What symptoms are normal in the third trimester of pregnancy?
The third trimester is an exciting and emotional time—you’re in the final stretch before meeting your baby! But as your body prepares for labor, you might experience discomforts that leave you wondering what’s normal and what’s a sign to call your doctor. Here’s what to expect, how to take care of yourself, and when to seek medical attention.
Common Symptoms in the Third Trimester
As your baby grows, your body goes through significant changes. You may feel more tired, struggle to get comfortable at night, or experience shortness of breath as your baby presses against your diaphragm. These are all normal adjustments as your body makes room for your little one.
Other common symptoms include:
- Heartburn and indigestion – The pressure of your growing baby can push stomach acids upward, causing discomfort after meals.
- Frequent urination – With your baby pressing on your bladder, you might find yourself rushing to the bathroom more often.
- Swelling – Mild swelling in your hands, feet, and ankles is common due to increased fluid retention.
- Dry or itchy skin – As your belly stretches, your skin might feel tight or itchy.
- Breast tenderness and leaking – Your body is preparing for breastfeeding, so you might notice your breasts feel fuller or leak colostrum, the first form of breast milk.
- Leg cramps and varicose veins – Increased weight and circulation changes can lead to discomfort in your legs.
- Changes in your belly button – Some women notice their belly button becomes flat or pops outward.
- Braxton Hicks contractions – These “practice” contractions help your uterus prepare for labor. They should be irregular and not too painful.
Emotionally, you may feel a mix of excitement, anxiety, impatience, or even mood swings. Your body is preparing for a life-changing event, and your emotions might feel just as intense as the physical changes.
Braxton Hicks vs. Real Labor: How to Tell the Difference
Braxton Hicks contractions can feel like a tightening of the abdomen that comes and goes. Unlike real labor contractions, they:
- Are irregular and don’t get closer together
- Usually go away when you change positions or drink water
- Aren’t strong enough to stop you from talking or moving around
Real labor contractions, on the other hand:
- Come at regular intervals and get closer together over time
- Increase in intensity and don’t go away with rest or hydration
- May be accompanied by other signs like lower back pain, a bloody show, or water breaking
If you’re unsure whether you’re in labor, it’s always best to call your doctor for guidance.
Practical Tips to Feel More Comfortable
- For heartburn: Eat smaller meals, avoid spicy or greasy foods, and don’t lie down right after eating. Sleeping slightly propped up can help reduce discomfort at night.
- For swelling: Elevate your feet when resting, wear loose and comfortable shoes, and drink plenty of water to keep fluids moving in your body.
- For leg cramps: Stretch your legs before bed and make sure you’re getting enough calcium and magnesium in your diet.
- For dry skin and itchiness: Use a fragrance-free moisturizer, take lukewarm showers instead of hot ones, and wear soft, breathable fabrics.
- For sleep issues: Try sleeping on your left side with a pillow between your legs to support your belly and back. Deep breathing exercises before bed can also help.
When to Call Your Doctor
While many symptoms are normal, some require immediate medical attention. Contact your doctor right away if you experience:
- Sudden swelling in your face, hands, or feet – This could be a sign of preeclampsia, a condition that needs urgent medical attention.
- Severe headaches or dizziness – This may also indicate preeclampsia or high blood pressure.
- Fever or chills – Infections can be serious during pregnancy and should be checked by a doctor.
- Pain or burning when urinating – This could be a urinary tract infection (UTI), which needs treatment.
- Decreased baby movements – Your baby should continue to move regularly. If you notice fewer kicks, contact your doctor immediately.
- Vaginal bleeding or fluid leakage – Any bleeding or your water breaking before 37 weeks could indicate preterm labor.
- Signs of labor before 37 weeks – If you experience regular contractions, intense pelvic pressure, or back pain, you may be going into labor early. For some symptoms, understanding the signs of labor is crucial so you can recognize when it’s time to prepare for delivery. If you’re unsure about what to expect, this guide on labor signs can help you feel more confident as your due date approaches.
- Concerning thoughts or emotional distress – If you feel overwhelmed, anxious, or have thoughts of harming yourself, seek help right away. Your mental health is just as important as your physical health.
Preparing for the Final Weeks
The last weeks of pregnancy can feel long, but they’re a great time to prepare for your baby’s arrival. Here are a few things you can do:
- Pack your hospital bag with essentials like comfortable clothes, baby items, and important documents.
- Install your baby’s car seat and make sure it’s properly secured.
- Set up a support system—let your partner, family, or friends know how they can help you after birth.
- Rest as much as possible, listen to your body, and take breaks when needed.
Pregnancy is an incredible journey, and every woman’s experience is unique. If you ever feel unsure about a symptom, it’s always okay to ask your doctor. You’re not alone in this—there are people who care about you and want to support you through this journey.
At Centro Tepeyac, we are here to help with free resources, guidance, and a safe place to talk. If you have concerns or need support, reach out to us. You don’t have to go through this alone—we are with you every step of the way. Click here to make an appointment or call us at (301) 587-9516.
