Symptoms and Red Flags at 32 Weeks Pregnant: A Guide to Your Third Trimester.

Pregnancy is an incredible journey, but it can also come with its fair share of changes, particularly in the third trimester. At 32 weeks pregnant, you are in the home stretch, and your body will continue to undergo significant transformations as it prepares for childbirth. While many of the symptoms during this time are normal, there are certain signs you should be aware of that may signal a potential problem. In this article, we’ll discuss common symptoms you may experience at 32 weeks pregnant and highlight the red flags that should prompt you to seek professional antenatal care.

Understanding 32 Weeks Pregnant

At 32 weeks, you’re nearing the final stages of pregnancy. The baby is growing rapidly, and you may be feeling the effects of this growth. The average baby at 32 weeks is about the size of a squash, weighing around 3.8 pounds (1.7 kg) and measuring approximately 16.7 inches (42.4 cm) from head to toe. During this stage, your body is making necessary adjustments to accommodate the baby’s rapid development, which can lead to various physical changes and symptoms.

Symptoms You Can Expect at 32 Weeks Pregnant

Most of the symptoms you experience during the third trimester are common and nothing to be alarmed about. However, they can still be uncomfortable. Here are some symptoms you may experience during this time:

1. Fatigue

Fatigue is one of the most common complaints during the third trimester. Your body is working hard to support the growth of your baby, which can leave you feeling tired, even after a full night’s sleep. Hormonal changes and physical discomfort from the growing baby can also contribute to fatigue. What to do: Prioritise rest and try to take short naps throughout the day. Keep your antenatal care team informed if fatigue feels overwhelming or if you’re having trouble sleeping.

2. Frequent Urination

As your baby grows, they put increasing pressure on your bladder, making frequent urination a normal symptom. You may feel the urge to pee more often, even if you haven’t had a large amount of liquid. What to do: Try to empty your bladder fully when you go to the bathroom and drink plenty of water throughout the day to stay hydrated. Avoid caffeinated drinks that can irritate the bladder.

3. Back and Pelvic Pain

The weight of the baby and changes in your posture may cause back pain or pelvic discomfort. You might also feel aches in your lower abdomen or pelvic region as your ligaments stretch. What to do: Prenatal massage or gentle stretching exercises, such as those in antenatal yoga, can help alleviate some of the discomfort. Speak with your antenatal care provider if the pain becomes severe or unmanageable.

4. Braxton Hicks Contractions

As you approach the final weeks of pregnancy, you may begin to experience Braxton Hicks contractions. These are irregular, painless contractions that help your body prepare for labour. They are usually not a cause for concern but may become more frequent as you get closer to your due date. What to do: Stay hydrated, rest, and change positions if you feel a contraction coming on. However, if the contractions become regular or are accompanied by pain, it’s important to consult your antenatal clinic to rule out preterm labour.

5. Heartburn and Indigestion

Heartburn and indigestion are common complaints at 32 weeks pregnant. The growing uterus can push up against your stomach, leading to acid reflux and a feeling of discomfort. What to do: Eat smaller, more frequent meals, avoid spicy or fatty foods, and try to stay upright after eating. Your antenatal care provider may recommend safe over-the-counter antacids if the discomfort persists.

6. Swollen Ankles and Feet

Swelling, also known as oedema, is a normal part of pregnancy. As your body retains more fluid and your baby grows, you may notice swelling in your feet, ankles, and hands. What to do: Elevate your feet when resting, avoid standing for long periods, and wear comfortable shoes. If the swelling is severe or sudden, particularly if it is accompanied by high blood pressure, contact your antenatal provider immediately.

7. Stretch Marks

Stretch marks are a common symptom in the third trimester as your body expands to accommodate your growing baby. These marks typically appear on your abdomen, hips, thighs, or breasts and are usually red, purple, or brown at first, then fade over time. What to do: While there is no guaranteed way to prevent stretch marks, keeping your skin moisturised with oils or lotions may help with the elasticity of your skin.

