28 Weeks Pregnant: Development, Symptoms & Care

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The third trimester begins at 28 weeks.

General education; your own maternity team guides your care. Sources checked 30 September 2026. No clinical review is claimed. Editorial standards.

Your baby at 28 weeks

About 37.6 cm (head to heel); roughly comparable to a aubergine. Sizes vary.

Growth and organ development continue.
A weekly size estimate cannot assess your individual baby’s health.

The weekly size is an approximate illustration. Your team assesses growth using your pregnancy dates, examination and scans where indicated.

Development reference: NHS: week 28 development and symptoms.

Symptoms and body changes

Sleep disruption, heartburn and back discomfort can become more noticeable.
Pressure and irregular tightenings may occur; contact maternity care if you think labour has started or are unsure.
New or worsening symptoms deserve attention; use the urgent-care guidance below.

Your symptoms and bump may differ from someone else at the same week.
Discuss changes that worry you with your maternity team; you do not need to wait for the next appointment.

Check when to seek care if you are unsure about a symptom.

Your care plan this week

Review your care plan, including blood pressure, growth and movements. Ask about any recommended vaccines, blood tests or anti-D; individual needs and local schedules differ.

Planning tip

Ask your team which tests, vaccines or preventive treatments are recommended for you.

A practical checklist

Ask your team which tests, vaccines or preventive treatments are recommended for you.
Write down questions or symptoms to discuss with your maternity team.
Check the date and purpose of your next appointment.

Activity and comfort

For an uncomplicated pregnancy, build activity gradually toward 150 minutes a week if your maternity team agrees. Keep a pace at which you can talk, avoid overheating and activities with fall or impact risk, and stop if you feel unwell. Avoid prolonged exercise flat on your back, particularly after 16 weeks.

Mental wellbeing

Tell your midwife or doctor if anxiety, low mood or loss of interest persists or affects daily life. Support and treatment are available. Do not stop prescribed mental-health medicine without advice. Seek immediate help if you may harm yourself or someone else.

Nutrition guidance

Include iron-containing foods such as meat, beans, lentils and fortified cereals. Vitamin C foods can help absorption of iron from plants; no fixed percentage increase applies to every meal.
US reference intake for iron in pregnancy is 27 mg daily in total, not an instruction to add that dose to every prenatal. Your clinician may recommend a different dose based on local guidance, blood tests and your needs.
If iron is prescribed, follow its instructions and ask about side effects or interactions with other medicines and supplements. Do not stop treatment or change the dose because of a week-by-week article.

Needs and supplement recommendations vary by country and individual circumstances. NIH: pregnancy nutrients and supplements · NHS: pregnancy food safety · FDA/EPA: fish choices · NHS: severe pregnancy sickness.

Understanding movements

First movements are usually felt at 16–24 weeks. If none have been felt by 24 weeks, contact your midwife. Once you know the usual pattern, call maternity care immediately if it slows, stops or changes. Do not wait until the next day or use a home Doppler to reassure yourself.

Rest and sleep position

From 28 weeks, settle to sleep on either side, including for naps. If you wake on your back, turn onto your side. Pillows may help you feel comfortable; contact your clinician about persistent sleep problems.

When to get medical help

Get medical help immediately for trouble breathing, chest pain, fainting, severe or persistent abdominal pain, a severe headache or vision changes, fever of 38°C or higher, or marked swelling of the face or hands.
Seek urgent maternity advice for bleeding or spotting, leaking fluid, severe vomiting that prevents drinking, or one-sided painful leg swelling. Severe bleeding or collapse requires your local emergency service.
If you are less than 37 weeks pregnant and have regular contractions or tightenings, contact maternity care immediately. Do not wait for a contraction timer.
This is not an exhaustive list. If something feels wrong, contact your care team; tell them you are pregnant.

Read pregnancy warning signs and the CDC urgent warning signs.

Questions about week 28

How big is a baby at 28 weeks?

The NHS weekly guide gives an illustrative length of about 37.6 cm from head to heel. This is not a target for an individual baby. Your maternity team interprets growth in context.

What should I focus on at 28 weeks?

Ask your team which tests, vaccines or preventive treatments are recommended for you.

When should I contact maternity care?

Contact your team whenever you are worried, and immediately for urgent symptoms or a change in the usual movement pattern. Do not wait for the next appointment or a timer threshold. Use your local emergency service for severe symptoms or collapse.

Sources and editorial update

Guidance checked 30 September 2026. NHS weekly development summaries are illustrative; appointments and local recommendations may differ. Birth-term definitions use NIH / NICHD.

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Keep your questions together

Use the interactive guide to explore development, practical reminders and linked sources.

Explore week 28

Next: postpartum recovery · newborn care · safe infant sleep.