 15, 2013 7:45am [ 2 ]

Naveen, you need to induce delivery right awayotherwise it can be dangerous for the baby. Go see your doctor for definite advice.

Nov 18, 2013 4:06am [ 3 ]

Hi Naveen - being 5 days overdue is very normal. A full term pregnancy is from 37 to 42 weeks. The estimated due date is just that estimated. However if a mother doesn't feel her baby move for a day or the baby's movements are distinctly less that normal it is important to contact your midwife or doctor.

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