35 Weeks Pregnant: Labor & Delivery Guide

Hey there, future parents! Approaching 35 weeks pregnant is a big deal, and it's totally normal to feel a mix of excitement, nerves, and maybe a little bit of sheer overwhelm. You're so close to meeting your little one! At this stage, your baby is continuing to pack on the pounds and refining those adorable features. Meanwhile, you're experiencing a whirlwind of physical and emotional changes. Let's break down what you can expect during these final weeks of pregnancy, focusing on labor and delivery at 35 weeks, potential complications, and what you need to know to prepare.

Understanding the 35-Week Milestone

At 35 weeks, you're officially in the home stretch! You're considered late preterm, meaning your baby has a good chance of thriving outside the womb. However, remember that every week counts in the womb. During this period, your baby's lungs are rapidly maturing, and their brain development is accelerating. They are practicing breathing movements, and their little bodies are getting ready for the big day. You're likely experiencing some uncomfortable symptoms, such as increased back pain, frequent urination, and difficulty sleeping. This is all part of the process, and it's a sign that your body is preparing for labor. Keep in mind that a baby born at 35 weeks might still need some extra help with breathing, feeding, and maintaining body temperature, though the odds are significantly better compared to earlier pre-term deliveries. You should prioritize resting, eating well, and attending all your prenatal appointments to monitor your and your baby's health.

Now, let's talk about those important labor and delivery considerations. While it is always best to carry a baby to term, it's essential to be prepared for the possibility of early arrival. Understanding the signs of labor, knowing what to expect during a hospital stay, and having a solid birth plan are crucial steps. This is a time to lean on your support system, ask questions, and gather all the information you need to make informed decisions about your birth experience. Also, the chances of your baby needing a stay in the neonatal intensive care unit (NICU) are reduced compared to babies born earlier. This is a big relief, but being prepared for all scenarios is key to feeling confident and in control.

As you approach the 35-week mark, your focus should shift to packing your hospital bag, finalizing your birth plan, and arranging any necessary childcare for older children or pets. Consider taking a childbirth education class if you haven't already. These classes will equip you and your partner with the knowledge and skills you need to navigate labor and delivery with confidence. The more informed you are, the better you'll be able to handle any situation that arises. Also, this is a good time to become familiar with the hospital's labor and delivery unit and understand their policies. Knowing where to go and what to expect can significantly reduce stress when the real contractions start. Remember, this is a shared journey, so involve your partner, family, and friends in the preparation process. They can offer support, encouragement, and practical assistance. Get ready to embrace the final weeks and welcome your little one with open arms!

Signs of Labor at 35 Weeks

Spotting the signs of labor is a crucial step at 35 weeks. The classic signs are the same as at full term, but it’s extra important to be aware since things could be happening a bit sooner. If you experience any of these signs, don’t hesitate to contact your doctor or head to the hospital. Remember, it's always better to be safe than sorry.

One of the most noticeable signs is contractions. At first, they may feel like tightening in your abdomen, similar to menstrual cramps. They might be irregular and easily dismissed as Braxton Hicks contractions (practice contractions). However, if contractions become regular, increase in intensity, and occur at consistent intervals, it's a strong indication that labor has begun. Keep track of how long your contractions last and how far apart they are.

Another significant sign is water breaking, or the rupture of the amniotic sac. It can feel like a sudden gush of fluid or a slow trickle. Sometimes, your water breaks and there is no accompanying contraction, or contractions may start soon after the water breaks. If you suspect your water has broken, contact your healthcare provider immediately, regardless of whether you’re having contractions, as there is a risk of infection.

Also, keep an eye out for the mucus plug or what’s called the “bloody show.” This is a thick, mucus-like discharge that may be tinged with blood. The mucus plug seals the cervix during pregnancy, and its release can be a sign that labor is approaching. However, some women experience the mucus plug release weeks before labor starts, while others don't notice it at all, so this is just one piece of the puzzle.

Other potential signs include persistent back pain (especially if it's different from your usual aches), pelvic pressure, diarrhea, or a sudden burst of energy (nesting instinct). Trust your instincts. If something feels off, or if you're worried about anything, contact your healthcare provider. They're there to guide and support you throughout this journey.

Labor and Delivery: What to Expect

If you go into labor at 35 weeks, the labor and delivery process is similar to that of a full-term pregnancy, but there might be some specific considerations. The stages of labor—early labor, active labor, transition, and pushing—will still apply. The speed of the process can vary greatly from woman to woman, and even from pregnancy to pregnancy. Here’s a general idea of what to expect:

Early Labor: This stage can last for hours, even days. You might feel mild contractions, backaches, and a little bit of excitement (and maybe some anxiety!). It's a good time to stay home, rest, eat, and stay hydrated. You can walk around, watch TV, or do whatever helps you feel relaxed. When contractions become more regular, stronger, and more frequent, it’s time to head to the hospital.

