What's happening in my body?
It's usually fine to go over by a week or so without any extra risks. However about 10 or 12 days after your due date, there is some evidence to suggest the placenta starts to work less well.
Your care providers will discuss the best ways forward with you, which could involve extra monitoring or induction.
You might be offered a membrane sweep to start with.
This is where your midwife or doctor sweeps their finger around inside you and separates your cervix from the membranes around your baby. The idea is to stimulate hormones that could bring on your contractions.
Labour may then start within 24 to 48 hours. However, you may need a couple of sweeps to get going, and it does not work for everyone.
RSV vaccination
Have you had the RSV (respiratory syncytial virus) vaccine? It's usually offered at around week 28 but can be given later if needed, right up until you go into labour.
Having the vaccination can lower your baby's risk of a severe lung infection called bronchiolitis, which can make it difficult for your baby to breathe and feed. If you've not had it yet, speak to your midwife or a GP.
Induced labour
Around 1 in 5 births are induced, which means that drugs are used to get the labour going.
You might be offered a membrane sweep first – this can feel uncomfortable, but it does not harm you or the baby.
A drug called prostaglandin is then used to open up the cervix and get contractions going. It's put into the vagina as a gel or tablet.
It can also be delivered through a pessary, which looks like a mini tampon and releases the drug over 24 hours.
You may need to have your waters broken if they do not break naturally. You may also be offered a drip containing another drug called syntocinon if the labour needs to be speeded up.
There's a lot to consider when you're offered an induction, so ask as many questions as you like.
Here are a few things to consider:
- there could be medical reasons why it's important for your baby to be delivered sooner rather than later
- induction can often avoid the need for a caesarean
- it could be more painful than a spontaneous delivery – you may end up with an assisted delivery using forceps (which are a bit like tongs) or a ventouse (which is a special suction cup)
Read more about your options for giving birth over 40 weeks.
3rd trimester pregnancy symptoms (at 41 weeks or more)
You could be feeling very frustrated, but try to stay calm as that's best for you and the baby.
Your signs of pregnancy could also include:
- painless contractions around your bump, known as Braxton Hicks contractions
- sleeping problems (week 19 has information about feeling tired)
- stretch marks (week 17 has information on stretch marks)
- swollen and bleeding gums (week 13 has information on gum health during pregnancy)
- pains on the side of your baby bump, caused by your expanding womb ("round ligament pains")
- piles (week 22 has information on piles)
- headaches
- backache
- indigestion and heartburn (week 25 has information on digestive problems)
- bloating and constipation (week 16 has information on bloating)
- leg cramps (week 20 has information on how to deal with cramp)
- feeling hot
- dizziness
- swollen hands and feet
- urine infections
- vaginal infections (week 15 has information on vaginal health)
- darkened skin on your face or brown patches – this is known as chloasma or the "mask of pregnancy"
- greasier, spotty skin
- thicker and shinier hair
You may also experience symptoms from earlier weeks, such as:
- mood swings (week 8 has information on mood swings)
- morning sickness (week 6 has information on dealing with morning sickness)
- weird pregnancy cravings (week 5 has information on pregnancy cravings)
- a heightened sense of smell
- sore or leaky breasts (week 14 has information on breast pain) – a white milky pregnancy discharge from your vagina and light spotting (seek medical advice for any bleeding)
What does my baby look like?
The average baby is now around 3 to 4kg. We cannot be too precise, but imagine that there's a small pumpkin or a watermelon sitting in your stomach.
The fast period of growth is now over. Your baby should be chubby enough and mature enough to survive outside the uterus (womb) without any assistance.
Overdue babies tend to have red, dry and peeling skin. This is usually because they've lost their vernix, which is the greasy layer that stops their skin from drying out in the amniotic fluid.
Don't be tempted to moisturise your baby's rough skin, as it could make it even worse. The red layer will peel off after a few days, without any help, revealing perfect skin underneath.
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Baby basics
From the essentials of caring for your baby to understanding their sleep, find out all the baby basics you need to know about your newborn.