The third trimester marks the final stretch of pregnancy, filled with excitement, anticipation, and often a lot of questions. As your due date approaches, you may find yourself wondering about everything from physical changes to preparing for labor and bringing your baby home. At New Mom School, we know that feeling informed and supported can make all the difference in navigating these final weeks of pregnancy. Here, we’ll answer some of the most frequently asked questions that moms-to-be have during the third trimester.
1. What physical changes should I expect in the third trimester?
The third trimester typically spans from weeks 28 to 40, and during this time, your body will go through a number of significant changes as your baby grows and prepares for birth. Some of the most common physical symptoms include:
- Braxton Hicks contractions: These “practice” contractions are usually mild and irregular but can become more noticeable as your body prepares for labor. Unlike real labor contractions, Braxton Hicks are often relieved by changing positions or drinking water.
- Increased fatigue: As your baby grows, you may feel more tired, especially in the last few weeks. Rest as much as you can and try to balance activity with periods of relaxation.
- Heartburn and indigestion: With your uterus pushing on your stomach, heartburn can become more frequent. Eating smaller, more frequent meals and avoiding spicy or fatty foods can help.
- Back pain: The added weight and shift in your center of gravity may cause backaches. Gentle prenatal yoga, stretching, or wearing a maternity support belt can provide some relief.
- Swelling: It’s common for your feet and ankles to swell in the third trimester due to fluid retention. Elevate your feet when possible, stay hydrated, and avoid standing for long periods.
- Frequent urination: With your baby pressing on your bladder, you’ll likely find yourself needing to use the restroom more often.
2. What should I pack in my hospital bag?
As you near your due date, it’s important to have your hospital bag ready so you’re not scrambling when the time comes. Most moms pack their bag between 34 and 36 weeks. Here’s a checklist of essential items to include:
For you:
- Comfortable, loose-fitting clothing for after delivery (including nursing-friendly tops if you’re breastfeeding)
- Maternity pads and comfortable underwear
- Toiletries (toothbrush, hairbrush, lip balm, etc.)
- Socks and slippers
- A robe or cardigan
- Your birth plan (if you don’t have one, make one!)
- ID, insurance card, and any necessary paperwork
For baby:
- Onesies and baby blankets
- A going-home outfit
- Diapers and wipes (though most hospitals provide these)
- A car seat (you won’t be able to leave the hospital without one!)
For your partner or support person:
- Snacks and water
- A change of clothes
- Phone chargers
- Personal comfort items, like a pillow or blanket
3. How can I tell the difference between real labor and false labor?
Braxton Hicks contractions, or false labor, are common in the third trimester, but it can be hard to tell when real labor has begun. Here’s how to distinguish between the two:
Braxton Hicks (False Labor):
- Contractions are irregular and don’t get closer together.
- They tend to be more uncomfortable than painful.
- Changing positions, walking, or drinking water can make them go away.
True Labor:
- Contractions become regular, stronger, and closer together.
- They continue regardless of movement or position changes.
- The pain starts in the lower back and radiates to the front of your abdomen.
If you’re unsure, it’s always a good idea to call your healthcare provider to discuss your symptoms. They’ll help determine whether you should head to the hospital or continue laboring at home for a while longer.
4. What are the signs of labor?
Labor can begin with a variety of signs, some more subtle than others. Here are the common indicators that labor is near:
Regular contractions: Strong, rhythmic contractions that don’t go away with movement.
Loss of the mucus plug: You may notice a thick discharge, sometimes tinged with blood, which is a sign that your cervix is preparing for labor.
Water breaking: For some women, labor begins when the amniotic sac ruptures and fluid begins to leak. For others, this happens later in labor. Either way, once your water breaks, you should call your doctor and head to the hospital.
Back pain and pelvic pressure: You may feel an increase in backache and pressure in your pelvis as your baby moves down into position for birth.
5. How can I prepare for labor and delivery?
The more informed and prepared you are, the more confident you’ll feel during labor. Here are a few ways to prepare:
Attend childbirth classes: Childbirth classes provide an overview of the stages of labor, pain management options, and what to expect during delivery. They’ll also teach breathing techniques and ways to stay calm during labor.
