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Entering the Third Trimester

What to expect in the third trimester?

  • Lots of growing! -- baby gains about half of their birth weight in this last trimester! You will typically gain between 1/2 to 1lb a week

  • Some symptoms from first trimester return! -- Nausea and the need to pee, which were caused by hormones in the 1st trimester can return due to the growing fetus putting increasing pressure on the digestive tract and bladder.

  • Fatigue also frequently returns.

  • New or increasing symptoms for the third trimester! -- There are lots of symptoms that can begin or exacerbate due to the increasing size and weight of baby, including shortness of breath, swelling, aches and pains in the hips, back and pelvic area, hemorrhoids, braxton hicks.

  • Increasing office visits with your provider -- At most traditional OB's, you will move from seeing your provider every 4 weeks, to every 2 and increasing to 1 week or less by the end. They will typically test for Group B Strep in the upcoming weeks and possibly some other labs. Towards the last few weeks your provider may offer to check your cervix for dilation and effacement, but it is YOUR choice to do this.


28 weeks with #1 on the left, 28 weeks with #2 on the right. It is amazing how different pregnancies can feel and look!

Some preparations for the third trimester:

  • Rest. Rest. Rest. Get the rest you can, while you can

  • Prepare your nursery

  • Make sure you have everything you need for baby, especially a car seat!

  • Attend any birthing, postpartum or breastfeeding classes

  • Pick a pediatrician

  • Pack your hospital bag

  • Iron out your birth plan, if using one and discuss it with your provider and any birthing support people

  • Tour your local birthing facility (if it is an option right now)

  • Make a family plan for visitors and dividing responsibilities after baby arrives

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