Week 28 of pregnancy: start of the third trimester
Manuel FernándezCongratulations, dear mum! You have reached week 28 of your pregnancy and, as midwives, we know this is a moment you have surely been waiting for eagerly and with excitement. This week marks a significant moment on your journey into motherhood, and at Happymami we are here to accompany you every step of the way.
We are aware of how exciting and, at the same time, overwhelming this period can be, and we are here to give you all the support, evidence-based information and advice you need to face this stage with confidence and joy.
Over the coming weeks, you will experience even more changes in your body and feel an ever-deeper connection with your growing baby. We are excited about everything that lies ahead and we are sure you will be ready to welcome your baby with open arms.
Week 28 of pregnancy: your baby's development
Size and weight: At this point, your baby is about the size of an aubergine, measuring around 35 centimetres and weighing close to 1.1 kilograms. You can hardly believe how much your baby has grown since this adventure began!
Respiratory system: One of the exciting pieces of news is that your baby's lungs are maturing quickly. Although they are not yet ready to work outside the uterus, they are taking great strides towards being ready to breathe. Your little treasure is practising breathing by swallowing amniotic fluid and pushing it back out through the lungs. An important step towards independence after birth!
Reflexes and movements: Your baby is busy practising reflexes such as grasping and sucking. What is more, you can feel the movements more clearly now. The kicks and turns are becoming stronger and more noticeable. Some mums even notice that their babies get hiccups from time to time, which is completely normal and part of their development.
Senses: Your baby's senses are becoming sharper. Their ears are more sensitive, which means they can hear sounds both inside and outside your body. So don't hesitate to talk to them, sing to them and share music with them! They are also starting to open and close their eyes, although their vision is still limited.
Life in the uterus: The amniotic fluid surrounding your baby is gradually decreasing as your baby keeps growing and taking up more space in the uterus. This is completely normal, and the uterus is providing everything they need.

Week 28 of pregnancy: symptoms
1. Weight gain: During the third trimester, it is normal to gain weight at a steadier pace. Your baby is growing quickly, and it is important that you gain weight in a healthy way for their development.
2. Back pain: As your baby keeps growing, the pressure on your back increases, which can cause discomfort and lower back pain. Try to keep a good posture and consider doing stretching exercises to relieve the tension.
3. Sleep problems: Discomfort and difficulty finding a comfortable sleeping position are common at this stage. Try using support pillows and find positions that help you rest better.
4. Swelling: You may notice swelling in your legs, ankles and feet due to fluid retention. Try to raise your legs whenever possible and wear comfortable shoes.
5. Acid reflux: The pressure of the uterus can make stomach acid move upwards, causing heartburn and reflux. Eating smaller meals and avoiding spicy and greasy foods can help relieve this symptom.
6. Warm forehead: Some women experience a feeling of heat on the forehead during pregnancy, which is known as “warm forehead”. This is due to increased blood flow and can be normal.
7. Fatigue: Tiredness is common at this stage, as your body is working hard to sustain your baby. Make sure you rest and take naps when you need them.
8. Foetal movements: Although feeling your baby move is a joy, these movements can sometimes be uncomfortable, especially if they kick sensitive areas such as your ribs. Changing position or gently massaging your bump can help ease the discomfort.
Remember that every pregnancy is different, and symptoms can vary from one woman to another. If you experience severe or unusual symptoms, don't hesitate to talk to your healthcare professional. In the meantime, enjoy this journey and keep looking after yourself and your baby!
How does the mum-to-be feel at week 28?
On the one hand, excitement and anticipation are usually at their peak, as labour and your baby's arrival draw ever closer. Watching your bump grow and feeling your baby move is a source of joy and wonder for many women. It can also be a time when you feel a deep emotional connection with your growing baby, talking to them, singing to them and building a special bond.
However, along with the excitement, it is common to feel some anxiety. Worries about labour itself, about what motherhood will be like and about the health and wellbeing of your baby can come up at this stage. Uncertainty about the future can be overwhelming at times. Tiredness can also be a major factor, as nights of interrupted sleep and physical discomfort can affect your mood and your patience.
