Due Date Approaches (Weeks 40-42 of pregnancy)

It’s the moment you’ve been counting down to for months—your due date is finally here! But what if your little one decides to take their sweet time and arrives a few days (or even weeks) later? This final stretch of pregnancy, from weeks 40 to 42, is filled with anticipation, excitement, and—let’s be honest—quite a bit of impatience. Many women feel ready to meet their babies, but the wait doesn’t always go according to plan. So, what should you expect in these final weeks? Let’s dive deep into what’s happening in your body and with your baby during weeks 40 to 42, and how to handle this final phase of pregnancy.

Weeks 40–42 of Pregnancy: The Final Countdown

What’s Happening with Your Baby?

Your baby has been growing for months, and now, they are nearly ready to make their debut. But there’s still some important development occurring in these final weeks.

1. Full-Term Development:
   • By the time you hit week 40, your baby is considered full-term. They have developed enough to survive outside the womb, though there are still minor adjustments happening. For instance, the brain continues to develop rapidly, and the lungs become fully functional.
2. Growth and Weight:
   • Babies typically weigh between 6 and 9 pounds during this period, although some babies can be smaller or larger. Their length ranges from 19 to 21 inches. Every baby’s growth pattern is unique, and it’s normal for babies to be slightly smaller or larger than average. If you’re curious about your baby’s growth, your healthcare provider can offer insights into their estimated size.
3. Changes in Skin:
   • Your baby’s skin, which was once covered in soft, fine hair called lanugo, is now smooth and less wrinkled. The vernix (the protective coating) that once covered their body will be mostly gone by now, though some babies are born with a little left. This helps protect their delicate skin from the amniotic fluid.
4. Brain and Organ Development:
   • While your baby’s organs are functioning independently, there is still brain development occurring, which means their ability to learn and process information will continue to evolve even after birth. This period of brain growth is essential for their cognitive abilities, including memory, movement coordination, and sensory perception.
5. Baby’s Sleep Patterns:
   • Your baby is likely getting plenty of sleep at this point, which is crucial for their growth and development. Though their movement might feel less frequent because they’re running out of space, you’ll still be able to feel them shifting and stretching.

What’s Happening with Your Body?

During weeks 40 to 42, your body is busy preparing for the big day. You might experience new physical sensations, some more intense than others. Here’s what’s going on with you:

1. The Pressure of Baby Dropping:
   • As your baby gets into position for birth, they may “drop” lower into your pelvis. This can create intense pressure in your lower abdomen and pelvis. Many women feel like they can finally breathe a little more easily once their baby settles lower because the pressure on the diaphragm is relieved. However, this can also cause pelvic discomfort and the urge to pee more frequently due to the increased pressure on your bladder.
2. More Frequent and Intense Braxton Hicks Contractions:
   • These practice contractions will continue to occur, often becoming more noticeable in the weeks leading up to your due date. While Braxton Hicks contractions are irregular and generally don’t cause significant pain, they can be uncomfortable. The key difference between Braxton Hicks and true labor contractions is that the latter become progressively more regular and intense over time.
3. Cervical Changes:
   • Throughout these weeks, your cervix will continue to soften, thin (efface), and dilate in preparation for delivery. Your healthcare provider will monitor these changes at your prenatal visits. You may also notice an increase in vaginal discharge as your body continues to prepare for labor.
4. Fatigue and Restlessness:
   • As the due date approaches, many women feel a combination of exhaustion and restlessness. Your energy levels might be erratic—some days, you feel ready to take on the world, and on others, you can’t even get out of bed. This combination of fatigue and anticipation can be emotionally draining, but remember, it’s normal to feel a mix of emotions. If possible, get as much rest as you can.
5. Mood Swings and Emotional Roller Coaster:
   • It’s completely normal to experience a wide range of emotions as your due date nears. You may feel excited, anxious, or even a little scared. These mood swings are caused by hormonal fluctuations and the uncertainty of what’s to come. Speaking to a supportive partner or friend, or even journaling, can help you process these emotions.

Signs of Labor Approaching

As your body and baby prepare for the big event, you’ll likely start noticing a few signs that labor could be near. Here’s what to look out for:

1. Loss of Mucus Plug

The mucus plug is a thick, jelly-like substance that has been sealing your cervix throughout pregnancy. As labor approaches, this plug may come out, signaling that your body is starting to prepare for childbirth. This can happen in bits or all at once, and may be accompanied by streaks of blood (the “bloody show”). This is completely normal and a sign that things are moving forward.

