Pregnancy Week 38: What to Expect and How to Prepare for Labor

38 weeks pregnant? Learn about baby development, common symptoms, early labor signs, and what to expect at your prenatal checkup. Get prepared!
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Congratulations, you've made it to Pregnancy Week 38! You're in the home stretch, and your little one could arrive any day now. Excitement and anticipation are likely running high, but so might some anxiety about the upcoming labor and delivery.

This week marks a significant milestone. Your baby is considered full-term, meaning they're ready to make their grand entrance into the world. In this article, we'll cover everything you need to know about what's happening with your body and your baby during week 38 of pregnancy. We'll also provide essential tips on how to prepare for labor, including recognizing the signs, packing your hospital bag, and mentally preparing for the big day.

Pregnancy Week 38: What to Expect and How to Prepare for Labor
Pregnancy Week 38: What to Expect and How to Prepare for Labor

We'll delve into common symptoms you might be experiencing, such as increased Braxton Hicks contractions, pelvic pressure, and fatigue. Plus, we'll discuss important topics like induction, pain management options, and what to expect during each stage of labor. Understanding these aspects of late pregnancy can empower you to feel more confident and prepared.

🎉 So, let's dive in and get you ready to welcome your precious baby into the world! By the end of this guide, you'll feel more informed and equipped to navigate Pregnancy Week 38 and the exciting journey of labor and delivery that lies ahead.

Understanding Pregnancy Week 38: A Quick Overview

Congratulations! You've reached pregnancy week 38, a significant milestone in your journey. You're incredibly close to meeting your little one. At this stage, understanding what's happening with both your body and your baby is crucial for a smooth and informed transition into parenthood. This section provides a quick overview of what to expect during this exciting time.

Baby's Development at Week 38

Your baby is now considered full-term, although they'll continue to develop even after birth. They're likely weighing between 6 to 9 pounds and measuring around 19 to 21 inches long. Most of their major organ systems are fully developed and ready for life outside the womb. The baby's position is also crucial at this point. Ideally, they should be head-down in preparation for delivery.

Their brain is still rapidly developing, and they're continuing to accumulate fat stores to help regulate their body temperature after birth. The lanugo, the soft, downy hair that covered their body, is mostly gone, and the vernix caseosa, the protective waxy coating, is also diminishing.

Mom's Body and Symptoms

🤰 As you approach your due date, you may experience a range of symptoms, some new and some that have been present throughout your pregnancy. These can include increased pelvic pressure, Braxton Hicks contractions, and changes in vaginal discharge. It's essential to be aware of the signs of labor and when to contact your healthcare provider.

Fatigue is common at this stage, as carrying the extra weight and preparing for labor can be tiring. You might also experience increased back pain, heartburn, and frequent urination as the baby puts pressure on your bladder. Listen to your body, rest when you need to, and continue to prioritize your health and well-being.

💡 Pay close attention to any changes in your baby's movements. While they might not be as frequent as before due to limited space, you should still feel them moving regularly. If you notice a significant decrease in movement, contact your doctor or midwife immediately.

Key Things to Focus on This Week

Week 38 is all about preparation and readiness. Here are a few key things to focus on:

  • Pack Your Hospital Bag 📌 Ensure your hospital bag is packed with essentials for labor, delivery, and postpartum recovery.
  • Review Your Birth Plan 📌 Revisit your birth plan with your partner and healthcare provider to ensure everyone is on the same page.
  • Monitor for Labor Signs 📌 Be vigilant for signs of labor, such as regular contractions, rupture of membranes (water breaking), and bloody show.
  • Stay Hydrated and Nourished 📌 Continue to eat a healthy diet and drink plenty of water to support your body's needs.
  • Rest and Relax 📌 Prioritize rest and relaxation to conserve energy for labor.

Remember to stay in close communication with your healthcare provider and trust your instincts. The arrival of your baby is just around the corner!

Now that we have a general idea of what to expect at week 38, let's dive deeper into the specific physical changes and symptoms you might be experiencing. This week brings a unique set of challenges and signs as your body prepares for labor.

Physical Changes and Symptoms During Week 38

As you approach your due date, the physical changes and symptoms you experience during week 38 of pregnancy can intensify. Your body is gearing up for labor, and these changes are a normal part of the process. Understanding what to expect can help you feel more prepared and manage any discomfort.

