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Pregnancy at week 28

5-minute read

Your baby

Your baby's major organ systems are now fully developed. Their lungs are mature enough to breathe air and are producing surfactant, a substance that helps their lungs to expand and contract properly.

Your baby may be seen on ultrasound practicing their breathing movements. Their brain and hearing is also developing at a rapid rate. Your baby is able to recognise familiar voices and sounds, including your voice. You may notice that your baby may startle in response to loud noises. Talking or singing to your baby can be a nice way for you and your partner (if you have one) to bond with your baby during pregnancy.

Your baby may also get the hiccups, which is caused by their diaphragm contracting, its normal if this happens.

They may be in the breech position at this stage, with their head up and their bottom down. Don’t worry though - most babies will move into the head-down position by the time they are getting ready to be born.

Your body

Congratulations - you have reached the third trimester! As the birth gets nearer, you will probably start seeing your doctor or midwife for antenatal appointments more regularly.

Many women find things get more uncomfortable in their third trimester. You might have back pain and leg cramps, indigestion and heartburn, and your hands and feet might get quite swollen. It’s a good idea to take off any tight jewellery and put your feet up as often as you can.

You should sleep on your side as your pregnancy progresses, especially from 28 weeks. Lying on your back puts pressure on major blood vessels. This can reduce the flow of blood to your uterus, which can restrict your baby’s oxygen supply. Research has shown that sleeping on your side from 28 weeks can reduce the risk of stillbirth by half.

Things to remember

If your blood is Rhesus (Rh) negative, you be offered an injection of Anti-D now to protect your baby against Rhesus disease. If you are Rh-negative and your baby is Rh-positive, then you can produce antibodies that attack the baby’s blood in subsequent pregnancies. This can make them very sick. It can be prevented by having an injection called anti-D. You will be offered this injection now and then again at your 34 to 36 week check-up.

Remember, it is important to make time regularly each day to notice your baby’s movements. If you are busy or not paying attention it can be easy to miss this very important signal from your baby. It may be helpful to set reminders for yourself to check in with your baby a few times each day. At any stage of your pregnancy, if you are concerned about your baby's movements, contact your midwife or doctor immediately. Do not wait until the next day. A slowing down of movement may be a sign that your baby is unwell.

If you haven’t had it already, you may also be offered a Glucose Tolerance test to check whether you have gestational diabetes at 28 weeks.

Resources and support

Speak to your doctor, midwife or obstetrician if you have questions about your pregnancy.

Pregnancy, Birth and Baby also has more information on:

NEXT WEEK...YOUR PREGNANCY AT WEEK 29 — Learn about your pregnancy journey and what is happening to you and your baby.

Speak to a maternal child health nurse

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Last reviewed: August 2023


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Need more information?

Sleep during pregnancy | Raising Children Network

Sleep during pregnancy is good for you and your baby. Managing pregnancy symptoms can help you sleep better. It’s safest to sleep on your side from 28 weeks.

Read more on raisingchildren.net.au website

Sleep on your side | Safer Baby - Working Together to Reduce Stillbirth

Research shows that going-to-sleep on your side from 28 weeks of pregnancy can halve your risk of stillbirth, compared to going-to-sleep on your back. After ...

Read more on NHMRC Centre of Research Excellence in Stillbirth (Stillbirth CRE) website

Gestational Diabetes | Ausmed

Gestational diabetes mellitus (GDM) is a condition that affects about 16% of pregnant people in Australia. By definition, GDM is any degree of glucose intolerance following the onset of pregnancy. It is usually detected between weeks 24 and 28 of pregnancy and disappears once the baby has been born.

Read more on Ausmed Education website

Antenatal Care during Pregnancy

Once you are pregnant, your first antenatal appointment will ideally take place when you are about 6 to 8 weeks pregnant.

Read more on RANZCOG - Royal Australian and New Zealand College of Obstetricians and Gynaecologists website

Sleep on your side during pregnancy | Red Nose Australia

Sleeping on your side during pregnancy reduces your risk of stillbirth. Find out more here.

Read more on Red Nose website

Bonding with your baby during pregnancy

Bonding with your baby doesn’t have to wait until they are born. Pregnancy can be the perfect time to start forming an attachment with them. Find out how here.

Read more on Pregnancy, Birth & Baby website

Pregnancy - week by week - Better Health Channel

Pregnancy is divided into 3 trimesters and lasts around 40 weeks. Includes details of what happens each week from conception to birth, embryo size, baby development and where to get help.

Read more on Better Health Channel website

Anaemia in pregnancy

During pregnancy, some people become anaemic, which means they have too few red blood cells in their body. Diet and supplements can help.

Read more on Pregnancy, Birth & Baby website

Third trimester: pregnancy week by week | Raising Children Network

Pregnant? In our pregnancy week by week guide, you can find out what to expect and follow your baby's development during the third trimester.

Read more on raisingchildren.net.au website

Sleep During Pregnancy

It is common to feel extremely tired during pregnancy, although some women feel particularly energised and bright during the second trimester. Tiredness may start early on, well before physical signs of the pregnancy show and, although not everyone experiences nausea, it can contribute to tiredness.

Read more on Gidget Foundation Australia website

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