The third trimester marks the final stretch of pregnancy, and it brings a whole new wave of physical changes, emotional preparation, and anticipation. As your due date approaches, your body begins to shift into birth mode. This stage can be filled with excitement, discomfort, and often, a mix of both. In this blog, we’ll explore what to expect during the third trimester and how to prepare physically, emotionally, and practically for the final stretch of pregnancy.

Weeks 28–40+: Getting Ready

During the third trimester, your baby grows from the size of an eggplant to a small pumpkin. They’re gaining fat, building lung strength, and settling into position. You’ll likely feel more intense movements and kicks, and your belly will reach its fullest size. Your own body is also adapting rapidly. You may notice increased back or pelvic pressure, shortness of breath, swelling, disrupted sleep, or emotional swings. Braxton Hicks contractions can become more noticeable. All of this is your body’s way of getting ready for labor.

What You Can Do Now

The third trimester is a great time to focus on rest, preparation, and self-compassion. Here are a few helpful ways to care for yourself in these final weeks:

• Keep up with prenatal visits to track progress and plan for labor
• Practice positions and stretches to support comfort and alignment
• Learn the signs of labor and what to expect in early labor
• Prepare your home for postpartum recovery and newborn needs
• Create a flexible postpartum plan that includes support and rest

If you’re feeling anxious or uncertain, you’re not alone. These feelings are common, and your care team is here to support you through them.

At Worcester Community Midwifery, we honor the third trimester as more than just the countdown to labor. It’s a time to reflect, connect, and prepare with intention. We’re also building Worcester’s first independent birth center, a space where supportive care, evidence-based education, and thoughtful planning all come together. If our mission resonates with you, we invite you to follow along, share our work, and consider supporting the development of the birth center.