Common Symptoms at 38 Weeks Pregnant

Many of the symptoms you've been experiencing throughout your pregnancy will likely continue during week 38. However, some may become more pronounced as your body prepares for delivery. Here are some common pregnancy symptoms you might encounter:

  • Increased Braxton Hicks Contractions 📌 These "practice contractions" may become more frequent and intense. They are usually irregular and don't lead to cervical dilation, but can still cause discomfort.
  • Pelvic Pressure 📌 As your baby descends further into your pelvis (also known as "lightening"), you may feel increased pressure in your lower abdomen, hips, and groin.
  • Back Pain 📌 The added weight and shift in your center of gravity can contribute to persistent back pain.
  • Swelling (Edema) 📌 Swelling in your ankles, feet, and hands is common due to fluid retention.
  • Fatigue 📌 Feeling tired is normal as your body expends a lot of energy.
  • Frequent Urination 📌 The baby's position puts pressure on your bladder, leading to more frequent trips to the bathroom.
  • Heartburn and Indigestion 📌 These digestive issues can persist as the baby crowds your abdominal cavity.
  • Changes in Vaginal Discharge 📌 You may notice an increase in vaginal discharge, which could include the loss of your mucus plug – a sign that labor is approaching.
NOTE: Contact your healthcare provider immediately if you experience a sudden gush of fluid, persistent severe abdominal pain, vaginal bleeding, or decreased fetal movement.

What’s Happening to Your Body?

Your body is undergoing significant changes to prepare for labor and delivery. Here are some key developments during week 38:

  • Cervical Changes 🔹 Your cervix may start to soften, thin (efface), and dilate in preparation for labor. This process can happen gradually over several weeks or more rapidly closer to your due date.
  • Baby's Descent 🔹 The baby continues to descend further into your pelvis, which can relieve pressure on your diaphragm, making breathing easier. However, this also increases pressure on your bladder and pelvic area.
  • Possible Weight Loss 🔹 Some women experience a slight weight loss or plateau in weight gain during the last few weeks of pregnancy as amniotic fluid levels stabilize.
  • Increased Blood Volume 🔹 Your blood volume remains elevated to support both you and your baby, although your body is starting to adjust in preparation for delivery.

It's essential to stay in close communication with your healthcare provider during these final weeks. They can monitor your progress, assess your baby's well-being, and provide guidance on when to go to the hospital or birthing center. Remember, every pregnancy is unique, and the timing of labor can vary.

"The best preparation for tomorrow is doing your best today."

— H. Jackson Brown, Jr.

As week 38 brings about noticeable physical changes, it's also a crucial time to shift focus towards actively preparing for the upcoming labor and delivery. Let's delve into some key steps you can take to feel more confident and ready for this significant event.

Preparing for Labor and Delivery: Key Steps

As you approach your due date, preparing for labor and delivery becomes paramount. This involves a combination of practical arrangements, education, and mental preparation to ensure a smoother and more comfortable experience. These final weeks are a crucial time to finalize your plans and equip yourself with the knowledge and resources you'll need.

Finalizing Your Birth Plan

Your birth plan is a living document that outlines your preferences for labor and delivery. It's important to revisit and refine it during week 38, discussing it thoroughly with your healthcare provider. This is the time to clarify any questions you have and ensure your plan aligns with the hospital's policies and your doctor's recommendations. Remember, while a birth plan is a valuable tool, flexibility is key, as unforeseen circumstances may arise during labor.

Packing Your Hospital Bag

Having your hospital bag packed and ready to go well in advance can alleviate stress when labor begins. Consider packing items for labor, postpartum recovery, and your newborn. Don't forget essential documents like your ID, insurance card, and any relevant medical records.

  • For Labor 📌 Comfortable clothing (nursing bra, loose gown), socks, lip balm, hair ties, massage oil, focal point item, snacks and drinks, phone and charger.
  • For Postpartum 📌 Toiletries (travel-sized), comfortable underwear (high-waisted, dark colors), pads (maternity), nursing pillow, nipple cream, robe and slippers, going-home outfit (loose-fitting).
  • For Baby 📌 Outfits (newborn size), receiving blankets, diapers, wipes, car seat (properly installed).

