Quick guide:

• What’s happening with the baby at 28 weeks pregnant?

• How big is your baby at 28 weeks pregnant?

• How is your belly at 28 weeks pregnant?

• Common symptoms and how to manage them?

• Frequently asked questions at 28 weeks pregnant

What’s happening with the baby at 28 weeks pregnant?

Brain growth

Your baby’s brain is undergoing rapid development and will triple in weight during the third trimester. Deep grooves and folds are forming in the cerebrum, allowing for a larger surface area to accommodate billions of new nerve cells.

Developing senses

Your baby’s senses of hearing, smell, and touch are now functional. They can recognize your voice and might respond to loud noises or music by moving around.

Nervous system advancements

The autonomic nervous system is taking on new responsibilities, like regulating your baby’s body temperature and supporting rhythmic breathing movements. These advancements are essential for their ability to survive outside the womb.

Eyelash growth and blinking

Your baby’s eyelashes are forming, and they can now open and close their eyes. They may even blink in response to light filtering through your belly.

Preparing for digestion

The intestines are lengthening and coiling, getting ready to handle digestion after birth.

How big is your baby at 28 weeks pregnant?

At 28 weeks, your baby measures approximately 37.6 cm long from head to toe and weighs around 1.2 kg, about the size of a large eggplant.

This is an exciting stage where your baby is steadily gaining weight and developing more fat, which helps smooth out their skin and gives them a more newborn-like appearance. Their length and weight will continue to increase as they prepare for life outside the womb, and you may notice stronger kicks and movements as they grow larger and more active in the limited space.

How is your belly at 28 weeks pregnant?

At 28 weeks, your belly is likely noticeably larger as you enter the third trimester. Your uterus has expanded significantly, and it now sits well above your belly button. This growth makes your belly a prominent sign of pregnancy. Here’s what you might notice:

• Skin stretching and itchiness: As your belly stretches, it’s common to experience tight or itchy skin. Applying a good moisturizer or pregnancy-safe oil can help ease discomfort.

• Stretch marks: These may start to appear on your abdomen, hips, or thighs as your skin stretches. While they can’t always be prevented, gradual weight gain and keeping your skin hydrated may help reduce their appearance.

• Linea nigra: You might see a dark line running down the center of your belly, known as the linea nigra. This harmless line is caused by hormonal changes and will likely fade after pregnancy.

• Movement visibility: At this stage, you might see your baby’s kicks, rolls, and stretches from the outside. Your partner or loved ones can feel the movements too, making it an exciting time to share the experience.

Common symptoms and how to manage them?

1) Leg cramps

Leg cramps are common in the third trimester due to extra weight, swelling, and possibly low levels of certain vitamins.

How to manage: Stay hydrated, stretch your calves before bed, and engage in gentle exercise like walking or swimming. A warm compress or massage can also provide relief.

2) Braxton Hicks contractions

These "practice" contractions may become more noticeable as your uterus prepares for labor.

How to manage: Stay hydrated and change positions or rest when you feel them. If they become regular, painful, or intense, contact your healthcare provider to rule out preterm labor.

3. Hemorrhoids

Swollen blood vessels in the pelvic area can cause discomfort or light bleeding, often due to constipation and increased pressure.

How to manage: Drink plenty of water, eat high-fiber foods, and stay active to prevent constipation. If needed, use a pregnancy-safe stool softener or topical treatment after consulting your doctor.

4. Swelling (edema)

Mild swelling in your feet and ankles is common due to fluid retention and pressure on your veins.

How to manage: Elevate your feet when resting, wear compression socks, and stay hydrated. Avoid standing or sitting for long periods and sleep on your left side to improve circulation.

5. Weird dreams

Hormonal changes and interrupted sleep can lead to vivid or strange dreams.

How to manage: Establish a relaxing bedtime routine and try to manage stress through meditation or light reading before bed.

6. Pregnancy rashes

You might develop itchy rashes like PUPPP (pruritic urticarial papules and plaques of pregnancy) or other skin irritations.

How to manage: Apply soothing lotions, take oatmeal baths, and consult your doctor for safe antihistamines or topical treatments if the itching becomes severe.

7. Leaking breasts

Your body may begin producing colostrum, the first milk, causing minor leaks.

How to manage: Use nursing pads inside your bra to absorb the leakage and prevent stains.

8. Third-trimester aches and pains

Lower-back pain, pelvic discomfort, and round ligament pain are common as your body supports your growing baby.

How to manage: Use a pregnancy pillow, wear supportive maternity belts, and apply heat or cold packs as needed. Stay active with pregnancy-safe exercises like prenatal yoga or swimming.

Frequently asked questions at 28 weeks pregnant

Is my baby in the head-down position yet?

Not necessarily. Many babies start moving into the head-down position around this time, but some won’t settle into it until closer to 36 weeks. If your baby isn’t head-down yet, there’s still plenty of time for them to turn.

How often should I feel my baby move?

You should notice regular movement patterns by 28 weeks. If you’re concerned about decreased activity, try a kick-counting session. Lie down and count movements—10 kicks, rolls, or flutters within two hours is usually a good sign. Contact your healthcare provider if movements slow significantly.

Can I still travel at 28 weeks pregnant?

Travel is generally safe if your pregnancy is uncomplicated. However, many airlines require a doctor’s note if you’re flying in the third trimester. Always consult your healthcare provider before making travel plans.

Is it safe to have sex in the third trimester?

For most healthy, uncomplicated pregnancies, sex is safe throughout pregnancy, including the third trimester. If you have concerns about bleeding, preterm labor, or other complications, talk to your doctor first.

Should I start counting kicks?

Yes, kick counting becomes important in the third trimester to monitor your baby’s well-being. Your doctor may recommend tracking your baby’s movements daily to establish patterns and notice any changes.

How much weight should I gain at this stage?

In the third trimester, you’re expected to gain about 0.45 kilograms per week, depending on your pre-pregnancy weight. If you’re concerned about weight gain, consult your doctor for guidance on healthy eating and activity levels.

What should I do if I experience Braxton Hicks contractions?

Braxton Hicks contractions are normal and usually not painful. Rest, drink water, and change positions to ease them. If contractions become regular, intense, or are accompanied by other signs of labor, contact your doctor immediately.

Is it time to prepare a birth plan?

Yes, 28 weeks is a great time to think about your preferences for labor and delivery. Discuss your plan with your doctor or midwife at your next appointment to ensure it aligns with your medical needs.

Can I dye my hair or get a tattoo now?

Hair dye is generally considered safe during pregnancy, but opt for highlights or balayage to minimize scalp contact if you’re concerned. Tattoos, however, are best avoided during pregnancy due to limited research on their safety for you and your baby.

Do I need to start seeing my doctor more often?

Yes, now that you’re in the third trimester, prenatal visits typically increase to every two weeks. This helps your doctor closely monitor your baby’s growth and your health as you approach delivery.