Create a birth plan: While labor and delivery can be unpredictable, having a birth plan allows you to communicate your preferences for pain relief, delivery positions, and newborn care to your healthcare team. Be flexible, though, as the health of you and your baby is always the priority.
Stay active: Walking, swimming, and prenatal yoga can help prepare your body for labor by keeping you strong and flexible.
Practice relaxation techniques: Deep breathing, visualization, and meditation can help you stay calm and manage discomfort during labor.
6. What are the options for pain relief during labor?
There are several pain relief options available during labor, ranging from natural techniques to medical interventions. Here are some of the most common:
Natural pain relief:
- Breathing techniques (like those taught in Lamaze or other childbirth classes)
- Movement, such as walking or using a birthing ball
- Massage or acupressure from a partner or doula
- Warm baths or showers
Medical pain relief:
- Epidural: A regional anesthesia that numbs the lower half of your body. It’s one of the most popular pain relief options and can be adjusted for comfort.
- Nitrous oxide: Also known as laughing gas, this option provides mild pain relief and can help you relax during contractions.
- IV pain medications: Some hospitals offer narcotic pain relief through an IV, though these medications can make you drowsy and cross the placenta to your baby.
Talk to your healthcare provider about your options and preferences before labor begins.
7. What happens if I go past my due date?
It’s not uncommon for babies to arrive past their due date—only about 5% of babies are born on their actual due date. If you go beyond 40 weeks, your healthcare provider will monitor you and your baby closely to ensure everything is progressing safely. They may recommend inducing labor if you reach 41 or 42 weeks, especially if there are concerns about the baby’s size or health.
Induction can involve several methods, including:
Membrane sweeping: A doctor manually separates the amniotic sac from the cervix to encourage labor.
Medications like Pitocin: These drugs help stimulate contractions.
Breaking your water: A doctor can break the amniotic sac to help start labor.
8. How can I prepare my home for the baby?
As your due date approaches, it’s time to get your home ready for your new arrival. Here are some essentials to prepare:
Baby essentials: Have diapers, wipes, baby clothes, swaddles, and burp cloths ready.
Feeding supplies: Whether you’re breastfeeding or bottle-feeding, make sure you have the necessary supplies, including bottles, a breast pump, and formula (if needed).
Sleep space: Set up the crib or bassinet, and make sure you have safe sleeping arrangements for your newborn.
Car seat: Install the car seat ahead of time, and make sure it’s properly secured.
9. What should I expect during the first few days after birth?
The first few days postpartum can be a whirlwind of emotions and physical recovery. Expect some of the following:
Physical recovery: Your body will begin to heal, and you may experience postpartum bleeding, sore muscles, and breast engorgement. Take it slow, and don’t hesitate to ask for help.
Emotional shifts: The “baby blues” are common in the first few days due to hormonal changes and the exhaustion of labor. If feelings of sadness or anxiety persist beyond two weeks, talk to your healthcare provider about postpartum depression.
Bonding with your baby: These first days are a precious time to bond with your newborn. Skin-to-skin contact, feeding, and just holding your baby will help strengthen your connection.
10. How can I manage postpartum recovery and adjust to motherhood?
Postpartum recovery can take time, so give yourself grace. Surround yourself with support, whether it’s from family, friends, or a postpartum support group. If you need help navigating this transition, consider joining a New Mom School class. We provide expert guidance and a supportive community to help you through every stage of early motherhood. Also, if you’re not feeling like yourself and just want someone to talk to, the National Maternal Mental Health Hotline is available to you 24/7. Text or call 1-833-TLC-MAMA any time to talk with a trained counselor. And know you’re not alone – up to 85% of new moms suffer from postpartum distress. You deserve support!
Remember, the third trimester is both an exciting and challenging time. By staying informed and supported, you can approach the final weeks of pregnancy with confidence, knowing you’re prepared for both the joys and challenges of welcoming your new baby. New Mom School is here to guide you through each step, offering expert advice, emotional support, and a community of moms who understand exactly what you’re going through. Together, we’ll help you navigate this incredible journey into motherhood.