Understanding the Stages of Labor

Educating yourself about the stages of labor can significantly reduce anxiety and empower you during the process. Familiarize yourself with the signs of early labor, active labor, transition, and the pushing stage. Knowing what to expect can help you cope with the intensity of labor and work effectively with your body.

  1. First Stage 🔹 This stage involves the onset of contractions and the gradual dilation of the cervix. It's divided into early labor, active labor, and transition.
  2. Second Stage 🔹 This stage begins when the cervix is fully dilated (10 cm) and ends with the birth of the baby. It involves pushing and delivering the baby.
  3. Third Stage 🔹 This stage involves the delivery of the placenta.

Practicing Relaxation and Pain Management Techniques

Learning and practicing relaxation and pain management techniques can be incredibly beneficial during labor. Explore different methods such as breathing exercises, meditation, visualization, massage, and hydrotherapy. Find what works best for you and practice regularly in the weeks leading up to your due date. Having these tools at your disposal can help you manage pain and stay calm during labor.

🔗 Related Article: At pregnancy week 38, as the baby descends further into the pelvis in preparation for labor, many women experience "lightning crotch," a sharp, shooting pain in the vagina or pelvic area. This discomfort is often a result of the baby's head pressing on nerves in the pelvis and is discussed in detail in the following article about Lightning Crotch| Sharp Pelvic Pain
🚀 Consider taking a childbirth education class to learn more about these techniques and practice them under the guidance of a trained instructor.

Confirming Logistics and Support Systems

Ensure all logistical details are in place, including transportation to the hospital, childcare arrangements for older children (if applicable), and pet care. Confirm who will be your support person during labor and ensure they are prepared and available. Having a strong support system can provide emotional comfort and practical assistance during this transformative experience. Remember to discuss your preferences with your support person beforehand so they understand how best to assist you.

With preparations underway, it's also crucial to understand how your baby's position can influence the delivery process and what potential complications might arise as you approach your due date. Let's now examine the baby's position and potential complications at week 38.

Baby's Position and Potential Complications at Week 38

At 38 weeks, your baby is considered full-term, and their position in your uterus is a crucial factor influencing the delivery process. Ideally, your baby should be in a head-down (cephalic) presentation, ready to descend into the birth canal. However, variations in baby's position can occur, potentially leading to complications during labor and delivery.

Optimal Fetal Position: Cephalic Presentation

The cephalic presentation, where the baby's head is down, is the most favorable position for vaginal delivery. This allows the baby's head, the largest part, to navigate the birth canal first, paving the way for the rest of the body. When the baby is in this position, it's also important to note the baby's lie, whether it's longitudinal (vertical to your spine) or transverse (horizontal to your spine). Ideally, the baby will be in a longitudinal lie.

Non-Optimal Fetal Positions and Potential Complications

Sometimes, babies settle into positions that can complicate labor. These include breech presentations, transverse lies, and occiput posterior positions. Understanding these variations is key to preparing for potential interventions.

📌 It's important to remember that even if your baby is not in the ideal position at 38 weeks, there is still a chance they can move before labor begins. Your healthcare provider will continue to monitor your baby's position at your prenatal appointments.

Breech Presentation

👶 A breech presentation occurs when the baby's buttocks or feet are positioned to enter the birth canal first. There are different types of breech presentations:

  • Frank Breech 📌 The baby's buttocks are down, with legs straight up towards the head.
  • Complete Breech 📌 The baby's buttocks are down, with knees bent and feet near the buttocks.
  • Footling Breech 📌 One or both feet are down below the buttocks.

A breech presentation can increase the risk of complications during vaginal delivery, such as umbilical cord prolapse or birth injuries. In many cases, if the baby remains breech close to the due date, a Cesarean section is recommended for a safer delivery. Some providers may attempt an External Cephalic Version (ECV), a procedure to manually turn the baby to a head-down position.

Transverse Lie

A transverse lie is when the baby is positioned horizontally across the uterus. In this position, the baby's shoulder is usually presenting first. Vaginal delivery is not possible with a transverse lie. If the baby remains in this position as labor approaches, a Cesarean section is necessary.

