• 🚨 Sudden severe headache, visual disturbance, or epigastric pain — emergency pre-eclampsia symptoms
  • 🚨 Bright red vaginal bleeding — possible placental abruption or placenta praevia: call emergency immediately
  • 🚨 Gush of fluid from the vagina (PROM — premature rupture of membranes): go to hospital to confirm and prevent infection
  • 🚨 Regular contractions before 37 weeks — preterm labour: hospital assessment urgently
  • 🚨 Sudden severe swelling of face or hands — can indicate pre-eclampsia even before BP is measured
  • Practical Tips for This Stage

    1
    Count fetal movements daily from 28 weeks
    Get to know your baby's pattern — some babies are naturally more active, some less so. The key is your baby's normal baseline. Any decrease from your individual baby's normal pattern warrants same-day hospital assessment. Do not use apps that demand a specific count — your baby's individual pattern is what matters, not a universal threshold.
    2
    Finalise your birth plan
    Discuss with your obstetrician: planned vaginal delivery vs caesarean section, pain relief preferences (epidural availability, gas and air, IV opioids), and who will be present at delivery. If you have a uterine scar from a previous caesarean, planned repeat caesarean vs trial of labour (TOLAC) is a specific discussion requiring individual risk assessment.
    3
    Prepare your newborn essentials
    Ensure you have ready: a car seat, warm baby clothing, nappies (newborn and size 1), swaddle blankets, feeding equipment (breast pump or bottles and formula), and paediatric clinic contact. Pack your hospital bag from week 36 — include your antenatal card, medications, baby essentials, and documentation.
    4
    Know the signs of labour
    Early signs: mucus plug (bloody show), irregular Braxton Hicks contractions, pelvic pressure, backache. Active labour signs: regular contractions (every 5 minutes, lasting 60 seconds, for more than 1 hour — the 5-1-1 rule); progressive cervical dilation. Go to hospital when contractions are regular and intensifying, or immediately if you have any warning signs above.

    Frequently Asked Questions

    What is the difference between Braxton Hicks and real contractions?
    Braxton Hicks (practice contractions) are irregular, do not increase in frequency or intensity over time, usually resolve with movement or a change in position, and are not painful — just a tightening. True labour contractions are regular (come every 5–10 minutes), progressively closer together and longer, do not resolve with movement, and increase in intensity over time. If you are unsure, time 3–4 contractions with a watch — if they are regular and consistent, go to the hospital.
    My baby is breech at 34 weeks — what can I do?
    Most breech babies turn spontaneously before 36 weeks — at 34 weeks, do not worry yet. From 36 weeks, your obstetrician may offer an external cephalic version (ECV) — a manual procedure done in hospital where the doctor tries to turn the baby from outside the abdomen. ECV has a 50–70% success rate. If unsuccessful or declined, a planned caesarean section is arranged. Positions like hands-and-knees (all-fours) from 30–32 weeks may encourage the baby to rotate but have limited evidence.
    Is it safe to have sex in the third trimester?
    Yes, for uncomplicated pregnancies. Sex does not trigger labour in a normal pregnancy — prostaglandins in semen may soften the cervix slightly but only if the cervix is ready. Avoid sex if placenta praevia is diagnosed, membranes have ruptured, or your obstetrician has specifically advised against it. Positions that are comfortable change as the bump grows — side-lying or woman-on-top positions are usually best.
    When should I go to the hospital in labour?
    For first-time mothers: when contractions are regular every 5 minutes, lasting 1 minute each, for at least 1 hour (5-1-1 rule). For women who have given birth before: every 7–10 minutes, or when contractions are becoming intense — second labours progress faster. Go immediately if: membranes rupture, there is any bleeding, you feel fewer movements, or any third trimester warning sign is present.

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