Third Trimester: What to expect?

What should one expect during the third trimester?

The third trimester of pregnancy spans from about 28 weeks to the birth of the baby, usually around 40 weeks. During this period, there are several physical and emotional changes and developments you can expect:

Physical Changes

Increased Fatigue: As the baby grows, you might experience increased fatigue due to the extra weight and physical demands on your body.
Growing Belly: The baby’s growth leads to a more pronounced belly, which can cause backaches, and pressure on the bladder, leading to frequent urination.
Braxton Hicks Contractions: You may experience irregular, painless contractions known as Braxton Hicks contractions. These are the body’s way of preparing for labor but are not a sign of labor.
Swelling: Swelling of the ankles, feet, and sometimes hands may occur due to fluid retention. It’s important to monitor this swelling, as sudden or severe swelling could indicate a problem.
Shortness of Breath: As the uterus expands, it can press against the diaphragm, causing shortness of breath.
Heartburn and Indigestion: Increased pressure on the stomach from the growing uterus can lead to heartburn and indigestion.
Changes in Skin: Stretch marks, darkening of the skin around the nipples (areolas), and a dark line running down the abdomen (linea nigra) may become more noticeable.
Increased Discharge: You might notice an increase in vaginal discharge, which should be clear or milky. Report any unusual discharge, such as green or yellow, to your healthcare provider.

Emotional and Psychological Changes

Mood Swings: Hormonal changes and the anticipation of labor can lead to mood swings and emotional fluctuations.
Anxiety and Excitement: You might experience a mix of excitement and anxiety as you approach labor and prepare for the baby’s arrival.
Nesting Instinct: Many women experience a strong urge to prepare their home and get everything ready for the baby, often referred to as the “nesting instinct.”

Preparing for Labor and Delivery

Prenatal Appointments: Regular prenatal visits become more frequent to monitor the baby’s growth, your health, and to discuss the birth plan.
Labor Signs: Familiarize yourself with the signs of labor, including regular contractions, rupture of membranes (water breaking), and cervical changes.
Birth Plan: Discuss and finalize your birth plan with your healthcare provider, including your preferences for labor, delivery, and postnatal care.
Hospital Bag: Pack a bag for the hospital or birthing center with essentials for you and the baby, including clothing, toiletries, and any items you want during labor.
Education and Support: Consider taking childbirth education classes and ensure you have a support system in place, whether it’s a partner, family, or friends.

The third trimester is a time of significant change and preparation as you get ready for the arrival of your baby. Staying informed, maintaining open communication with your healthcare provider, and preparing emotionally and physically can help make this final stage of pregnancy as smooth as possible.

What are the “dos” and “don’ts” of the third trimester?

During the third trimester, it’s important to follow certain guidelines to support your health and the health of your baby. Here are some key “dos” and “don’ts”:

Dos

Do Attend All Prenatal Appointments: Keep up with your scheduled prenatal visits to monitor the health of you and your baby. These visits help track fetal growth, manage any pregnancy complications, and prepare for labor.
Do Monitor Fetal Movement: Pay attention to your baby’s movements and report any significant changes, such as a noticeable decrease in activity, to your healthcare provider.
Do Stay Hydrated and Eat Nutritious Foods: Drink plenty of water and eat a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. Proper nutrition supports both your health and your baby’s growth.
Do Exercise Safely: Engage in regular, moderate exercise like walking or swimming, unless otherwise advised by your healthcare provider. Exercise can help with circulation, mood, and preparation for labor.
Do Practice Relaxation Techniques: Stress management techniques such as deep breathing, meditation, and prenatal yoga can help with relaxation and preparation for childbirth.
Do Plan for Labor and Delivery: Prepare a birth plan, understand the signs of labor, and make arrangements for transportation to the hospital or birthing center.
Do Take Prenatal Vitamins: Continue taking prenatal vitamins as recommended by your healthcare provider to ensure you’re getting essential nutrients like folic acid and iron.
Do Rest When Needed: Listen to your body and get plenty of rest. Fatigue is common, and adequate rest can help you feel better and prepare for labor.

Don’ts

Don’t Ignore Severe Symptoms: Report any severe symptoms such as intense abdominal pain, heavy bleeding, severe headaches, or sudden swelling to your healthcare provider immediately.
Don’t Overexert Yourself: Avoid overdoing physical activities and take breaks as needed. Overexertion can lead to increased fatigue and discomfort.
Don’t Skip Meals: Skipping meals can affect your energy levels and nutritional intake. Eat regular, nutritious meals to maintain your health.
Don’t Use Unsafe Remedies: Avoid over-the-counter medications or herbal remedies without consulting your healthcare provider. Some substances can be harmful during pregnancy.
Don’t Engage in Risky Activities: Avoid activities that could pose a risk of injury, such as heavy lifting or high-impact sports.
Don’t Stress Over Small Details: While planning for the baby is important, avoid excessive stress over minor details. Focus on the essentials and stay flexible with your plans.
Don’t Delay Medical Attention: If you have any concerns about your health or the health of your baby, seek medical advice promptly. Early intervention can address potential issues before they become serious.

By following these guidelines, you can help ensure a healthier and more comfortable third trimester as you prepare for the arrival of your baby.