Occiput Posterior Position

🤰 In the occiput posterior (OP) position, also known as "sunny-side up," the baby's head is down, but the back of their head (occiput) is facing your spine instead of your abdomen. This position can lead to a longer and more painful labor because the baby's head doesn't fit as snugly against the cervix. It can also increase the likelihood of back labor and the need for interventions such as vacuum extraction or forceps. While some babies rotate to the anterior position during labor, others may remain OP, potentially leading to a Cesarean section.

Monitoring and Management

Your healthcare provider will monitor your baby's position throughout your pregnancy and especially as you approach your due date. They will use abdominal palpation (Leopold's maneuvers) and ultrasound to determine the baby's position. If your baby is in a non-optimal position, your provider will discuss your options, which may include:

  • External Cephalic Version (ECV) 📌 Attempting to manually turn the baby to a head-down position.
  • Postural Techniques 📌 Using specific positions and movements to encourage the baby to turn.
  • Cesarean Section 📌 Scheduling a C-section if the baby remains in a non-optimal position.

Understanding the potential complications associated with different fetal positions empowers you to have informed discussions with your healthcare provider and make the best decisions for your and your baby's well-being.

Now that we've considered the baby's positioning and potential physical concerns, it's equally important to address the significant emotional and mental shifts that can occur during week 38. Let's turn our attention to emotional well-being and mental health during this pivotal time.

Emotional Well-being and Mental Health During Week 38

Week 38 is a significant milestone, bringing you closer to meeting your baby! However, it's also a time when emotional well-being and mental health can be significantly impacted by anticipation, anxiety, and physical discomfort. It's crucial to acknowledge and address these feelings to ensure a smoother transition into motherhood. This section will provide insights and strategies to navigate the emotional landscape of week 38.

Understanding Your Emotions

It's perfectly normal to experience a range of emotions at this stage. Excitement about meeting your baby can be mixed with anxiety about labor, delivery, and the responsibilities of parenthood. Hormonal fluctuations can also contribute to mood swings and increased sensitivity. Recognizing and validating these feelings is the first step towards managing them effectively. Don't dismiss your emotions; instead, try to understand their source and find healthy ways to cope.

Strategies for Managing Stress and Anxiety

Feeling overwhelmed? Here are some practical strategies to help you manage stress and anxiety during week 38. Remember to tailor these suggestions to your individual needs and preferences.

  • Practice Relaxation Techniques 🧘‍♀️ Incorporate relaxation techniques into your daily routine. Deep breathing exercises, meditation, and gentle stretching can help calm your mind and body.
  • Stay Active (Within Limits) 🧘‍♀️ Gentle exercise, such as walking or prenatal yoga, can release endorphins and improve your mood. However, listen to your body and avoid overexertion.
  • Maintain a Healthy Diet 🧘‍♀️ Nourishing your body with wholesome foods can positively impact your emotional state. Avoid processed foods, sugary drinks, and excessive caffeine.
  • Get Enough Sleep 🧘‍♀️ Prioritize sleep as much as possible. Create a relaxing bedtime routine and aim for at least 7-8 hours of sleep each night. Use pillows to support your body and find a comfortable sleeping position.
  • Connect with Your Support System 🧘‍♀️ Talk to your partner, family members, or friends about your feelings. Sharing your concerns can provide emotional relief and valuable support.
  • Engage in Enjoyable Activities 🧘‍♀️ Make time for activities that bring you joy and relaxation. Read a book, listen to music, watch a movie, or spend time in nature.

Preparing for Labor and Delivery

One of the biggest sources of anxiety during week 38 is the anticipation of labor and delivery. Preparing yourself mentally and physically can help alleviate some of this anxiety.

  • Review Your Birth Plan 📌 Familiarize yourself with your birth plan and discuss it with your partner and healthcare provider. This will help ensure that everyone is on the same page and that your preferences are respected.
  • Pack Your Hospital Bag 📌 Having your hospital bag packed and ready to go can provide a sense of control and preparedness. Include essential items for yourself, your partner, and your baby.
  • Attend Childbirth Education Classes 📌 If you haven't already, consider attending childbirth education classes. These classes can provide valuable information about labor, delivery, and newborn care.
  • Practice Labor Coping Techniques 📌 Learn and practice various labor coping techniques, such as breathing exercises, massage, and visualization. This will help you manage pain and stay calm during labor.
💡 NOTE: Remember that every pregnancy and labor is unique. Try to remain flexible and adaptable, and trust your instincts.

