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WEEKS 28–40+

Third Trimester Pregnancy Guide

The final stretch! Weeks 28–40+ are when your baby gains most of its weight, positions for birth, and prepares to breathe air. For you, it’s time to prepare for labor, pack your hospital bag, and write your birth plan.

Ashok Kumar Poudel
Written by
Ashok Kumar Poudel
Health & Wellness Writer
Dr. Bina Basnet
Medically reviewed by
MBBS, MD — Gynecologist & Obstetrician
Last reviewed:
Feb 2026
📅
Duration
Weeks 28–40+
⚖️
Baby gains
~2.3 kg in weight
Full term
Week 37–40
🧪
Key test
GBS at 35–37w

What Happens in the Third Trimester?

The third trimester is the home stretch of pregnancy. From week 28 to delivery, your baby undergoes rapid weight gain — going from about 1 kg at week 28 to an average of 3.4 kg at full term. The lungs mature, the brain makes critical connections, and the baby positions head-down in preparation for birth. This trimester is physically demanding for the mother as the uterus grows to maximum size.

The third trimester brings new symptoms: back pain, Braxton Hicks contractions, shortness of breath (relieved when baby drops), frequent urination, swollen ankles, and difficulty sleeping. These are all normal as your body prepares for labor.

Week by Week: Third Trimester

🍆
Week 28
Size: Eggplant
Kick counting begins
🎃
Week 29
Size: Butternut squash
Brain wrinkles forming
🥬
Week 30
Size: Cabbage
Lanugo disappearing
🥥
Week 31
Size: Coconut
Rapid weight gain
🥬
Week 32
Size: Jicama
Lungs maturing
🍍
Week 33
Size: Pineapple
Bones hardening
🍈
Week 34
Size: Cantaloupe
Late preterm milestone
🍈
Week 35
Size: Honeydew
GBS test this week
🥭
Week 36
Size: Papaya
Begins positioning
🥒
Week 37
Size: Winter melon
Early term milestone
🥬
Week 38
Size: Leek
Full term begins
🍉
Week 39
Size: Mini watermelon
Full term
🎃
Week 40
Size: Pumpkin
Due date!

Third Trimester Checklist

🧳
Pack Hospital Bag

Pack by week 35. Include clothes for you and baby, ID, insurance, birth plan, toiletries.

🚗
Install Car Seat

Install the infant car seat by week 36. Many fire stations offer free checks.

📋
Write Birth Plan

Discuss pain management, labor preferences, and newborn care wishes with your provider.

Know Labor Signs

Regular contractions, water breaking, bloody show — know when to call and when to go.

Frequently Asked Questions

Common questions answered by our medical team

Braxton Hicks are practice contractions that typically start in the third trimester (some women feel them earlier). They feel like tightening or pressure in the uterus, usually irregular, not increasing in intensity, and not associated with cervical change. They prepare the uterus for labor but are not labor contractions.
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