Physical changes can also influence how you feel mentally. Some women feel powerful and confidently embrace the changes in their body, while others may feel uncomfortable or worried about their body image. It is important to remember that every pregnant body is beautiful and unique.
The key is to look after yourself physically and emotionally, to seek support when you need it and to remember that motherhood is a journey full of unique emotions, challenges and joys.
Remember that a Happymami bottle designed to match the shape of your breast will be an ally for your motherhood.
If at any point you need it, with a Happymami bottle designed by you, as representative as possible of your anatomy, you increase bottle acceptance rates and also protect your baby from the teat-nipple confusion factor of the newborn.
Week 28 of pregnancy: Happymami tips
At week 28 of your pregnancy, it is important to keep looking after yourself and your growing baby. Your body is going through an incredible and exciting stage, so here are a few tips for this period:
Look after yourself: Your body is working hard to sustain your baby, so don't skimp on rest and relaxation. A massage or a relaxing bath can work wonders to ease tension and let you enjoy moments of calm.
Eat healthily: Good nutrition is key at this stage. Make sure you keep to a balanced diet, rich in fruit, vegetables, lean protein and wholegrain foods. Don't forget to drink enough water to stay hydrated and support the wellbeing of both you and your baby.
Stay physically active: Ask your doctor or midwife about a safe exercise programme for pregnancy. Regular exercise can help you stay fit and reduce some of the discomforts of pregnancy.
Prepare for your baby’s arrival: This is a good time to make a list of the essentials you will need, from nappies and clothes to a cot. Being prepared will help you welcome your little one with everything they need.
Learn about labour: Consider taking childbirth preparation classes. These classes will give you valuable information about your birth options and what you can expect during this very important moment. The more informed you are, the more confident you will feel.
Talk about your concerns: If you have worries or questions about your pregnancy, don't hesitate to speak to your healthcare professional. They are there to offer you support and answer any questions you may have.
Connect with other mums: Joining support groups for pregnant women or looking for online communities can be a great way to share your experiences and get advice from other mums who are going through similar situations.
Look after your skin: As your bump keeps growing, it is important to care for your skin to prevent stretch marks. Use moisturising creams and oils recommended by your doctor to keep your skin supple and healthy.
Rest properly: Although sleep can be tricky at this stage, try to rest as much as you can. Use pillows to find a comfortable sleeping position and consider taking naps during the day if you need to.
Enjoy the moment: Week 28 is a special time in your pregnancy. Take the chance to connect emotionally with your baby and share special moments with your partner and loved ones.

Frequently asked questions: week 28 of pregnancy
What position is the baby in at week 28?
At week 28 of pregnancy, your baby is usually in a position known as “head down” or “cephalic presentation”. This means that your baby's head is downwards, near the entrance to the mother's pelvis, while their feet are usually upwards, near the mother's ribs. This is the most common position in the third trimester and the optimal position for a vaginal birth.
However, it is important to bear in mind that some babies can change position several times before birth. Some babies may be in a breech position at this stage, but most of them tend to turn and settle into the cephalic position before birth. Your doctor or midwife will monitor your baby's position during your antenatal appointments to make sure everything is progressing well for birth.
How can I relieve back pain?
Back pain is common in the third trimester. Try to keep a good posture, do stretching exercises and consider using support pillows. Ask your doctor about specific exercises to relieve back pain.
What should I do if I have heartburn or acid reflux?
Heartburn is common during pregnancy due to the pressure of the uterus on the stomach. You can relieve it by avoiding spicy and greasy foods, eating smaller meals and raising the head of your bed when you sleep.
How can I look after my skin to prevent stretch marks?
To care for your skin and prevent stretch marks, you can use moisturising creams and oils recommended by your doctor. Keep your skin well hydrated and avoid scratching if your bump itches.
How can I relieve swelling in my legs and ankles?
To relieve swelling, you can raise your legs when you are sitting, wear compression stockings and move and walk regularly to stimulate your blood circulation.