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What Happens in the Third Trimester of Pregnancy?

Mary McMahon
By
Updated May 17, 2024
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During the third and final trimester of pregnancy, fetuses develop rapidly, reaching a state known as “extrauterine viability,” meaning they can survive outside the mother's body if they are delivered before full term is reached, as may be necessary if there are pregnancy complications. Fetal development progresses by leaps and bounds in the third trimester of pregnancy and women often experience much more discomfort during this phase because the fetus gains weight rapidly and the environment in and around the uterus becomes rather cramped.

The third trimester officially begins in the 29th week of pregnancy. Initially, the baby will be very active, but as weight gain occurs, the baby will settle deeper into the pelvis and become more sluggish because there is limited room for movement. As a result, a less active baby is not necessarily a cause for concern at this time. Women typically experience symptoms like fatigue, swelling, heartburn, aches and pains, and Braxton Hicks contractions. The breasts will start to produce colustrum and some women experience some leakage from the breasts. Urinary incontinence can also become an issue.

For the developing fetus, the third trimester of pregnancy marks the period when the organs become fully mature. Skeletal and sexual development will become complete during the last third of the pregnancy, and by the 37th week, the organs are completely developed. The eyes of the fetus will open and become sensitive to light, and the brain, smooth during the first two trimesters, will start to acquire the deep folds and wrinkles associated with a completely developed brain.

In the last month of pregnancy, weight gain occurs very rapidly as the fetus prepares for delivery. The fetus will also start to acquire immunities through the placenta to reduce the risks of getting sick after delivery. If the mother is Rhesus negative and the father is Rhesus positive, immunoglobulin injections may be recommended. During the third trimester of pregnancy, women also usually attend regular prenatal appointments to monitor the development of the pregnancy and check for warning signs indicative of developing complications.

Every pregnancy is slightly different and women may experience different things during the third trimester of pregnancy. This period of pregnancy can be emotionally intense as women prepare for delivery, especially if they are having their first children and attempting to adjust to the accompanying major life changes. There are medical options available for some of the discomfort experienced, like heartburn, and women are usually encouraged to rest and stay hydrated while eating a balanced diet to provide nutrition for the developing fetus, as well as themselves.

WiseGeek is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Mary McMahon
By Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a WiseGeek researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Discussion Comments

By Drentel — On Jun 19, 2014

I used to think all the stuff I saw on TV comedy shows about pregnant women was just for laughs. I had no idea that my wife was going to turn into a different person once she got pregnant. Sometimes it seemed like I was living with several women all at once.

I couldn't believe all the mood swings she could have in a single day. I wouldn't have changed places with her, but being the husband was no picnic either. I was so happy when she finally delivered the baby. The first pregnancy was by far the most trying.

By Sporkasia — On Jun 18, 2014

The first trimester is so very scary. When you are pregnant for the first time and you don't know what to expect, every little change turns you up side down with worry. And the biggest and most dramatic changes, other than delivering the baby during the third trimester of pregnancy, happen in the first trimester.

By Laotionne — On Jun 17, 2014

My friends who have been pregnant and had babies tell me that the first trimester is by far the most difficult of all the pregnancy stages. During this stage, you are dealing with so many changes in your body. Everybody has heard about morning sickness.

I know not everyone has a problem with nausea during pregnancy, but one of my friends said that if she had not known she was pregnant she would have thought she was dying when she was having to spend half of her time in bathrooms because she was sick.

The great thing about the third trimester of pregnancy is it is the last stage, and you are so close to having your baby, and that's what makes all the inconveniences and body changes worthwhile.

Mary McMahon

Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a...

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