When to Seek Professional Help

While it's normal to experience some anxiety and mood swings during week 38, it's important to seek professional help if you're experiencing persistent or overwhelming symptoms. Postpartum depression can actually start *before* birth. Contact your healthcare provider if you experience any of the following:

  • Persistent Sadness or Hopelessness ✅ Feeling sad, empty, or hopeless for more than two weeks.
  • Loss of Interest or Pleasure ✅ Losing interest in activities you once enjoyed.
  • Changes in Appetite or Sleep ✅ Experiencing significant changes in appetite or sleep patterns.
  • Excessive Worry or Anxiety ✅ Feeling excessively worried or anxious about various things.
  • Thoughts of Self-Harm or Suicide ✅ Having thoughts of harming yourself or ending your life.

Remember, seeking help is a sign of strength, not weakness. Your mental health is just as important as your physical health during pregnancy and postpartum. Don't hesitate to reach out to your healthcare provider, a therapist, or a support group if you need assistance. Taking care of your emotional well-being will ultimately benefit both you and your baby.

"There is no health without mental health; mental health is an integral part of overall health."

— Gro Harlem Brundtland

Maintaining a positive mindset is crucial during this final stretch, but equally important is fueling your body and nurturing yourself. Let's now explore essential nutrition and self-care tips to support you in week 38.

Nutrition and Self-Care Tips for Week 38

Week 38 marks a significant milestone in your pregnancy journey. As you approach your due date, focusing on nutrition and self-care is more crucial than ever. These final weeks are about nurturing both yourself and your baby, preparing for labor and delivery, and ensuring you're as comfortable as possible. Prioritizing the right foods and self-care practices can significantly impact your energy levels, mood, and overall well-being. Let's delve into some practical tips to help you navigate week 38 with confidence and ease.

Nutritional Guidance for Week 38

Your nutritional needs remain elevated during this final stretch. Continue to prioritize a balanced diet rich in essential nutrients to support your baby's ongoing development and your body's preparation for labor. Focus on foods that provide sustained energy, promote hydration, and aid in digestion. Remember, what you eat now directly impacts your baby and your readiness for delivery.

  • Protein Intake 📌 Aim for at least 75-100 grams of protein daily. Good sources include lean meats, poultry, fish, eggs, beans, lentils, and tofu. Protein is crucial for fetal growth and helps maintain your muscle mass.
  • Calcium-Rich Foods 📌 Ensure you're consuming adequate calcium through dairy products (yogurt, milk, cheese), leafy green vegetables, fortified plant-based milk alternatives, and calcium-set tofu. Calcium is vital for your baby's bone development and helps prevent calcium depletion in your own bones.
  • Iron-Rich Foods 📌 Continue consuming iron-rich foods like red meat, spinach, fortified cereals, and beans. Pair these with foods high in vitamin C to enhance iron absorption. Iron is essential for preventing anemia and supporting oxygen transport to both you and your baby.
  • Fiber-Rich Foods 📌 Incorporate plenty of fiber into your diet through whole grains, fruits, vegetables, and legumes. Fiber helps prevent constipation, a common issue during late pregnancy, and promotes healthy digestion.
  • Healthy Fats 📌 Include sources of healthy fats like avocados, nuts, seeds, and olive oil in your diet. These fats are important for brain development in your baby and provide you with essential fatty acids.
NOTE: If you're experiencing heartburn, try eating smaller, more frequent meals and avoiding spicy or greasy foods. Elevating your head while sleeping can also help alleviate symptoms.

Hydration is Key

Staying adequately hydrated is paramount during week 38. Hydration supports amniotic fluid levels, aids in digestion, and helps prevent swelling. Aim to drink at least 8-10 glasses of water per day. You can also incorporate hydrating fruits and vegetables like watermelon, cucumber, and berries into your diet.

