🌳Third Trimesterβ€’Weeks 28-40

Week 40 of Pregnancy

Your baby is the size of small pumpkin
Medically reviewed by Dr. Rachel Kim, OB-GYNLast reviewed: March 2026Sources: ACOG, NIHEditorial Standards
πŸ“
Length
20.2 inches
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Weight
7.6 pounds
🍎
Size Comparison
Small pumpkin

Medical Notice: This guide provides general information about pregnancy at week 40. Every pregnancy is unique. Always consult your OB-GYN or midwife for personalized medical advice. Read full disclaimer

πŸ‘Ά Your Baby at Week 40

At week 40 of pregnancy, your baby is approximately the size of a small pumpkin, measuring about 51.2 cm in length and weighing 3462 grams. This is an exciting time in the third trimester as your baby continues to grow and develop at a remarkable pace.

This week brings several important developmental milestones. Your due date has arrived! The average baby weighs about 7.5 pounds and measures 20 inches. All body systems are ready for the outside world. The skull bones remain flexible and will mold to fit through the birth canal. These changes mark significant progress in your baby's journey from a cluster of cells to a fully formed newborn.

In terms of organ system development, your baby's body is making impressive strides this week. All systems fully mature and ready for postnatal life. Skull bones designed to overlap for birth. Immune system equipped with maternal antibodies. Lungs ready for first breath of air. Each of these developments builds upon the work of previous weeks, creating increasingly complex and functional body systems that will sustain your baby after birth.

Additional developments this week include several noteworthy changes. Fat makes up about 15% of body weight for temperature regulation. Chest is prominent and full. The fetus has 300 bones (adults have 206 -- many will fuse as the child grows). Antibodies from the placenta provide immune protection for the first few months. The baby is ready to meet you!. Every day brings new progress, even when the changes are too small to see or feel.

Regarding movement and sensory development, Movements should still be felt regularly even at 40 weeks. Baby may feel very low and heavy in the pelvis. Less room for movement but activity should continue. Report any significant decrease in movement immediately. As your baby grows, you may notice patterns in their activity -- many babies are most active in the evening or when you are resting quietly.

Compared to last week, your baby has made noticeable progress. The growth rate during the third trimester is focused primarily on weight gain and organ maturation. Each week builds upon the last, creating a beautifully orchestrated sequence of development that has been refined over millions of years of human evolution.

🌟 Week 40 Development Milestones

  • 1
    Baby is ready to meet you and fully prepared for life outside!
  • 2
    All organs are functioning perfectly
  • 3
    Baby has strong survival reflexes including sucking, rooting, and grasping
  • 4
    Coordination is fully developed
  • 5
    Baby is at complete development
  • 6
    Baby will continue gaining weight if they stay in longer
  • 7
    Baby is just waiting for the right moment to arrive

🀰 Your Body at Week 40

Week 40 brings a variety of physical changes as your body continues to adapt to your growing baby. Understanding what is happening and why can help you feel more prepared and less anxious about the changes you are experiencing.

The most common physical symptoms during week 40 include several that you may already be familiar with and some that may be new. May feel incredibly ready for labor to begin. Cervix may or may not show signs of labor readiness. Braxton Hicks may be very strong. Increased pelvic pressure and discomfort. These symptoms are driven by the hormonal and physical changes that pregnancy demands of your body, and while they can be uncomfortable, they are generally signs that your pregnancy is progressing normally.

You may also experience possible loss of mucus plug or bloody show. nesting behavior may be intense. difficulty sleeping and finding comfortable positions. emotional roller coaster of waiting. Not every woman experiences all of these symptoms, and their severity varies widely from person to person and even from one pregnancy to the next. If any symptom feels unusually severe or is interfering with your daily life, do not hesitate to discuss it with your healthcare provider.

Emotionally, week 40 can bring its own set of experiences. Impatience and frustration are completely normal. Excitement that the day is very close. May feel emotional about the pregnancy ending and a new chapter beginning. Trust in your body and the process. Some women feel a calm readiness, others feel anxious. Gratitude for the journey you have been on. These emotional shifts are influenced by hormonal changes, physical discomfort, sleep disruption, and the psychological weight of preparing for parenthood. The third trimester can feel emotionally intense as the reality of labor and meeting your baby draws closer.

Your energy levels during week 40 may be declining again as the physical demands of the third trimester take their toll. Growing a full-sized baby requires enormous energy, and disrupted sleep adds to the fatigue. Prioritize rest, nap when possible, and accept help from others.

If this is your first pregnancy, many of these symptoms may feel unfamiliar and potentially worrying. Rest assured that the vast majority of pregnancy symptoms, while uncomfortable, are entirely normal. Women who have been pregnant before may recognize these symptoms more readily, though every pregnancy is different and symptoms that were present in one pregnancy may be absent in another (and vice versa). Your body has its own unique way of responding to pregnancy.

