Welcome to the third trimester - you're officially in the home stretch of pregnancy! At 28 weeks, your baby is about the size of an eggplant (38 cm, 1 kg), with lungs now mature enough to produce surfactant and all major organs fully developed. This week marks important milestones including Tdap vaccination, RhoGAM if needed, and starting kick counts to monitor baby's wellbeing.
Your Baby at 28 Weeks
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Size and Development
Measurement
Details
**Length**
About 38 cm (15 inches)
**Weight**
Approximately 1 kg (2.25 pounds)
**Size comparison**
Like an eggplant (baingan)
Baby's Development This Week
Lungs:
Producing surfactant (helps lungs expand)
Mature enough to breathe air if born early
Practice breathing movements continue
Ready for life outside womb
Eyes and Senses:
Baby is blinking!
Can respond to light
Hearing fully developed
All five senses functional
Brain:
Brain tripling in weight this trimester
Deep grooves developing in cerebrum
Processing information actively
Responding to external stimuli
Position:
Starting to settle head-down
Getting ready for birth position
Less room for somersaults
More defined movements
What's Happening to Your Body
Common Symptoms at 28 Weeks
Symptom
Why It Happens
What Helps
Back pain & sciatica
Baby pressing on nerves
Massage, warm compress, prenatal yoga
Shortness of breath
Uterus crowding lungs
Rest, good posture, sleep propped up
Braxton Hicks
Practice contractions
Rest, change positions, stay hydrated
Leaky breasts
Colostrum production starting
Nursing pads
Trouble sleeping
Discomfort, hormones, anxiety
Side sleeping, pregnancy pillow
Braxton Hicks vs Real Contractions
Braxton Hicks
Real Labor Contractions
Irregular
Regular pattern
Don't get stronger
Progressively stronger
Stop when you move
Continue regardless
Uncomfortable
Painful
Occasional
Getting closer together
If contractions are regular, getting closer, and don't stop with position change - call your doctor immediately (could be preterm labor).
Colostrum (First Milk/Pehla Doodh)
You may notice yellowish leakage from breasts - this is colostrum!
Called "liquid gold" because it's so nutritious
Rich in antibodies and nutrients
Not all women leak, and that's normal too
Your body is preparing to feed baby
Use nursing pads if leaking bothers you
Step-by-Step Guide for Week 28
Step 1: Start Kick Counts
Why It Matters: Monitoring baby's movements helps ensure wellbeing
How to Count:
Pick a time when baby is usually active (after meals is good)
Lie down comfortably or sit quietly
Note the time you start
Count any movements - kicks, flutters, rolls, swishes
Aim for 10 movements within 2 hours
Record the time you reach 10
What's Normal:
10 movements in about 2 hours
Baby has active and quiet periods
Pattern is more important than exact count
Step 2: Get Your Vaccinations
Tdap Vaccine (Whooping Cough):
Recommended during weeks 27-36
Protects baby from whooping cough after birth
Antibodies pass to baby through placenta
Safe and important during pregnancy
Flu Shot:
Get it if you haven't already
Pregnant women are high-risk for flu complications
Protects both you and baby
Step 3: Check Your Rh Status
If You're Rh Negative:
You'll need RhoGAM injection this week
Prevents your body from making antibodies against baby's blood
Important if baby is Rh positive
Simple injection, no side effects for baby
If You're Rh Positive:
No action needed
Most people are Rh positive
Step 4: Up Your Iron Intake
Baby absorbs most iron stores in third trimester!
Iron-Rich Indian Foods:
Palak (spinach)
Dates (khajoor)
Pomegranate (anar)
Jaggery (gur)
Chickpeas (chana)
Kidney beans (rajma)
Eggs
Ragi
Enhance Iron Absorption:
Pair with Vitamin C foods (amla, lemon, orange)
Avoid tea/coffee with meals
Cook in iron kadhai
Step 5: Start Planning for Baby's Arrival
Choose a Pediatrician:
Research doctors covered by insurance
Look for convenient location
Check availability for newborn visits
Some visit hospital, some see baby at clinic
Create Birth Plan (Optional):
Pain relief preferences
Who will be present
Cord cutting preferences
Skin-to-skin contact preferences
Feeding preferences (stanpan/breastfeeding)
Budget for Baby Costs:
Diapers
Clothes
Formula (if needed)
Doctor visits
Essential gear
Preparing for Breastfeeding
What to Know Now
Colostrum:
Already being produced
Baby's first food after birth
Small amounts are perfect for tiny tummy
Rich in immunity-boosting antibodies
Prepare Mentally:
Learn about latching
Attend lactation webinar
Know that initial challenges are normal
Support available if needed
Tips for Success
Monitor movements daily - Know your baby's pattern
Sleep on your side - Left side is optimal for blood flow
Get vaccinated - Tdap and flu shot protect baby
Increase iron intake - Baby needs it for development
Rest when tired - Third trimester is demanding
Start birth preparations - Choose pediatrician, pack hospital bag
Practice breathing exercises - Helpful for labor
Common Mistakes to Avoid
Ignoring Braxton Hicks patterns - Know when to call doctor
Skipping vaccinations - They protect your newborn
Sleeping flat on back - Reduces blood flow to baby
Ignoring decreased movements - Always check with doctor
Not eating enough iron - Baby needs it now more than ever
Pushing too hard physically - Rest is important
When to Seek Help
Call Doctor Immediately If:
Regular contractions that don't stop
Decreased or absent baby movements
Vaginal bleeding or leaking fluid
Severe headache that doesn't go away
Vision changes
Severe abdominal pain
Sudden severe swelling
Fever
Schedule Appointment For:
Questions about birth plan
Concerns about symptoms
Vaccination schedule
Weight or nutrition concerns
Frequently Asked Questions
Q: 28 weeks mein baby position kya honi chahiye?
A: By now, many babies start settling head-down (cephalic position), but some are still breech or transverse. Don't worry - baby has time to turn! Most babies settle head-down by 36 weeks. Your doctor will check position at appointments.
Q: Braxton Hicks aur asli labor mein kaise farq karun?
A: Braxton Hicks are irregular, don't get stronger, and stop when you change position or rest. Real labor contractions are regular, progressively stronger, keep getting closer together, and continue regardless of movement. If unsure, always call your doctor.
Q: Third trimester mein kitna weight gain hona chahiye?
A: During third trimester, weight gain of about 0.5 kg per week is typical. Total pregnancy weight gain depends on starting weight, but 10-12 kg total is common for normal BMI. Steady gain matters more than exact numbers - discuss with your doctor.
Q: Colostrum leak ho raha hai - kya normal hai?
A: Yes, completely normal! Colostrum (pehla doodh) leaking means your body is preparing for breastfeeding. Not all women leak, and that's also normal. Use nursing pads for comfort. This doesn't affect your milk supply after birth.
Q: Kick counting kaise karein?
A: After a meal, lie down or sit comfortably. Count all movements (kicks, rolls, flutters). Aim for 10 movements within 2 hours. If you feel fewer than 10 in 2 hours, eat something, try again. If still fewer, contact your doctor. Know YOUR baby's normal pattern.
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This article was reviewed by a healthcare provider. Week 28 begins your third trimester - the final stretch before meeting your baby!
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