🔗 Related Article: Approaching pregnancy week 38, the risk of diastasis recti increases due to the growing baby and expanding abdomen, making it even more crucial to avoid exercises that exacerbate abdominal separation. Therefore, understanding which exercises to avoid and how to protect your core during these final weeks is vital for postpartum recovery. Avoiding Ab Exercises That Worsen Separation During Pregnancy: Protect Your Core
  1. Sip water throughout the day rather than drinking large amounts at once.
  2. Carry a water bottle with you as a constant reminder to stay hydrated.
  3. Consider adding slices of lemon or cucumber to your water for flavor.
  4. Limit sugary drinks and caffeine, as they can contribute to dehydration.

Essential Self-Care Practices

Self-care is not a luxury; it's a necessity, especially as you near your due date. Prioritizing your physical and mental well-being can help you manage discomfort, reduce stress, and prepare for labor and delivery. Listen to your body and engage in activities that promote relaxation and rejuvenation.

"Taking care of myself doesn't mean 'me first,' it means 'me too.'"

— L.R. Knost
  • Rest and Relaxation 🔹 Prioritize getting enough sleep and rest. Naps can be incredibly beneficial. Create a relaxing bedtime routine to improve sleep quality.
  • Gentle Exercise 🔹 Engage in light exercises like walking, swimming, or prenatal yoga. These activities can help improve circulation, reduce swelling, and prepare your body for labor. Always consult with your healthcare provider before starting any new exercise regimen.
  • Comfortable Positioning 🔹 Find comfortable positions for sitting and sleeping. Use pillows to support your back, belly, and legs. Consider using a pregnancy pillow for added support.
  • Pampering Activities 🔹 Indulge in activities that make you feel good, such as taking a warm bath (not too hot), getting a prenatal massage, or listening to calming music.
  • Mindfulness and Meditation 🔹 Practice mindfulness or meditation to reduce stress and anxiety. Even a few minutes of daily meditation can make a significant difference in your overall well-being.
NOTE: Pay attention to your body and any warning signs of labor. Contact your healthcare provider immediately if you experience any concerning symptoms, such as a sudden gush of fluid, vaginal bleeding, or persistent contractions.

By focusing on optimal nutrition and incorporating self-care practices into your daily routine, you can navigate week 38 with greater comfort and confidence. Remember to listen to your body, prioritize your well-being, and seek support from your healthcare provider and loved ones. These final weeks are a special time to prepare for the arrival of your little one and embrace the journey ahead.

As you focus on nourishing yourself and practicing self-care in these final weeks, let's now shift our attention to what you can expect immediately after your baby arrives. The next section will outline what happens after delivery, specifically focusing on the first few days.

What Happens After Delivery: The First Few Days

The moment your baby arrives marks the beginning of a new chapter filled with joy, wonder, and, let's be honest, a fair share of adjustments. Understanding what to expect in those initial hours and days can ease the transition and allow you to focus on bonding with your little one. This period, known as the postpartum period, is a time of significant physical and emotional changes for both you and your baby. Knowing what to expect can make all the difference.

Immediate Postpartum Care

Immediately after delivery, whether vaginal or cesarean, you'll be closely monitored by the medical staff. This includes checking your vital signs (blood pressure, pulse, temperature), assessing bleeding, and ensuring your uterus begins to contract back to its pre-pregnancy size. This process, called uterine involution, is crucial in preventing excessive bleeding. Your baby will also undergo a series of assessments, including the Apgar score, to evaluate their overall health.

Skin-to-skin contact with your newborn is highly encouraged immediately after birth. This practice helps regulate your baby's temperature, heart rate, and breathing, while also promoting bonding and initiating early breastfeeding. Don't hesitate to ask for assistance if you need help with positioning or latching your baby for the first time. The nurses and lactation consultants are there to support you in establishing a successful breastfeeding relationship.

Your Physical Recovery

Your body has been through a lot, and physical recovery is a priority. Expect some discomfort, regardless of your delivery method. After a vaginal delivery, you may experience perineal pain and swelling. Sitz baths, ice packs, and pain medication can provide relief. If you had a cesarean section, you'll have an incision that requires care. Pain medication will be prescribed, and it's essential to follow your doctor's instructions for wound care to prevent infection.

🚀 Remember to take it easy and avoid strenuous activities during the first few weeks. Listen to your body and rest as much as possible. Don't hesitate to ask for help from your partner, family, or friends.

