Pregnancy week 38: symptoms and signs of labour
Manuel FernándezWelcome, mum. You have reached week 38 of your pregnancy, a time full of anticipation, excitement and, perhaps, a little anxiety. You are on the threshold of one of the most important moments of your life, and at Happymami, as mums and midwives, we want to accompany you through this very special stage.
As you feel your baby move, perhaps with less room but just as much energy, it is natural to wonder when the big day will arrive. Every sensation is one step closer to that magical moment when you will finally be able to look your little one in the eye.
In this article we will give you information based on the latest scientific evidence, advice and the support you need to live this week 38 with calm and excitement. Because at this wonderful stage you are not alone: Happymami will be with you every step of the way.
Pregnancy week 38: your baby's development
As you approach the end of your pregnancy, your baby continues to mature and get ready for their arrival in the outside world. By week 38, they have reached significant development and are almost ready for the big debut. Let's look in detail at how your little one is developing at this stage:
At week 38, your baby is already a considerable size, roughly the size of a romaine lettuce. Their weight is between 2.6 and 3.6 kilograms, and their length may be around 47 to 50 centimetres from head to toe.
Although their vital organs have been fully formed for weeks, over these last days their brain and lungs continue to mature at a fast pace. This maturation is essential so that they can adapt to the outside world once they are born.
The lanugo, that fine hair that covered their body, has almost completely disappeared, and the layer of vernix caseosa, a waxy substance that protects their skin, is starting to decrease, although some of it may still be there at birth.
Their nails, both on their hands and their feet, are already fully formed and may stick out a little beyond their fingers.
As for their senses, their eyesight has improved considerably, although it will still be a little blurry. They will be more sensitive to light and able to make out shapes and outlines. Their ears are fully developed and they can recognise sounds, especially your voice, which will surely soothe them once they are out of the womb.
As for their position, most babies will already be head down, ready for birth. However, if they have not done so yet, don't worry, there is still time for them to get into the ideal position.
It is important to remember that every baby is unique and develops at their own pace. If you have any concerns about your little one's development or about the birth process, don't hesitate to talk to your doctor or midwife. You know you can always count on us: at Happymami we accompany you at every step, offering you the most up-to-date information based on the latest scientific evidence, and support on this very special journey. We are with you, mum!
Pregnancy week 38: symptoms
As you approach the end of your pregnancy, your body continues to adapt and prepare for the moment of birth. Week 38 brings with it a series of symptoms that reflect this preparation and how close your baby's arrival is. Below, we describe how you might feel at this stage:
Pressure in the pelvic area: In week 38, you may feel greater pressure in the pelvic area. This is because your baby is moving down and engaging in your pelvis, getting ready for birth. This sensation, known as "engagement", can relieve the pressure on your lungs, allowing you to breathe more easily, but at the same time it can make you want to urinate more often due to the pressure on your bladder.
More frequent contractions: The Braxton Hicks contractions you may have experienced in previous weeks can become more frequent and regular. These contractions are one way your body prepares for labour, although they do not necessarily mean that labour has started.
Changes in vaginal discharge: You may notice changes in your vaginal discharge, which can become thicker or more mucous. Some women may also notice the loss of the mucus plug, a sign that the cervix is starting to dilate in preparation for birth.
Swelling: Swelling in your hands, feet and ankles may persist or even increase. Although a certain amount of swelling is normal, it is important to watch out for any sudden or severe swelling, as it could be a sign of pre-eclampsia.
Tiredness: Tiredness and fatigue, constant companions during pregnancy, can intensify at this stage. Your body is doing an incredible job, and it is essential to rest and look after yourself.
Mood swings: Mood swings and anxiety can be present, as anticipation and uncertainty about the exact moment of birth can create an emotional rollercoaster.
Finally, you may experience other symptoms such as heartburn, insomnia, back pain and breast tenderness. Every woman is unique and the way she experiences these symptoms can vary.

Pregnancy week 38: oxytocin
Oxytocin, often called "the love hormone", plays a crucial role in pregnancy, birth and breastfeeding. In week 38 of pregnancy, this hormone becomes especially relevant, as its production and release are closely linked to the onset of labour and to strengthening the mother-baby bond. Let's look in detail at the influence of oxytocin at this stage:
Oxytocin is produced by the hypothalamus and released by the pituitary gland. During pregnancy, oxytocin levels gradually increase, preparing your body for birth and breastfeeding.
In week 38, your body is fully preparing for your baby's birth. Oxytocin plays a fundamental role in this process, as it is responsible for uterine contractions. These contractions, which may start as the gentlest Braxton Hicks contractions and then intensify, help prepare the cervix, getting it ready for birth by centring, effacing and dilating it.
As well as labour, oxytocin has an essential role in strengthening the bond between you and your baby. After birth, the release of oxytocin during skin-to-skin contact and breastfeeding helps to create a strong emotional bond with your baby. This hormone not only promotes attachment, it also helps you adapt to your new role, encouraging caring and protective behaviour towards your newborn.
Oxytocin also has a calming and pain-relieving effect. After birth, it can help reduce stress and pain, making it easier for you to recover and adapt to motherhood.