2. Increased Contractions

True labor contractions are regular and become stronger over time. They typically start out mild, then increase in frequency and intensity. If you experience contractions that come every 5 to 10 minutes for an hour, it may be time to contact your healthcare provider and start preparing for labor.

3. Your Water Breaking

Although not all women experience it, when your water breaks, it’s a definite sign that labor is approaching. The amniotic sac ruptures, and you may feel a sudden gush or slow trickle of fluid. If your water breaks, even if you’re not having contractions, it’s important to get in touch with your healthcare provider right away.

4. Back Pain

Some women experience back pain as a sign of impending labor. This is usually caused by the baby’s position in the pelvis, particularly if they’re facing backward (posterior position). This type of back pain may feel like a constant ache or pressure and can be more noticeable as labor approaches.

What Happens if You Go Past Your Due Date?

If your baby doesn’t arrive on your due date, don’t worry. It’s completely normal for many pregnancies to extend beyond 40 weeks. In fact, only about 5% of babies are born on their due date. For those who go past 40 weeks, here’s what to expect:

Increased Monitoring

If you reach 41 weeks or beyond, your healthcare provider will likely recommend increased monitoring to ensure the well-being of both you and your baby. Some common tests include:

• Non-Stress Test (NST): This test monitors your baby’s heart rate and ensures they are moving enough.
• Biophysical Profile (BPP): This includes an ultrasound and an NST to assess your baby’s health and amniotic fluid levels.
• Ultrasound: If needed, your doctor may perform an ultrasound to check for signs of distress or any issues with the placenta.

Labor Induction

While many women give birth naturally after 40 weeks, some will need to be induced if the pregnancy continues too long. Labor induction is typically recommended after 42 weeks to prevent complications such as placental insufficiency. Some common induction methods include:

• Pitocin (Oxytocin): A hormone given intravenously to stimulate contractions.
• Breaking the Water: If your cervix is sufficiently dilated, your doctor may break your amniotic sac to trigger labor.
• Cervical Ripening: Medication or mechanical devices can be used to help soften and dilate the cervix.

Tips for Surviving the Final Weeks

The final weeks can be physically and emotionally draining, but there are ways to make the waiting period more comfortable and manageable.

Gentle exercise is one of the best ways to prepare your body for labor, as it can help keep your muscles strong and your energy up. While your body may feel heavier and more fatigued, light activities such as walking, prenatal yoga, or swimming can ease discomfort and keep you feeling more grounded. Some women swear by “prenatal squats” or “pelvic tilts” to help prepare the pelvis for birth and make the labor process smoother. Just be sure to listen to your body—if you feel too tired or uncomfortable, take a break.

2. Practice Relaxation Techniques

As labor approaches, managing stress and anxiety is crucial. The unknown can often be overwhelming, but relaxation techniques can help you feel more centered. Techniques such as deep breathing, meditation, visualization, and even prenatal massage can help relax both your mind and body. Listening to calming music, taking warm baths, or practicing light stretches may also alleviate muscle tension.

3. Plan for the Unexpected

While you may have a clear idea of how you want your birth to go, remember that childbirth can be unpredictable. Keep an open mind about your birthing plan. If your baby doesn’t arrive exactly on the due date or if complications arise, stay flexible. Trust your healthcare team to guide you through the process and communicate openly about your options. By doing so, you’ll help reduce any stress that may arise from unforeseen circumstances.

4. Prepare for Postpartum

In these final weeks, it’s also a good time to start thinking about your postpartum recovery. While all your attention is on labor and delivery, your body will go through a significant recovery period after childbirth. Stocking up on essentials for postpartum care, like pads, nursing bras, and comfortable clothing, can ease your transition into this new phase. Additionally, making arrangements for post-delivery support (whether it’s help from family, a postpartum doula, or a lactation consultant) can provide comfort and reassurance when you bring your baby home.

Dealing with the Emotional Rollercoaster of the Final Weeks

As your due date approaches, it’s common to experience a wide range of emotions. The hormonal changes and anticipation can leave you feeling overwhelmed, excited, anxious, and even irritable. Let’s dive deeper into the emotional ups and downs that many women experience during these final weeks.

Feeling Ready vs. Feeling Overwhelmed

As much as you may have prepared for this moment, it’s completely normal to feel conflicted. Some women feel a sense of excitement and joy, ready to meet their baby and start their new life as a mother. On the other hand, some may feel overwhelmed or anxious about the unknown aspects of childbirth and parenthood. There may be concerns about labor, the pain involved, or whether you’re “ready” to become a mother. This emotional push and pull is a natural part of the process.

