At 38 weeks pregnant, you should expect so many changes to occur. Both you and the baby are prepared for the delivery process and only a matter of time. As such, many women find themselves overwhelmed with anxiety and that is why it is advisable to freely discuss any depressing issues with your doctor.
At the thirty-eighth week of your pregnancy, you will realize that your baby is moving down towards your pelvis and exerting pressure on the organs around that part. You may feel some lightening kind of sensation in your legs. Yes, the baby is soon going to come out so there is no need to worry. You must be patient and composed at all costs. This is actually a great moment for you and getting to the finish line successfully is a dream every expectant woman harbors.
38 Weeks Pregnant Symptoms and Body Changes
Reaching the 38th week of pregnancy marks a significant milestone—you’re officially full-term, and your baby could arrive any day now. Your body is undergoing final preparations for labor and delivery, and you’re likely feeling a mix of excitement, discomfort, and perhaps some anxiety. Every little twinge might make you wonder, “Is this it?” Let’s explore what to expect at this stage in terms of symptoms, body changes, and how to cope with them.
Cervical Changes and Mucous Discharge
One of the most noticeable changes this week is an increase in mucous discharge. This is a sign that your cervix is softening and thinning (effacing) in preparation for labor. The mucous may appear clear, white, or slightly pinkish. Some women may even notice the loss of the mucous plug, which can happen days or even weeks before labor begins. This plug had sealed off the cervical canal during pregnancy to protect the baby from infections.
Although this increase in discharge can feel a little messy or uncomfortable, it’s a healthy sign that your body is getting ready for the baby’s arrival. If the discharge becomes watery or bloody like a period, contact your healthcare provider, as it could be a sign that labor is beginning or that your water has broken.
Slower Weight Gain
By the 38th week, your weight gain typically slows down or even stabilizes. In fact, some women may even lose a little weight. This doesn’t mean anything is wrong—instead, it reflects the fact that your baby is fully developed and simply gaining a bit of fat in preparation for life outside the womb.
At this point, your appetite might fluctuate. Some days you might feel very hungry, and other times, especially if you’re experiencing heartburn or pressure on your stomach, you might struggle to eat more than small snacks. Eating light, nutritious meals and staying hydrated can help keep your energy up.
Preparing for Birth: Vaginal Dilatation
One of the most important changes in your body during this week is dilatation of the cervix. This gradual opening is measured in centimeters and will continue until it reaches 10 cm, which is when you’re ready to push during labor.
Most women won’t feel the cervix dilating unless they are in active labor, but some may notice light cramping or spotting. During your prenatal visits, your healthcare provider may check your cervix for signs of dilatation, though not all providers routinely do so unless you’re showing signs of labor.
Colostrum Leakage from Nipples
Another change you might notice is the leaking of colostrum, the thick, yellowish fluid from your breasts. Colostrum is the first form of milk your body produces, rich in antibodies and nutrients your baby will need in the first days after birth.
This leakage is perfectly normal, though not all women experience it. If it feels uncomfortable, you can wear nursing pads in your bra to absorb any discharge and protect your clothing.
When Baby Drops into the Pelvis
Around 38 weeks, your baby may “drop” or move lower into the pelvis, also known as lightening. This shift indicates that your baby is getting into position for delivery, and it brings with it several new sensations and symptoms.
Back Pain and Pelvic Pressure
As your baby settles deeper into the birth canal, you might feel increased pressure in the pelvis along with lower back pain. This pressure can feel like a heavy weight sitting low in your abdomen. Many women describe it as a grinding sensation in the pelvic bones or a dull ache that radiates into the thighs.
Wearing a maternity support belt, resting frequently, and doing gentle stretches can help relieve some of the discomfort.
Frequent Urination
With your baby’s head pressing on your bladder, you may find yourself needing to urinate more often—even during the night. Try to stay hydrated, but avoid large amounts of fluids right before bedtime to reduce nighttime trips to the bathroom.
Indigestion and Heartburn
Although the baby has dropped, which relieves some pressure on the lungs, it can also place more pressure on the digestive system. This can lead to indigestion, heartburn, and bloating. Eating small, frequent meals and avoiding spicy or fatty foods can help reduce discomfort.
Easier Breathing
The good news about the baby dropping is that you may notice you’re breathing easier. With less pressure on your diaphragm and lungs, you might feel like you finally have more space to take a full breath. This can be a welcome relief after weeks of feeling short of breath.
Emotional State and Anxiety
As your due date draws closer, it’s completely normal to feel anxious or emotionally charged. You may be excited, nervous, or even overwhelmed thinking about labor, delivery, and what life will be like once the baby arrives.
Try practicing relaxation techniques such as deep breathing, meditation, or prenatal yoga. Talking to your partner, friends, or a doula about your concerns can also help ease your mind. Remember, these emotional ups and downs are very common and usually fade once labor starts and you’re focused on welcoming your baby.
Swelling and Water Retention
By now, swelling in your feet, ankles, and hands may become more obvious. This swelling, known as edema, is caused by increased fluid retention and pressure from the growing uterus on blood vessels.
To reduce swelling:
- Keep your legs elevated when possible
- Wear loose-fitting shoes and clothes
- Avoid standing for long periods
- Stay well-hydrated
However, if you notice sudden or severe swelling, especially in the face or hands, or if headaches or visual changes accompany it, contact your doctor, as it may be a sign of preeclampsia.
At 38 weeks, your body is in the final stages of preparation for childbirth. Every symptom—from the physical to the emotional—is a sign that your baby’s arrival is near. Pay close attention to any new sensations, rest when you can, and trust your instincts. You’re almost there, and the finish line is in sight.