πŸ’­ Week 40 Symptoms Checklist

Common symptoms during week 40. Every pregnancy is unique -- you may not experience all of these.

βœ“Emotionally and physically ready to meet your baby
βœ“Possible increased contractions that may start and stop
βœ“Feeling anxious, impatient, or frustrated if not in labor yet
βœ“Labor could start at any time - today, tomorrow, or in 2 weeks
βœ“Extreme discomfort and difficulty with daily activities
βœ“Possible signs of labor beginning
βœ“Mix of excitement and nervousness

πŸ’­ Learn More About Week 40 Symptoms

Experiencing these symptoms? Learn more about causes, relief, and when to call your doctor:

🩺 Expert Advice for Week 40

Here is expert-informed guidance for navigating week 40 of your pregnancy, covering nutrition, exercise, medical care, and practical preparation.

Nutrition Focus for Week 40

Your nutritional needs this week are shaped by what your baby is developing. Eat when hungry with focus on energy-sustaining foods. Stay well-hydrated. Light meals that will not weigh you down. Have labor snacks ready in your hospital bag. Continue prenatal vitamins through delivery and postpartum. In the third trimester, your calorie needs increase to about 450 extra per day to support your baby rapid weight gain. Focus on protein, iron, calcium, and healthy fats. Smaller, more frequent meals can help manage heartburn and maintain steady energy levels.

Exercise Recommendations

Physical activity remains important during week 40. Walking is the best exercise at this stage. Rest as much as possible. Birth ball exercises for comfort. Practice labor positions and breathing. Enjoy these last quiet moments before baby arrives. The American College of Obstetricians and Gynecologists recommends at least 150 minutes of moderate-intensity aerobic activity per week during pregnancy, spread throughout the week. Always listen to your body, stay hydrated, and stop exercising if you feel dizzy, short of breath, or experience pain.

Medical Care This Week

Weekly prenatal appointment. Non-stress test may be performed. Cervical check for readiness. Discussion of induction if pregnancy extends past 41 weeks. Amniotic fluid level check may be performed. Biophysical profile ultrasound may be offered. If you have questions about any tests or screenings, write them down before your appointment so you remember to ask your provider. Being an informed and active participant in your prenatal care helps ensure the best outcomes for you and your baby.

Tips for Partners and Support People

Partners and support people play a vital role during week 40. Help with physical tasks that have become difficult, practice labor techniques together, prepare the hospital bag, and provide emotional reassurance. Your calm, supportive presence is one of the most important things you can offer as the big day approaches.

Things to Start Preparing

Final preparations should be a priority now. Pack your hospital bag, install the car seat, finalize your birth plan, prepare freezer meals for after the baby arrives, and make sure you know the fastest route to your birthing facility. Have a plan for who will care for pets or older children when labor begins.

πŸ₯— Nutrition Tips for Week 40

βœ“Stay well hydrated with water throughout the day
βœ“Eat light, healthy, balanced meals
βœ“Keep energy-boosting foods readily available for early labor
βœ“Avoid overeating which could cause nausea during labor
βœ“Include foods rich in protein and complex carbs
βœ“Eat regularly to maintain energy
βœ“Have easy-to-digest snacks packed for hospital

πŸ’­ Common Concerns at Week 40

It is completely normal to have questions and worries during week 40 of pregnancy. Here are some of the most common concerns at this stage and what you need to know about them.

Only 5% of babies arrive on their exact due date. Going past your due date is common and usually safe up to 41-42 weeks. Induction is typically recommended between 41-42 weeks. Post-term pregnancy monitoring ensures baby remains healthy. Every labor story is unique -- comparison to others is not helpful.

When to Contact Your Healthcare Provider

While most pregnancy symptoms are normal, certain warning signs require prompt medical attention. Contact your healthcare provider if you experience: Regular contractions meeting the 5-1-1 rule; Water breaking (note the color, odor, and time); Vaginal bleeding; Decreased fetal movement; Meconium-stained fluid (green or brown); Fever, chills, or feeling unwell; Any instinct that something is not right -- trust yourself. When in doubt, it is always better to call and be reassured than to wait and worry. Your healthcare team expects these calls and would rather hear from you than have you suffer in silence.

Remember that every pregnancy is unique, and comparing your experience to others -- whether friends, family, or online forums -- is rarely helpful. What matters most is that you are receiving regular prenatal care, paying attention to your body, and communicating openly with your healthcare provider. Trust the process, trust your body, and do not hesitate to seek support when you need it.

This information is provided for educational purposes and should not replace personalized advice from your healthcare provider. Always consult your OB-GYN, midwife, or other qualified healthcare professional with specific questions about your pregnancy.

