Labor Pains and Braxton Hicks
Finalize your list of baby names and keep an open mind about those you may not have even considered. If you have a nostalgic yearning, search your family's history and think about recycling a family name. Just bear in mind that times change and what may have been thought of as distinguished or suitable in the 19th century can seem just plain old fashioned now.
Your physical change this week
Finding clothes to fit is getting harder, and even your old faithfuls may be straining at the seams. Be imaginative about letting things out and borrowing from friends who've already had their babies. These final weeks are generally a time of making do.
At 38 weeks pregnant, finding a comfortable position to lie in can seem almost impossible. Lying on your front isn’t an option and flat on your back isn’t recommended for either you or the baby. This is because one of your major blood vessels (the vena cava) will become compressed by the heavy weight of your uterus if you lie on your back. The best position is to lie on your left side, with your upper leg bent at the knee and supported by a pillow.
Keep away from crowds and people who are ill this week. It's not always possible to avoid getting sick, but if you can, limit your exposure to large groups of people and those who are clearly unwell. You need to be in the best possible shape to deliver your baby and maintain your own energy stores.
Your feet and ankles may have merged this week. The swelling is uncomfortable. You are probably sick of wearing the same shoes every day but don’t fret. After childbirth, most women have a big diuresis, which means they get rid of a large volume of body fluid via their urine. Avoid buying new shoes now; your feet won’t be their current puffy size for much longer.
Your breasts may be producing even more colostrum this week, to the point where some women will need to use breast pads to absorb leakage. If you have breastfed a baby before, this is more common. Although your breasts may feel heavy and uncomfortable, they are preparing for lactation and the all-important task of nourishing your baby.
Your emotional changes this week
You may look at your older children with a sense of guilt, as if you are about to disrupt their lives with a new family member. You may worry how you could possibly love another child as much as your existing children. Don’t agonize over the possibility of things which are very unlikely to happen. Nature is set up to succeed and your baby will soon become a much-loved new addition.
Buy some new things for the baby, even if you feel you already have lots from your older children. It is important to feel as if you have made some efforts which acknowledge the baby as being an individual and unique. Get your older children to write letters to the new baby. When they are adults these can serve as a delightful reminder.
Your baby's changes this week
You may find her movements may slow down from now on. There simply isn’t enough room to move around much and her time is devoted to sleeping and resting. She also needs to conserve energy for the difficult process of birth. You’ll probably find she has bursts of activity which feel strong and powerful. If, however, there is any significant slowing down of her movements or you feel as if something is not quite right, trust your instincts and have a check-up with your pregnancy care provider.
Hints for the week
Line up some supports for when you have the baby. Avoid making concrete, inflexible plans though. It will help you to know there are people who care about you and will be willing to offer you emotional and physical support. Just knowing they are available can make a big difference.
Have a practice drive to the hospital with your partner. Familiarize yourself with the route, the parking, after hour's arrangements and the hospital's contact details for when you go into labor.
Organize your baby's car seat and make sure it meets U.S. Safety Standards. Avoid borrowing or buying car seats second hand unless you are familiar with the car seatâ€™s history. Baby restraints are not items which should ever be compromised on.
Week 39 is next!
The information of this article has been reviewed by nursing experts of the Association of Women’s Health, Obstetric, & Neonatal Nurses (AWHONN). The content should not substitute medical advice from your personal healthcare provider. Please consult your healthcare provider for recommendations/diagnosis or treatment. For more advice from AWHONN nurses, visit Healthy Mom&Baby at health4mom.org.