At 28 weeks, many people refer to this stage as 28 pregnant, a time when the baby grows quickly and symptoms can become more noticeable in daily life.
Understanding what happens during week 28 of pregnancy helps expectant parents prepare physically, emotionally, and medically for the months ahead.
| Week | Fetal Size | Common Symptoms | Key Checkpoints |
|---|---|---|---|
| 28 | About 14 inches, 2 to 2.5 pounds | Back pain, shortness of breath, swelling | Anatomy scan review, gestational diabetes screening if needed |
| 29 | About 15 inches, 2.5 to 3 pounds | Heartburn, pelvic pressure, more frequent urination | Prenatal visit, discuss birth preferences |
| 30 | About 16 inches, 3 to 3.5 pounds | Shortness of breath, insomnia, Braxton Hicks contractions | Monitor fetal movement, plan for maternity leave |
| 31 | About 16.5 inches, 3.5 to 4 pounds | Swelling in feet and ankles, fatigue, vivid dreams | Confirm hospital bag ready, discuss induction plan |
Physical Changes at 28 Weeks
Body Changes and Comfort
During the 28 pregnant week, the uterus rises higher into the abdomen, which can change posture and increase lower back strain.
Shortness of breath may occur as the diaphragm is pushed upward, while swelling in the feet and ankles often becomes more noticeable toward the end of the day.
Prenatal Care and Testing
Screening and Monitoring
Providers may repeat blood pressure checks and urine tests to monitor for preeclampsia, and they often review fetal position and growth at visits around 28 weeks.
If gestational diabetes screening has not yet been completed, a glucose challenge test is typically scheduled during this timeframe.
Fetal Growth and Movement
What the Baby Is Doing
At this stage, the baby practices breathing movements, kicks more strongly, and begins to settle into a head-down position in preparation for birth.
Tracking patterns of fetal movement helps expectant parents notice their baby’s rhythms and alert the healthcare team to any significant changes.
Preparing for the Weeks Ahead
- Attend all prenatal visits and ask questions about growth and position
- Track fetal movement daily and note any significant changes
- Prepare a hospital bag and share the plan with your support team
- Discuss birth preferences and induction plans with your provider
- Prioritize rest, nutrition, and gentle movement to support your health and the baby’s growth
FAQ
Reader questions
Is shortness of breath at 28 weeks normal?
Yes, mild shortness of breath is common as the uterus rises and puts pressure on the diaphragm, but you should contact your provider immediately if it is severe, sudden, or accompanied by chest pain or fainting.
What can I do to reduce swelling in my feet and ankles?
Elevating your feet, avoiding long periods of standing, wearing supportive shoes, and staying hydrated can help reduce swelling, while sudden or severe swelling should be reported to your healthcare provider.
How can I encourage my baby to move into a head-down position?
Regular movement, such as walking and pelvic tilts, along with specific exercises recommended by your provider, can help encourage the baby to turn head-down, though not all babies are in this position yet at 28 weeks.
When should I start preparing the hospital bag at 28 weeks?
Starting to pack a hospital bag at 28 weeks is a good idea so that it is ready when you go into labor, including essentials for you, the baby, and your support person.