Baby’s Development at 38 Weeks
At 38 weeks, your baby is officially considered full-term and is just about ready to meet the world. Though growth slows down in these final weeks, significant developments continue to take place as your baby fine-tunes the skills and abilities needed for life outside the womb. Every day in the womb now helps strengthen your baby’s systems, helping to ensure a smooth transition at birth.
Positioned for Delivery
By now, most babies have moved into the head-down position, also known as the cephalic presentation. The head typically rests against the mother’s pelvic bone, which is ideal for a vaginal birth. This positioning allows the baby to begin descending into the birth canal, often referred to as lightening or engagement.
Some babies may not yet be in the optimal position, especially in first pregnancies. If your baby is in a breech position (feet or bottom down), your doctor might discuss your options, which could include attempting to turn the baby manually or scheduling a cesarean section.
Shedding of Lanugo
Earlier in pregnancy, the baby’s body was covered with a fine, soft hair called lanugo. This hair helped protect the baby’s skin while in the womb, especially before the development of fat stores. By 38 weeks, most of this lanugo has shed, although some traces may still be present on the back or shoulders at birth. This is completely normal and usually disappears within the first few weeks of life.
In addition to lanugo, the vernix caseosa—a white, creamy substance that protected the skin from amniotic fluid—is also beginning to wear off. A small amount may remain at birth, especially in skin folds.
Fully Developed Organs
One of the most reassuring things about reaching 38 weeks is knowing that your baby’s organs are fully developed and functioning on their own. The lungs, in particular, are now mature enough to handle breathing without assistance. The digestive system is also ready to begin processing food and waste, although it won’t be fully active until feeding starts.
The brain and nervous system continue to develop at a fast pace, even in the final weeks. These systems are crucial for reflexes like sucking, swallowing, and grasping—all skills that your baby will need right after birth.
Mature Sex Organs
By this stage, the baby’s sex organs are completely formed. In boys, the testicles have typically descended into the scrotum, while in girls, the labia are fully developed. If you’ve had an ultrasound, the gender can now be easily confirmed unless the baby is in a position that hides it.
Regardless of gender, the development of the reproductive organs is a clear indication of how far your baby has come. These final weeks offer just a bit more time for growth and preparation before birth.
Responding to the World Outside
One of the most heartwarming developments at 38 weeks is how responsive your baby has become to external stimuli. Your baby can now clearly hear sounds and voices outside the womb and may even recognize familiar ones, like your voice or your partner’s. You may notice your baby reacting to music, loud noises, or light.
Your baby is also practicing important motor skills. Movements may feel more limited due to the tight space, but you might still feel the baby stretch, roll, or press against your belly. It’s also common for babies to clench their fists, turn their head, and make subtle, instinctive movements as they prepare for life outside.
Ready for Birth
At this point, your baby weighs around 6.5 to 7.5 pounds and measures about 19 to 20 inches long. Fat continues to accumulate under the skin, helping regulate body temperature after birth. Your baby is also storing important nutrients like iron, calcium, and antibodies to help stay strong and healthy once born.
Although you’re nearing the finish line, every extra day in the womb continues to support your baby’s development and readiness. All that’s left is for labor to begin—and your little one to make their big debut.
Some Tips for You at 38 Weeks Pregnant
As you approach the final stretch of your pregnancy, taking care of your comfort and being attentive to your body becomes even more important. These simple yet effective tips can help ease common discomforts and guide you on when to reach out to your healthcare provider.
Watch Your Evening Meals to Reduce Heartburn
Heartburn and indigestion are common discomforts at this stage of pregnancy, especially in the evenings. The growing uterus puts pressure on the stomach, which can push stomach acids upward into the esophagus. To ease this, avoid spicy or greasy foods in the evening, as these tend to trigger acid reflux more easily.
Instead, choose lighter options such as steamed vegetables, plain rice, grilled chicken, or broth-based soups. Sitting upright after eating and avoiding meals close to bedtime can also help prevent nighttime heartburn.
Opt for Small, Frequent Meals
Rather than eating three large meals a day, try eating smaller portions more frequently. This approach can help prevent bloating, reduce indigestion, and keep your energy levels stable throughout the day.
Your stomach may not have as much room as before due to the baby’s position, so smaller meals are easier for your digestive system to handle. Include snacks like fruits, whole grains, yogurt, or nuts to maintain balanced nutrition without feeling overly full.
Gentle Exercise for Back Pain Relief
Mild back pain is a common complaint in the final weeks of pregnancy due to the extra weight and shifting posture. To relieve discomfort, try light exercises such as:
- Prenatal yoga
- Gentle stretching
- A short walk around your neighborhood
- Pelvic tilts or cat-cow poses
Always consult with your healthcare provider before starting any new exercise routine. Staying active helps with circulation, reduces swelling, and can even promote better sleep.
Know When to Call Your Doctor
Even though some symptoms are expected, there are situations when you should immediately contact your healthcare provider. Do not wait or self-diagnose if you experience any of the following:
- A noticeable decrease in baby movements
If your baby isn’t moving as often as usual, or if the movements feel weaker, it’s essential to report this right away. - Signs of labor
Watch for symptoms like consistent contractions, leaking of fluid, or lower back pressure that comes in waves. - Worrisome symptoms
If you experience blurred vision, persistent headaches, swelling of the face and hands, difficulty breathing, or ongoing nausea, these could indicate serious conditions like preeclampsia and should never be ignored.
Staying aware and proactive during this stage is key to a safe and smooth delivery. Your body is preparing for a major transition, and these tips are meant to support both your comfort and peace of mind.
Bottom Line
Yes, this actually the time you have been praying for and you even don’t have to think about how many months this has been happening. What you need to understand is that at 38 weeks pregnant, the baby is just around the corner. You could fall into pain any moment; hence, stay close to your healthcare provider. This will reassure you and make you strong in readiness for the imminent arrival of the baby.
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