If you’re feeling ready but nervous, consider reaching out to a doula, midwife, or trusted healthcare provider who can reassure you and answer any lingering questions you may have about what to expect. It’s also helpful to communicate with your partner, family, or friends—talking about your fears and excitement can make the emotional load easier to bear.

The “Waiting Game” Blues

The final weeks often involve a lot of waiting. The anticipation of when labor will begin can create a sense of urgency, even though you don’t have control over when it will actually happen. It’s easy to feel restless or anxious about whether you’ll go into labor on time or if you’ll be “late.” Try to remember that this waiting period is perfectly normal. Use the time to focus on self-care—whether it’s reading, taking naps, or spending time with loved ones. Consider engaging in activities that take your mind off the wait and make you feel good, like enjoying a prenatal massage, having a date night with your partner, or even doing something fun like binge-watching your favorite show.

Seeking Emotional Support

During the last few weeks of pregnancy, your emotional well-being is just as important as your physical health. Surround yourself with people who support you, whether it’s a spouse, friend, or family member. Having someone you trust to talk to during this time can help ease feelings of anxiety, especially if you’re feeling a bit overwhelmed. Be sure to also communicate your needs with your healthcare provider. If you’re experiencing high levels of anxiety, depression, or mood swings, it’s important to address these concerns early. Your provider can offer resources, including counseling or therapy, to help you manage your emotions.

Signs You Should Call Your Doctor in Weeks 40–42

Even though pregnancy is typically full of subtle signs and symptoms, there are certain signs that should prompt you to reach out to your healthcare provider during these final weeks. It’s always better to err on the side of caution and consult your doctor if you have any concerns.

Severe or Unusual Contractions

While Braxton Hicks contractions are common, regular contractions that come at increasing intervals and become stronger over time are signs that labor may be beginning. If you experience consistent contractions every 5 to 10 minutes, lasting about 1 minute, and they persist for over an hour, it’s time to contact your provider or head to the hospital.

Signs of Preterm Labor

Though your pregnancy is full-term by week 40, some women experience preterm labor. If you experience the following, it’s important to seek medical attention immediately:

• Regular contractions that are five minutes apart or less
• Lower back pain
• Abdominal cramping or discomfort
• Fluid leaking (the amniotic sac may rupture prematurely)
• Bloody discharge or vaginal bleeding (especially if it’s heavy)

Decreased Fetal Movement

By weeks 40 to 42, you should be able to feel your baby move regularly. If you notice a significant decrease in fetal movements, it’s essential to contact your doctor immediately. Your provider may want to monitor your baby’s well-being with a non-stress test or ultrasound.

Severe Swelling, Headache, or Vision Changes

While some swelling is normal in late pregnancy, sudden or severe swelling in your hands, feet, or face could be a sign of preeclampsia, a pregnancy complication. Preeclampsia can cause high blood pressure and may require prompt intervention to prevent harm to both you and your baby. If you experience swelling, blurred vision, or a severe headache that doesn’t go away, contact your healthcare provider immediately.

Preparing for Labor and Delivery: What to Pack and Expect

While the final weeks are mostly about waiting, they’re also about preparation. You’ve likely packed a hospital bag by now, but let’s take a quick review of some essentials to make sure you’re fully prepared for labor and delivery.

What to Pack in Your Hospital Bag:

1. For You:
   • Comfortable clothes (like a robe and loose-fitting clothing for after birth)
   • Toiletries (toothbrush, deodorant, face wash, etc.)
   • A nursing bra and pads
   • Slippers or socks
   • A phone charger, snacks, and entertainment (for when labor progresses slowly)
2. For Your Baby:
   • Diapers, wipes, and clothing
   • Swaddle blankets
   • A car seat (make sure it’s installed in your car before the big day)
3. For Your Partner:
   • Extra clothing, snacks, and toiletries for your partner (they may also want to have some comfort items)
4. Other Essentials:
   • Birth plan (if you have one)
   • Insurance information and identification
   • A camera or phone for photos, and a notebook to record any special moments

The Final Days of Pregnancy Are Just the Beginning

While the last few weeks of pregnancy can feel long and taxing, remember that each day brings you one step closer to meeting your little one. Embrace the moments of rest, reflect on the journey you’ve had so far, and prepare for the incredible experience of childbirth. Whether you’re feeling calm and ready or anxious and overwhelmed, trust that your body is preparing in remarkable ways for the big day. You are stronger than you know, and your baby is getting ready to make their debut.

And remember, the journey doesn’t end when your baby is born—it’s just the beginning of an entirely new adventure. So, get ready to meet your baby and start the next chapter of your life!