The 39th Week of Pregnancy: Preparing for the Arrival

Introduction
Congratulations! You’ve reached the 39th week of pregnancy—one of the most exciting and nerve-wracking stages of your journey. This is the final stretch before you meet your little one, and labor could begin at any moment.
While you wait, it’s important to stay informed about what’s happening with your body and your baby, the signs of labor, and how to prepare for the days ahead. Here’s everything you need to know about week 39.
Baby’s Development at 39 Weeks
Your baby is fully developed and ready to thrive outside the womb. This week, most of the changes are final touches as your baby prepares for their grand entrance.
- Size and Weight
At 39 weeks, your baby is comparable in size to a watermelon, weighing around 7 to 7.5 pounds and measuring between 19 and 21 inches in length. - Organ Maturation
All vital organs, including the lungs, are now fully developed and ready to function independently. Your baby has been practicing breathing movements and is preparing to take their first real breath after birth. - Fat Stores
Over the past few weeks, your baby has been accumulating fat under their skin. This will help regulate their temperature in their new environment. - Brain Development
Though most major developments are complete, your baby’s brain is still growing and forming pathways that will help them adapt to life outside the womb. - Position
By 39 weeks, your baby is likely head-down and settled into your pelvis, ready for delivery. If they are in a breech position, your doctor might discuss options such as a cesarean delivery if they don’t turn naturally. - Movement
While your baby has less room to move, you should still feel rolling or shifting motions. If movement decreases significantly, contact your healthcare provider immediately.
Maternal Symptoms and Changes
Your body is working hard to prepare for labor and delivery, and by 39 weeks, you’ll likely notice several physical and emotional changes.
1.Physical Changes
- Pelvic Pressure
You may feel increased pressure in your pelvis as the baby drops lower into the birth canal. This is known as “lightening.” This can make walking or sitting uncomfortable but is a sign that labor is approaching. - Braxton Hicks Contractions
These irregular “practice” contractions may feel more pronounced. While they might be uncomfortable, they help your uterus prepare for labor. - Back Pain and Cramping
Mild cramping or an aching lower back are common due to the weight and position of the baby. - Swelling and Fatigue
Some women experience swelling in their legs, ankles, or hands. Fatigue is also common as your body supports the extra weight and prepares for delivery. - Difficulty Sleeping
You might find it hard to sleep due to discomfort or an active mind thinking about labor and delivery. Using pregnancy pillows can help provide support.
2.Emotional and Mental Changes
- Anxiety and Anticipation
It’s natural to feel a mix of emotions—excitement, nervousness, and even impatience to meet your baby. - Nesting Instinct
Many women feel a strong desire to clean, organize, and prepare their home for the baby. While this is completely normal, remember to take breaks and avoid overexertion. - Impatience or Mood Swings
Hormonal changes and the anticipation of labor might leave you feeling more emotional than usual.
Signs of Labor to Watch For
Knowing what to expect can help you feel more prepared and confident as labor nears. Here are key signs to watch for at 39 weeks.
- Contractions
True labor contractions are regular, progressively stronger, and closer together. These are different from Braxton Hicks contractions, which often subside when you change position. - Water Breaking
If you notice a gush or a steady trickle of fluid, it might mean your amniotic sac has ruptured. This is a sign that labor is soon to follow, and you should contact your healthcare provider. - Bloody Show
This refers to a pink or brownish mucus discharge as your cervix begins to dilate. It’s a sign that labor could be imminent. - Intense Pelvic Pressure
A stronger sense of pressure in your pelvis may mean the baby is descending into the birth canal, signaling that labor is getting closer. - Back Pain
Persistent lower back pain can sometimes accompany contractions and signal the onset of labor.
Things to Do at 39 Weeks
This is the perfect time to finalize your preparations and make sure everything is in place for the baby’s arrival.
1. Prepare Your Hospital Bag
Double-check that your hospital bag is ready. Essentials might include comfortable clothing, toiletries, snacks, baby clothes, diapers, and important documents like your ID and insurance information.
2. Review Your Birth Plan
Go over your birth plan with your doctor or midwife to check that everyone is aligned on your preferences for labor and delivery.
3. Ensure Transportation Arrangements
Plan how you’ll get to your hospital or birthing center when labor begins. If you have other children, arrange for childcare during your delivery.
4. Conserve Energy
Rest as much as possible during this final stage. Take short naps and avoid activities that are overly tiring.
5. Stay Active
Light activities like walking can help prepare your body for labor. However, always consult your doctor before starting any new physical routines in the final weeks.
6. Monitor Baby Movements
Keep track of your baby’s movements. If you notice a significant decrease, contact your healthcare provider immediately.
Self-Care Tips
- Ease Discomfort
Take warm baths, use a heating pad for backaches, or try prenatal yoga for relaxation. - Hydrate and Eat Well
Drink plenty of water and focus on nutrient-rich foods to keep your energy levels up. - Practice Relaxation Techniques
Deep breathing, meditation, or listening to soothing music can help alleviate stress.
When to Contact Your Doctor
Don’t hesitate to reach out to your doctor if you experience the following symptoms during this week:
- Intense, regular contractions that occur every 5 minutes over an hour.
- Your water breaks, whether it’s a gush or a slow leak.
- Vaginal bleeding or heavy discharge.
- Severe pain in your abdomen or back.
- Blurred vision, severe headaches, or swelling in the face and hands (possible signs of preeclampsia).
- A decrease in your baby’s movements.
Prepare for a safe and confident delivery with Dr. Supriya Puranik, the best pregnancy doctor in Pune. Schedule your consultation today!
Reassurance and Next Steps
The 39th week of pregnancy is an incredible time, full of anticipation and excitement. While the wait can feel long, know that your baby will arrive when they’re ready. Trust your body and medical team, rest when you can, and allow yourself to enjoy these final moments of pregnancy.
If you’re looking for expert guidance, consult Dr. Supriya Puranik, a trusted OB-GYN in Pune, for personalized care during these final stages. With her support, you can feel confident and prepared for the birth of your baby.
Soon enough, you will hold your little one in your arms—a moment that makes all the waiting worthwhile. You’re almost there!
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About Author
Dr. Supriya Puranik
Gynaecologist & IVF Specialist
Dr. Supriya Puranik, a renowned gynaecologist and infertility expert, leads the IVF & Gynaecology department at Sahyadri Hospitals Momstory in Shivaji Nagar, Pune. She is committed to helping couples overcome infertility challenges.