Postpartum bleeding, also known as lochia, is normal and will gradually decrease over time. It starts as bright red and gradually becomes lighter in color. Use postpartum pads, and avoid tampons during this time. Contact your doctor if you experience heavy bleeding, large clots, or foul-smelling discharge, as these could be signs of a problem.

Newborn Care Basics

The first few days with your newborn involve a steep learning curve. Feeding, diaper changes, and sleep are the main priorities. Your baby will likely feed frequently, every 2-3 hours, whether you're breastfeeding or formula-feeding. Learn the signs of hunger, such as rooting, sucking on their hands, and fussiness. Diaper changes will also be frequent, so stock up on diapers and wipes. Expect your baby to sleep a lot, but in short stretches, both day and night. Safe sleep practices are crucial: always place your baby on their back to sleep on a firm, flat surface in a crib or bassinet.

    Feeding 📌 Breastfeed on demand or offer formula every 2-3 hours. Diapering 📌 Change diapers frequently, especially after feedings. Sleep 📌 Ensure your baby sleeps on their back, on a firm surface, in a crib or bassinet. Bathing 📌 Sponge bathe your baby until the umbilical cord falls off.

Emotional Well-being

The "baby blues" are common in the first few weeks after delivery, characterized by feelings of sadness, anxiety, and irritability. These feelings are usually mild and resolve on their own within a couple of weeks. However, if these feelings persist or worsen, it could be a sign of postpartum depression, a more serious condition that requires professional help. Don't hesitate to reach out to your doctor or a mental health professional if you're struggling. Taking care of your mental health is just as important as taking care of your physical health.

"Motherhood: All love begins and ends there."

— Robert Browning

So, now that we've covered the immediate postpartum period, let's address some common concerns that might still be lingering as you approach your due date. The following frequently asked questions about pregnancy week 38 can help ease your mind and prepare you for the final stretch.

Frequently Asked Questions About Pregnancy Week 38

Is it normal to feel more tired at 38 weeks pregnant?

Absolutely! Feeling extra tired at 38 weeks pregnant is completely normal. You are carrying a full-term baby, and your body is working hard to prepare for labor and delivery. Sleep might also be difficult due to discomfort, frequent bathroom trips, and anxiety about the upcoming birth. Rest as much as possible.

What are the signs of labor at 38 weeks?

Several signs can indicate that labor is approaching at 38 weeks. It's important to remember that every woman's experience is unique, and these signs can vary in intensity and timing. Contact your healthcare provider if you are unsure or concerned about your symptoms.

  • Increased Braxton Hicks Contractions ✅ These "practice" contractions may become more frequent and intense.
  • Loss of the Mucus Plug ✅ This thick mucus plug blocks the cervix and its release can signify that the cervix is starting to dilate. It can come out in one piece or in smaller pieces.
  • "Nesting" Instinct ✅ A sudden surge of energy and the urge to organize and prepare for the baby's arrival.
  • Diarrhea or Nausea ✅ Some women experience digestive upset as their body prepares for labor.
  • Water Breaking ✅ This is the rupture of the amniotic sac. It can be a gush or a slow trickle. Contact your doctor immediately if your water breaks.
  • Regular Contractions ✅ Contractions that become progressively stronger, longer, and closer together are a key sign of labor. Use the 5-1-1 rule as a guide (contractions every 5 minutes, lasting 1 minute each, for at least 1 hour).

What should I do if I think I'm in labor at 38 weeks?

If you suspect you're in labor at 38 weeks, the first step is to time your contractions. Note the start time, how long each contraction lasts, and the time between contractions. If your water breaks, take note of the time, color, and amount of fluid. Contact your healthcare provider immediately to discuss your symptoms. They can provide guidance on whether you should go to the hospital or birthing center.

Is my baby fully developed at 38 weeks?

Yes, at 38 weeks, your baby is considered full-term and is generally fully developed. While they continue to gain weight and refine their organ systems, they are ready for life outside the womb. The lungs are typically mature enough to function independently, and the brain is continuing to develop rapidly.

What is the average size of a baby at 38 weeks?