Red Flags at 32 Weeks Pregnant: When to Seek Help

While many symptoms in the third trimester are normal, there are certain red flags that require immediate medical attention. If you experience any of the following symptoms, contact your antenatal clinic right away:

1. Severe Abdominal Pain

While mild cramping and discomfort are common, severe or sharp abdominal pain could indicate a more serious issue, such as a miscarriage, ectopic pregnancy, or placental abruption. What to do: Call your antenatal care provider immediately if you experience severe or persistent abdominal pain.

2. Heavy Bleeding

Light spotting can occur during pregnancy, but heavy bleeding (like a menstrual period) is a red flag. It may indicate a miscarriage, placenta previa, or placental abruption. What to do: Contact your antenatal care provider immediately if you experience heavy bleeding. If bleeding is accompanied by pain or dizziness, go to the emergency room.

3. Severe Headaches or Vision Changes

Severe headaches or changes in vision, such as blurry vision or seeing spots, can be signs of preeclampsia, a pregnancy complication that involves high blood pressure. If you experience these symptoms, seek medical attention promptly. What to do: If you experience severe headaches or vision disturbances, call your antenatal care provider or go to the hospital.

4. Sudden or Severe Swelling

Swelling in your feet and ankles is normal, but if you notice sudden or severe swelling in your hands, face, or legs, it may be a sign of preeclampsia. This, combined with high blood pressure, can be dangerous for both you and your baby. What to do: Contact your antenatal care provider immediately if you notice sudden or severe swelling, especially in combination with other symptoms like headaches or high blood pressure.

5. Reduced Fetal Movement

By 32 weeks, you should be feeling regular fetal movements. If you notice a significant reduction in your baby’s movements or they stop altogether, it could indicate a problem, such as an umbilical cord issue or a problem with the placenta. An increase in fetal movement can also be a red flag. While a decrease in fetal movement is often highlighted as a concern, an increase in fetal movement can also signal a potential problem. It may be an indication that the baby is stressed or uncomfortable, possibly due to issues such as a lack of oxygen, dehydration, or other complications. Increased fetal movement, especially if it is sudden and noticeably more vigorous than usual, should be addressed. It’s important to reach out to your antenatal care provider to discuss these changes. They may want to perform a checkup, such as an ultrasound or a non-stress test, to ensure everything is well with both you and your baby. It’s always a good idea to trust your instincts as a parent. If you notice any unusual changes in your baby’s movements—whether it’s a reduction or an increase—be sure to contact your antenatal clinic for advice. What to do: If you notice an absence, reduction or increase in fetal movement, contact your antenatal clinic immediately to get checked.

6. Signs of Preterm Labour

Signs of preterm labour may include regular contractions, lower back pain, pelvic pressure, or changes in vaginal discharge. These symptoms should not be ignored, as they may indicate that labour is beginning prematurely. What to do: If you experience any signs of preterm labour, call your antenatal care provider or go to the hospital for evaluation.

7. Shortness of Breath or Chest Pain

Severe shortness of breath or chest pain could be a sign of a serious condition such as a blood clot or preeclampsia. These symptoms are a medical emergency and should be addressed immediately. What to do: Seek immediate medical help if you experience chest pain or severe shortness of breath.

Managing Your Health During the Third Trimester

During the third trimester, regular antenatal appointments are essential to monitor the health of both you and your baby. Keep track of any changes in your symptoms and don’t hesitate to reach out to your antenatal care provider if you have any concerns. Maintaining a healthy lifestyle with a balanced diet, prenatal care, and gentle exercise like antenatal yoga can help ensure a smoother transition to labour. Antenatal Support: Stay in regular contact with your healthcare team, especially if you have any concerns about your pregnancy or the wellbeing of your baby. Attending antenatal classes near you can provide valuable education and support, helping you feel more prepared for the final stretch of your pregnancy.