Pregnant week 28 – the body goes into high gear

Pregnancy week 28 is at the beginning of the third trimester, when pregnancy becomes more physically demanding for many. The belly is big, the baby's movements are strong, and the body is working hard to keep up. At the same time, many people begin to become more aware that birth is approaching and that the pregnancy is now in its final phase.

Week 28 can therefore be characterized by both anticipation, fatigue and the need to take more care of your body.

What happens in the body at week 28?

In the 28th week of pregnancy, the uterus continues to grow and puts more pressure on the diaphragm and internal organs. This can cause shortness of breath, especially during physical activity or when lying flat. The center of gravity has clearly changed, and the strain on the back, pelvis and hips can be felt more.

The amount of blood in the body is high and the circulation is working intensively. This can lead to swollen legs and feet, feelings of heat and faster fatigue.

Symptoms in pregnancy week 28

Many women experience more constant fatigue during the 28th week of pregnancy. Sleep may be interrupted by the baby's movements, contractions, or frequent toilet visits. Heartburn, indigestion, and abdominal pressure are common symptoms.

Contractions may occur more frequently and be more noticeable, especially with activity. They are usually irregular and subside with rest.

What happens to the baby at week 28?

At 28 weeks pregnant, the baby is about 37–38 centimeters long and weighs approximately 1,000–1,100 grams. The baby continues to grow rapidly and gains more subcutaneous fat, which is important for temperature regulation after birth.

The brain is developing at a rapid pace, and the baby's senses are becoming more finely tuned. The baby can respond to light, sounds and touch, and movements are strong and distinct.

Pregnant week 28 and movements

For most people, week 28 of pregnancy is a week of very noticeable movement. Kicks and rolling can be strong and sometimes uncomfortable. The movement pattern often begins to become more recognizable, and many notice regular periods of activity and rest.

It is normal for the movements to feel different as there is less space in the uterus.

Pregnant week 28 and the belly

At week 28, most people's stomachs are large and heavy. The uterus is high, and the stomach can feel tight and tense. This can affect balance, walking, and comfort in everyday life.

The need for support, rest, and comfortable positions often becomes more pronounced during this phase.

What can you do in week 28?

Pregnancy week 28 is a good time to prioritize recovery. Taking breaks during the day, good sleeping positions, and relieving pressure on your back and pelvis can make a big difference. Light exercise can still be beneficial if it feels good and doesn't cause discomfort.

During this period, many people also begin to take a more concrete approach to birth preparation and practical preparations for the last part of pregnancy.

Thoughts and feelings in pregnancy week 28

The third trimester can bring up many thoughts. The anticipation of the birth can grow, but it can also give rise to worries and a need for reassurance. The body takes up more space, and this can affect both mood and energy.

All of these reactions are normal and part of the pregnancy process.

When should you seek medical attention?

In the 28th week of pregnancy, there is generally no need for emergency medical care. If you experience regular painful contractions, persistent abdominal pain, bleeding, fever, sudden swelling or other symptoms that worry you, you should contact your doctor or midwife.

Ready for next week

In week 29 of pregnancy, the third trimester continues, and the body may begin to require even more rest and adjustment in everyday life. Read week 29 here.

Sources: Sundhed.dk, NHS, Mayo Clinic, American College of Obstetricians and Gynecologists (ACOG)