Your baby settles into the birth position

What to expect

Your baby is gaining weight rapidly now, adding about half an ounce each day. The fat layers are filling out, smoothing their skin and helping regulate their body temperature after birth.

Most babies settle head-down by this week, ready for birth. If your baby hasn’t flipped yet, there’s still time, but your provider might discuss options like an external cephalic version (ECV) to encourage the right position.

You might feel more pressure low in your pelvis as your baby drops lower into your pelvis, a process called ‘lightening.’ This can make walking feel different and might relieve some pressure on your ribs, making breathing a bit easier.

• Lanugo shedding. The fine hair covering your baby’s body is starting to disappear, though some might still be present at birth.
• Practice breaths. Your baby is practicing breathing movements, inhaling amniotic fluid to strengthen their lungs.
• Strong kicks. Movements might feel more like rolls or stretches as space tightens, but you should still feel regular activity.

Things to be aware of

Braxton Hicks contractions can become more frequent and intense as your body gears up for labor. These ‘practice’ contractions might feel like a tightening or squeezing but usually don’t follow a consistent pattern.

Pelvic pressure and discomfort are common as your baby settles lower. Many describe it as feeling like a bowling ball between your legs. Supportive shoes and pelvic exercises can help.

Swelling in your hands and feet can be normal, but sudden or severe swelling, especially with headaches or vision changes, could signal preeclampsia. Mention any concerns to your provider.

What might happen

This week marks the start of weekly prenatal visits. Your provider will check your baby’s position, monitor your cervix, and discuss labor signs. These appointments are a great time to ask questions.

Many providers will offer a Group B strep (GBS) test around this time. This simple swab checks for bacteria that could affect your baby during birth. If positive, antibiotics during labor will help keep them safe.

• Birth plan finalization. Now’s the time to review your birth plan with your provider or doula.
• Hospital bag. Pack your hospital bag if you haven’t already, include essentials like comfy clothes, snacks, and important documents.
• Car seat check. Ensure your car seat is installed correctly and that you know how to buckle your baby in safely.

Labor could start at any time now, though most first-time moms go past their due date. Stay tuned into your body and trust your instincts, you’re closer than ever to meeting your baby.