At 38 weeks, the average baby weighs around 6.8 pounds (3.1 kg) and measures about 19.6 inches (49.8 cm) long. However, there is a wide range of normal, and babies can vary in size depending on genetics, maternal health, and other factors. Your doctor will monitor your baby's growth during prenatal appointments.

What should I pack in my hospital bag at 38 weeks?

Packing your hospital bag by 38 weeks is a must! Here's a helpful list:

  • Comfortable Clothing ✅ Loose-fitting clothes, a robe, and comfortable pajamas.
  • Nursing Bra(s) ✅ If you plan to breastfeed, bring supportive nursing bras.
  • Toiletries ✅ Travel-sized shampoo, conditioner, soap, toothbrush, toothpaste, and lotion.
  • Phone and Charger ✅ To stay connected and capture those first precious moments.
  • Snacks ✅ Labor can be long, so pack some energy-boosting snacks.
  • Infant Car Seat ✅ Properly installed in your car for the ride home.
  • Baby Clothes ✅ A few outfits for your newborn, including socks or booties and a hat.
📌 Remember to check with your hospital or birthing center for a list of items they provide, so you don't overpack.
Okay, here's the conclusion for the "Pregnancy Week 38" article, following all the specified requirements:

📢 Conclusion

As you navigate Pregnancy Week 38, remember you're in the home stretch! Your baby is almost here, and all the preparations you've made are about to pay off.

Focus on listening to your body and recognizing the signs of labor. Don't hesitate to contact your healthcare provider with any concerns or questions regarding labor and delivery.

Continue practicing relaxation techniques and ensuring your hospital bag is packed and ready. Take this time to connect with your partner and mentally prepare for the incredible journey ahead.

Trust in yourself and your body's ability to bring your baby into the world. You've got this! This is an exciting time.

Embrace these final moments of pregnancy and cherish the anticipation. Wishing you a safe and healthy delivery!

💡 Pro Tip: If you're feeling overwhelmed, try breaking down your remaining tasks into smaller, manageable steps. Ask for help from loved ones – they're eager to support you!

❓ Frequently Asked Questions

1. What are some common signs of labor at 38 weeks?
Common signs of labor at 38 weeks include stronger and more frequent contractions that don't go away when you change position, a show (loss of the mucus plug), your water breaking (either a gush or a slow leak), back pain, and increased pressure in your pelvis. If you experience any of these, contact your healthcare provider.
2. What should I pack in my hospital bag for labor and delivery?
Essential items for your hospital bag include comfortable clothes (nursing-friendly pajamas, loose-fitting clothes to go home in), toiletries (toothbrush, toothpaste, shampoo, conditioner, body wash), nursing bras and pads, underwear, phone charger, snacks, and any medications you're currently taking. Don't forget items for the baby like a going-home outfit and a blanket.
3. How can I prepare for labor and delivery in the final weeks of pregnancy?
Focus on resting and conserving energy. Continue eating a healthy diet and staying hydrated. Practice relaxation techniques like deep breathing and meditation. Review your birth plan with your partner and healthcare provider. Pack your hospital bag and make sure you know the route to the hospital.
4. When should I go to the hospital or call my doctor?
You should go to the hospital or call your doctor if your water breaks, if you experience regular contractions that are getting stronger and closer together (e.g., 5 minutes apart for an hour), if you notice decreased fetal movement, or if you have any bleeding or severe abdominal pain. Always err on the side of caution and contact your healthcare provider if you're concerned.
  • Centers for Disease Control and Prevention (CDC): A U.S. government agency providing authoritative health information, including data, research, and guidelines on various health topics.
  • World Health Organization (WHO): A global organization providing leadership on international health matters, setting health norms and standards, and providing technical support to countries.
  • National Institutes of Health (NIH): A U.S. government agency that conducts and supports medical research, providing information on a wide range of diseases and health conditions.
  • Mayo Clinic: A non-profit academic medical center conducting research and providing clinical care. Their website offers reliable and comprehensive health information.
  • The New England Journal of Medicine (NEJM): A weekly peer-reviewed medical journal that publishes high-quality research and review articles on a wide range of medical topics.
Healthzad medical team prepared this content based on the latest recommendations.
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Healthzad Medical Team
Medically Reviewed by Healthzad Medical Team
Based on Evidence-Based Clinical Guidelines
Last Reviewed: 1/01/2026