The information presented on this website has been developed and reviewed by Besins Healthcare. It should not be used as a substitute for professional medical advice, diagnosis, or treatment from a qualified healthcare professional.

Week-by-Week Guidance / Milestones


Take your time with this information

Week 28

Congratulations! You are officially in your third and final trimester.1



Your body

To facilitate rapid foetal growth, the uterus expands significantly during pregnancy.1,2 During the third trimester, up to 17% of women and birthing people may experience sciatica due to the growing uterus and additional weight gained throughout pregnancy.

Symptoms can be made worse by prolonged sitting, standing, sneezing or coughing, and can affect quality of life.2

Fortunately, sciatica can be eased with self-care, including heating pads, warm baths, stretches, and rest.1

If you are experiencing discomfort related to sciatica that isn’t easing with self-care, speak with your healthcare provider for further support.1

Symptoms1

  • Bloating and gas
  • Sciatica
  • Oedema (swelling, particularly hands and ankles)
  • Tingling hands or carpal tunnel syndrome
  • Leg cramps and restless leg syndrome
  • Blurred vision
  • Skin changes
  • Bleeding gums
  • Migraines
  • Nasal congestion
  • Braxton Hicks contractions
  • Foetal movement

Your baby

Measuring around 38 cm, baby should now weigh approximately 1 kg!1 However, you may feel heavier, as foetal growth only contributes to just under a third of pregnancy-related weight gain.3

Entering the third trimester, the lungs and the supporting network of blood supply (pulmonary capillaries) have matured, allowing for better gas exchange. Additionally, your baby has now accumulated enough fat so they can regulate and maintain their own body temperature.4

These physical developments of your baby are important, because if it were to be born prematurely at this stage, it would have a good chance of surviving.4

Things to remember this week

  • Consistently taking folic acid is recommended,5 and the recommended amounts of vitamin A and D, iron and calcium6 which will also help support your oral health7
  • Staying active and keeping a healthy weight can help support overall health7
  • Try to avoid alcohol consumption and smoking9,10
  • Nourish your body with pregnancy-safe foods. Try to avoid foods high in mercury, such as mackerel and tuna, raw seafood, undercooked meat, poultry and eggs, unpasteurised foods and cheese with a mould rind such as brie, unwashed fruits and vegetables, and any type of herbal tea11
  • Ensure any meat, fish or poultry is fully cooked through11

As a guide:12

Chicken or turkey (whole, ground, or breast): 74 °C/165 °F

Beef, veal, lamb, and pork roasts, chops, and steaks: 63 °C/145 °F

Ground beef, veal, lamb, and pork: 71 °C/160 °F

Fish: 63 °C/145 °F

Precooked ham: 60 °C/140 °F

  • Limit caffeine consumption to no more than 200 mg per day13

As a guide:

1 mug of coffee contains 100 mg of caffeine

1 mug of tea contains 75 mg of caffeine

1 can of cola contains up to 40 mg of caffeine

1 bar of chocolate contains up to 50 mg of caffeine

Between 24–28 weeks of pregnancy, you may be offered glucose screening to test for gestational diabetes.1 Try and maintain a healthy, balanced diet during pregnancy to support overall health.8

Consider scheduling the Tdap vaccine with your healthcare provider. This vaccine helps to prevent a serious condition in newborns called whooping cough.1