28 Weeks Pregnant

By BSc, MSc (embryologist) and BA, MA (fertility counselor).
Last Update: 12/02/2014

In this moment pregnancy is quite advanced, which means that the uterus takes quite a lot of space inside the belly. The digestive tract is a bit compressed and therefore it’s recommended to eat small quantities several times a day. Suffering from constipation or even hemorrhoids is quite common. Eat fruit and olive oil in order to avoid it.

The different sections of this article have been assembled into the following table of contents.

Ultrasound monitoring

Usually the ultrasound check takes place every two – three weeks during this period, to make sure that everything evolves as it’s supposed to.

Take advantage of these visits to your doctor to ask him all the questions that may arise. Having good communication with the specialists is crucial, since they must always know how you feel and what your annoyances are.

Other follow-up tests

Even though it depends on the protocol followed by every doctor, it’s possible you are asked to perform a urine test, to check your sugar and albumin concentration.

It’s advisable to carry out a glucose test between weeks 24 and 28, which will determine if there’s any risk of suffering from gestational diabetes. Many women experience an increase in the sugar blood levels during pregnancy.

With this test it will be found out if the performance of another analysis named glucose-tolerance, which will determine if there’s gestational diabetes, is needed. If that was the case, the doctor and the nutritionist will establish the diet to follow.

Common discomforts

One of the most common annoyances during week 28 is to have swollen ankles and feet, due to the fluids retention.

In order to relieve it, you should drink a lot of water and activate blood flow by walking at least 30 minutes every day.

Fetal development

During week 28, the lungs of your child are practically fully developed. If there was a premature delivery, the baby would count on good odds of survival, although he would need special cares, such as assisted breathing, nutrition and incubator.

In the worst of the cases, if he died, it would be considered as a baby born and dead and not an abortion, since he has achieved enough degree of development.

The main problem in the premature babies of 28 weeks is that the surfactant substance, which avoids the collapse of the lungs every two breathings, hasn’t been produced yet.

Furthermore, there’s too little fat under the skin, which means that the temperature control system doesn’t work properly. Precisely during this week will the fat accumulate in his body and the wrinkled skin begin to stretch.

At the end of this week, he will be 38 cm long and will weigh 1,050 grams on average. If the weight of your child is located between 700 and 1,230 grams you must not worry, since they are also considered normal values.

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Authors and contributors

 Neus Ferrando Gilabert
Neus Ferrando Gilabert
BSc, MSc
Embryologist
Bachelor's Degree in Biology from the University of Valencia (UV). Postgraduate Course in Biotechnology of Human Assisted Reproduction from the Miguel Hernández University of Elche (UMH). Experience managing Embryology and Andrology Labs at Centro Médico Manzanera (Logroño, Spain). More information about Neus Ferrando Gilabert
Adapted into english by:
 Sandra Fernández
Sandra Fernández
BA, MA
Fertility Counselor
Bachelor of Arts in Translation and Interpreting (English, Spanish, Catalan, German) from the University of Valencia (UV) and Heriot-Watt University, Riccarton Campus (Edinburgh, UK). Postgraduate Course in Legal Translation from the University of Valencia. Specialist in Medical Translation, with several years of experience in the field of Assisted Reproduction. More information about Sandra Fernández

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