Week 28: Why, you look positively bovine!

Baby's development in pregnancy week 28: You know how you’ve been feeling a bit like a barn with legs? Well, that feeling won’t subside before… well, you know, when you finally give birth. For the time being, you’ve got yourself a baby in the business of collecting fat and lots of it! In spite of the dubious joys of being a human-barn, this baby fat business is very serious and you’ve got to put up with it because it’s going to keep your little porker warm and healthy after birth. Other good stuff from inside: their eyes are doing lots of blinking this week because they’re now able to respond to light and dark. Also, their industrious little bone marrow is now a major construction site for developing red blood cells, while their super-cute adrenal glands are actually producing androgen and estrogen—which will stimulate your hormones to begin milk production. Can you say, “Moo?”

How your life's changing: You're in the home stretch! The third and final trimester starts this week. If you're like most women, you'll gain about 11 pounds this trimester.At this point, you'll likely visit your doctor or midwife every two weeks. Then, at 36 weeks, you'll switch to weekly visits. Depending on your risk factors, your practitioner may recommend repeating blood tests for HIV and syphilis now, as well as doing cultures for chlamydia and gonorrhea, to be certain of your status before delivery. Also, if your glucose screening test result was high and you haven't yet had follow-up testing, you'll soon be given the 3-hour glucose tolerance test. And if the blood work done at your first prenatal visit showed that you're Rh negative, you'll get an injection of Rh immunoglobulin to prevent your body from developing antibodies that could attack your baby's blood. (If your baby is Rh positive, you'll receive another shot of Rh immunoglobulin after you give birth.)Around this time, some women feel an unpleasant "creepy-crawly" sensation in their lower legs and an irresistible urge to move them while trying to relax or sleep. If this sensation is at least temporarily relieved when you move, you may have what's known as restless legs syndrome (RLS). No one knows for sure what causes RLS, but it's relatively common among expectant mothers. Try stretching or massaging your legs, and cut down on caffeine, which can make the symptoms worse. Ask your caregiver if you should try iron supplements, which can sometimes relieve RLS.