It is important to mention that, although oxytocin is a natural and beneficial hormone, in some cases it may be necessary to administer synthetic oxytocin during labour to induce or strengthen contractions. If it is needed, your midwife or gynaecologist will suggest it as a way to help your labour progress; if you have any questions at that moment, do ask, as they will be delighted to explain.
How does the mum-to-be feel in week 38?
Pregnancy week 38 is a period full of emotions and physical changes for the mum-to-be. As your estimated due date approaches, anticipation and excitement intertwine with anxiety and impatience.
Physically, you may feel heavier and more tired. The weight of your baby, together with that of the amniotic fluid and the placenta, can make simple activities such as walking or climbing stairs feel like a challenge. The pressure in your pelvis increases as your baby moves down and engages, getting ready for birth. This can relieve the pressure on your diaphragm and make breathing easier, but it can also cause discomfort in the pelvic area and mean more trips to the bathroom.
Braxton Hicks contractions can become more frequent, and you may start to wonder whether they are the start of labour or simply "practice contractions". These contractions, along with other symptoms such as back pain and swelling, can affect the quality of your sleep, making you feel even more fatigued.
Emotionally, week 38 is a whirlwind. The anticipation of meeting your baby, questions about how your birth will go, and reflections on how your life will change once your baby is here fill your mind. It is natural to feel a mixture of emotions, from excitement and joy to nervousness and uncertainty.
It is also common for thoughts about your own ability to care for and raise your baby to come up, especially if this is your first child. These insecurities, although normal, can make you anxious. However, it is essential to remember that every mum has her own instinct and inner wisdom to guide her in her new role.
What's more, at Happymami we want to remind you that you are not alone in this and that every sensation, every emotion, is a natural and beautiful part of the process of becoming a mother. We are here to support you every step of the way!

Pregnancy week 38: tips from Happymami
As you approach the end of your pregnancy, it is natural to feel a mixture of emotions, from excitement and anticipation to anxiety and impatience. In week 38, your body and mind are fully preparing for your baby's birth. Here we offer you some tips to help you navigate this stage with calm and confidence.
Take your time: First, it is essential that you take the time to rest and relax. Although you may feel the need to "do it all" before your baby arrives, it is essential to listen to your body and rest when you need it. A good book, a relaxing film or even a short nap can work wonders for your emotional and physical wellbeing.
Make the most of this time to connect with your baby. Talking to them, stroking your bump and visualising the moment of birth can strengthen the bond between you both and help you prepare emotionally for labour.
Pack your hospital bag: If you haven't already, now is a good time to pack your hospital bag. Make sure you have everything you need for yourself and your baby, from comfortable clothes to toiletries and snacks.
Remember that a great ally for your motherhood will be having a Happymami bottle custom-designed to match the shape of your breast. Whether you are going to breastfeed, mix feed or formula feed directly.
Because you may not know whether you will end up using it, but if you need it, with a Happymami bottle designed by you to be as true as possible to your anatomy, the bottle acceptance rate increases and you also protect your baby from the teat-nipple confusion factor in newborns.
Practise relaxation and breathing techniques. These tools can be a great help during labour and will allow you to face contractions with greater calm and control.
Keep moving: Stay active, but without overdoing it. Walking, doing prenatal yoga or gentle exercise can help relieve discomfort and prepare your body for birth.
Seek support: Don't hesitate to ask for support. Whether it's your partner, family, friends or a prenatal support group, surrounding yourself with people who understand and support you can make a big difference to how you feel during these last weeks.
Lastly, remember that every pregnancy is unique. It is natural to have questions or concerns, so don't hesitate to talk to your doctor or midwife if you have any doubts. At Happymami we are here to offer you information based on the latest scientific evidence, and support at every stage of your pregnancy. We are with you, mum, and we wish you all the best in this exciting countdown to your baby's birth!
Frequently asked questions about pregnancy week 38
Is it normal not to have given birth yet in week 38?
Yes, it is completely normal. Although you are close to your estimated due date, many babies decide to arrive a little later. Every pregnancy is unique, and the exact moment of birth depends on multiple factors.
Should I worry if I can't feel the baby moving as much as before?
As your baby grows and has less room in the womb, you may notice a decrease in the intensity of their movements. However, you should still feel them move regularly. If you notice a significant decrease in foetal activity, it is essential that you contact your doctor or midwife.
What does it mean if my doctor mentions that the baby is "engaged"?
When the baby is "engaged", it means they have moved down and their head (or, in some cases, their bottom) is engaged in the pelvis, getting ready for birth. It is a positive sign that your body and your baby are preparing for birth.
Is it safe to have sex in pregnancy week 38?
In most cases, if your pregnancy has been healthy and you have no complications, sex is safe until the end of pregnancy. However, it is always advisable to consult your doctor or midwife if you have any concerns about it.
Should I be worried if I haven't felt any contractions yet?
Not necessarily. Although some women feel Braxton Hicks contractions weeks before birth, others do not notice them until labour begins. If this is your first pregnancy, your contractions may start closer to your due date.
When should I go to the hospital or birth centre?
If you think you have gone into labour, if your waters break or if you notice any significant change, such as a decrease in your baby's movements or bleeding, it is essential that you contact your doctor or midwife and follow their instructions.