You’re starting your final trimester! Your baby’s now the size of an eggplant, has lashes and can blink her eyes. You may have trouble sleeping and find your nose permanently stuffed, and will now begin seeing your healthcare provider every two weeks.
28 Weeks Pregnant – Fetus
You’re starting the third and final trimester of your pregnancy this week! Around this time, most babies will turn with their head facing downward in preparation for delivery, which may add to the pressure on your bladder. Your baby keeps gaining weight and accumulating fat, which now constitutes about 2-3 percent of her tiny body, and will triple her weight in the last months of pregnancy. Her eyesight now allows her to sense light that may filter in through your uterus. Your baby’s eyes now have some color in them, she has lashes and can blink her eyes.
She is now the size of an eggplant, measuring around 36.6 cm/ 14.4 inches and weighing 875 grams/1.9 lb. Her brain is very active (it will increase 400-500 percent in weight between now and birth!), and she may even be dreaming. She is also busy swallowing amniotic fluid, hiccupping (some women claim their baby tends to hiccup more around meal time) and sucking her finger, all preparing her for the future tasks of breathing, breastfeeding and digesting her food. She is also kicking harder than ever.
28 Weeks Pregnant – Symptoms
You will begin seeing your doctor or midwife more often from now on – probably every two weeks, and will switch to weekly visits at week 36 of pregnancy. Depending on the results of your glucose screening test, you might be given the glucose tolerance test. If you are Rh-negative, you will be injected with Rh immunoglobulin. It will prevent your body from developing antibodies that could attack your baby’s blood. You will get another injection after delivery if your baby is Rh-positive.
Your caregiver may also recommend doing tests for sexually transmitted diseases such as HIV, syphilis, gonorrhea and chlamydia to prevent any possible harm to your baby.
Are you gaining enough weight? The recommended goal for week 28 is 16-32 pounds, which means you are to gain 1-2 pounds per week.
Feeling bloated? The growing uterus leaves less space for your stomach and intestines, so it’s best to eat 5-6 small meals per day instead of three big ones, to avoid feeling unpleasantly heavy after every meal. Eating small, frequent meals may also help ease another common condition during pregnancy – excess wind due to sluggish digestion (you can blame pregnancy hormones for that, too) and the growing uterus that is putting extra pressure on your rectum.
Rib pain? Your little one can occasionally stick a tiny foot in that area – which is obviously unpleasant. Her kicks are so strong now, they can keep you up at night. If the baby has already settled with her head downward, her head (as well as your growing uterus) may be pressing on the sciatic nerve which is located in the lower part of your spine. This may cause sharp pain or numbness in your buttocks and legs, called sciatica. To ease the condition, lie down, stretch or take a warm bath.
Stuffy nose? If so, chances are it’s not the weather you should blame, but your pregnancy hormones. During pregnancy, the mucous membranes in your nose swell due to rising levels of progesterone and estrogen that increase blood flow to that area.
28 Weeks Pregnant – Questions
Preeclampsia a serious complication that occurs only during pregnancy, usually from around 20 weeks) or soon after delivery. What may put you at risk for preeclampsia and what are the warning signs you should pay attention to?
1. What are the Symptoms of Preeclampsia?
Symptoms of preeclampsia may include high blood pressure and often a significant amount of protein in the urine. The condition affects about 2-8 percent of pregnant women. In most cases, women may develop mild symptoms near their due date. In this case, preeclampsia is easily treated. Severe preeclampsia is life-threatening, and the only solution is to deliver the baby. There is no known way to prevent preeclampsia.
Preeclampsia can occur without obvious symptoms and often comes on suddenly. As some of the symptoms may seem like ordinary pregnancy complaints, it is crucial not to miss your prenatal appointments. Usually, it takes a coincidence of more than one symptom to correctly diagnose preeclampsia. As you wouldn’t like to take any chances, contact your doctor or midwife right away if you notice any of these symptoms:
- Severe or persistent headache
- Swelling in your face or around your eyes, excessive or sudden swelling of your feet or ankles or more than slight swelling of your hands
- Double or blurred vision, sensitivity to light, seeing spots or flashing lights, or temporary blindness
- Rapid weight gain – more than 4 to 5 pounds in a week
- Intense pain/ tenderness in your upper abdomen
- Nausea and vomiting
2. What are the Risk Factors of Preeclampsia?
- First pregnancy/ change of partner in a subsequent pregnancy
- Prior history of preeclampsia
- Family history of preeclampsia
- Chronic hypertension
- Diabetes, kidney disease or a history of kidney donation, certain blood-clotting disorders, or an autoimmune disease like lupus
- Obesity (a BMI of 30 or more)
- A multiple pregnancy (two or more babies)
- Advanced age (older than 35)
- Certain placental abnormalities