βœ… Your Checklist This Week

Here are the most important tasks to focus on during week 40 of your pregnancy:

  • Know exactly when to go to hospital (typically contractions 5 minutes apart for 1 hour)
  • Stay calm and patient - your baby will come when ready
  • Try walking, curb walking, or gentle movement to encourage labor
  • Rest and conserve energy when possible
  • Avoid induction pressure - babies rarely come exactly on due date
  • Keep your mind occupied with movies, books, or light activities
  • Trust the process and your body

⚠️ When to Call Your Doctor

While the symptoms listed above are common, contact your healthcare provider if you experience:

  • β€’Severe abdominal pain or cramping
  • β€’Heavy bleeding or passing clots
  • β€’Severe headaches with vision changes
  • β€’Fever over 100.4Β°F (38Β°C)
  • β€’Decreased fetal movement after week 28
  • β€’Sudden swelling of face, hands, or feet

πŸ’¬ What Other Moms Say

β€œDue date today! No baby yet. Everyone keeps texting asking if I'm in labor. I know baby will come when ready, but the anticipation is driving me crazy!”

β€” Sandra M.β€’Second pregnancy, due date

Every pregnancy is unique. This experience from a real mom at week 40 shows the range of emotions and physical changes you might encounter.

❓ Frequently Asked Questions: Week 40

Answers to the most common questions expectant mothers have during week 40 of pregnancy:

Q:Is may feel incredibly ready for labor to begin normal at 40 weeks?

A: Yes, may feel incredibly ready for labor to begin is a common and normal experience at week 40 of pregnancy. Third trimester symptoms are largely caused by the physical size of your baby and the physiological demands of supporting a nearly full-term pregnancy. If the symptom is severe or interfering with your daily activities, discuss it with your healthcare provider for personalized guidance.

Q:How big is my baby at 40 weeks?

A: At 40 weeks pregnant, your baby is approximately the size of a small pumpkin, measuring about 51.2 cm in length and weighing approximately 3462 grams. Babies are measured from head to heel during the second half of pregnancy. These measurements are averages and individual babies may be slightly larger or smaller.

Q:What should I be eating at 40 weeks pregnant?

A: During week 40, focus on a balanced diet that includes: Eat when hungry with focus on energy-sustaining foods; Stay well-hydrated; Light meals that will not weigh you down. Continue taking your prenatal vitamin daily. Third trimester calorie needs increase to about 450 extra per day to support your baby rapid growth. Always avoid raw or undercooked meats, unpasteurized dairy, high-mercury fish, and alcohol.

Q:Can I still exercise at 40 weeks?

A: Yes, exercise is generally safe and recommended at 40 weeks pregnant. Walking is the best exercise at this stage. Rest as much as possible. The American College of Obstetricians and Gynecologists recommends at least 150 minutes of moderate-intensity exercise per week during pregnancy. Stop exercising if you experience bleeding, contractions, dizziness, headache, or chest pain, and consult your provider if you have concerns about your specific exercise routine.

Q:What tests should I expect at 40 weeks?

A: At 40 weeks of pregnancy, Weekly prenatal appointment. Non-stress test may be performed. Cervical check for readiness. Third trimester monitoring becomes more frequent with weekly visits, and may include non-stress tests, Group B strep screening, and assessment of baby position. Ask your provider about any tests you do not understand.

Q:When should I worry at 40 weeks pregnant?

A: While most symptoms at 40 weeks are normal, contact your healthcare provider immediately if you experience: Regular contractions meeting the 5-1-1 rule; Water breaking (note the color, odor, and time); Vaginal bleeding. Trust your instincts -- if something feels wrong, it is always better to call your provider and be checked. Most of the time, the reassurance of knowing everything is fine is worth the phone call.

Q:Why hasn't labor started yet?

A: Due dates are estimates based on your last period and early ultrasounds. Only 5% of babies arrive on their exact due date. First babies tend to arrive lateβ€”average for first-time moms is 40 weeks and 5 days. Your body and baby will trigger labor when ready. Trust the process unless medical concerns arise.

Q:What happens at a non-stress test?

A: Non-stress tests (NST) monitor baby's heart rate and movements, typically done after 40 weeks or for high-risk pregnancies. You'll sit with monitors on your belly for 20-40 minutes. Baby's heart rate should increase with movement (reactive test, which is good). Non-reactive results (less common) mean more monitoring or possible induction.

Q:What should I expect from induction?

A: Induction methods depend on cervical readiness: cervical ripening agents (Cervidil, Cytotec), mechanical dilation (Foley balloon), artificial rupture of membranes, and Pitocin (synthetic oxytocin). Induction can take 12-48+ hours. Epidural rates are higher with induction. Ask your provider about the plan, options, and what to expect for your specific situation.
πŸ’‘

Did You Know?

Congratulations on reaching your estimated due date! Remember, only 5% of babies arrive on their actual due date. Your baby will arrive when they're ready - typically within 2 weeks of today. You're so close to meeting your little one!

Evidence-Based Pregnancy Information

Our week 40 pregnancy content is developed based on guidelines from the American College of Obstetricians and Gynecologists (ACOG), Centers for Disease Control and Prevention (CDC), National Institutes of Health (NIH), and peer-reviewed medical literature.

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