Active Labor: This is when contractions become more intense and closer together. Your cervix will dilate more rapidly. Your healthcare team will monitor you and your baby. You'll likely be offered pain relief options, such as an epidural, if you choose. During this stage, your healthcare team will monitor your progress and make sure both you and your baby are doing well. It's a time to focus on your breathing, and staying calm.

Transition: This is the most intense part of labor. Contractions are very strong, and you may feel the urge to push. This stage is usually the shortest, but it can be the most challenging. You will feel a strong urge to push as your cervix nears complete dilation (10 centimeters).

Pushing: Once your cervix is fully dilated, you can start pushing. You'll work with your healthcare team to find the best pushing positions. This stage can take anywhere from a few minutes to a few hours. Eventually, your baby will be born!

Delivery Considerations: Because you're at 35 weeks, your healthcare team will closely monitor your baby's condition during labor. They might recommend continuous fetal monitoring. They'll also be prepared to help your baby adjust to life outside the womb, especially in regards to respiratory support or assistance with maintaining body temperature. Always remember that your healthcare providers will be there to support you every step of the way.

Potential Complications at 35 Weeks

While most babies born at 35 weeks do very well, there are some potential complications to be aware of. Being informed allows you to feel more in control and better prepared to handle any situation. Some common concerns include:

Preterm Labor: The biggest risk is that labor could start spontaneously. This is why it's so important to be aware of the signs of labor and contact your doctor if you experience them. If preterm labor is diagnosed, your doctor may try to stop or slow down the labor to allow the baby more time to develop. This can involve medication or, in some cases, bed rest.

Respiratory Distress Syndrome (RDS): Although your baby's lungs are more developed at 35 weeks, RDS is still a possibility. RDS occurs when the baby's lungs don't produce enough surfactant, a substance that helps the lungs inflate properly. If the baby has RDS, they might need respiratory support, such as oxygen or, in more severe cases, a ventilator.

Jaundice: This is a common condition where the baby's skin and eyes turn yellow due to a buildup of bilirubin. It's usually mild and resolves on its own or with light therapy. Premature babies are more prone to jaundice because their livers aren't fully developed.

Feeding Difficulties: Premature babies might have trouble coordinating sucking, swallowing, and breathing. They may need assistance with feeding, which could involve feeding through a tube or bottle until they learn to breastfeed.

Infection: Preterm babies are more susceptible to infections. Healthcare providers will take extra precautions to protect your baby from germs and monitor for any signs of infection.

It’s important to remember that these complications are potential, not certainties. Close monitoring and prompt medical care can help minimize the impact of these risks. You should have a detailed conversation with your healthcare provider about the potential complications and how they will be addressed. Their expertise and support will be invaluable.

Preparing for Delivery at 35 Weeks

Preparation is key to feeling confident and in control as you approach your due date at 35 weeks. Here's a checklist to help you get ready:

Pack Your Hospital Bag: Start packing your hospital bag around 30-32 weeks. Include essentials for you, such as comfortable clothing, toiletries, nursing bras, and any medications you take. Pack items for the baby as well, such as onesies, diapers, and a going-home outfit. Don't forget items for your partner too. Make a list and check it twice to be sure you have everything you need.

Finalize Your Birth Plan: If you haven’t already, now is the time to review and finalize your birth plan. Discuss your preferences for pain relief, labor positions, interventions, and immediate postpartum care with your doctor. Remember, a birth plan is a guide, not a contract. Be flexible and open to changes if needed.

Choose a Pediatrician: If you haven't already, select a pediatrician for your baby. This is an important step. Interview a few different pediatricians to make sure you find one who aligns with your values and preferences.

Learn About Infant Care: Take a newborn care class to learn about basic infant care, such as feeding, diapering, bathing, and swaddling. These classes can boost your confidence and help you feel more prepared to care for your baby.

Set Up the Nursery: While the nursery doesn't need to be perfect, it's a good idea to have a safe and comfortable space for your baby. Set up the crib, changing table, and any other furniture. Gather essentials like diapers, wipes, and baby clothes.

Arrange Childcare: If you have older children or pets, make arrangements for their care during labor and the postpartum period. Identify who will be responsible for their care and ensure they have all the necessary information.

Plan for Postpartum Support: Consider how you’ll get support after the baby arrives. Think about meal preparation, household chores, and emotional support. Family, friends, or a postpartum doula can be invaluable during this time.

The Role of Your Healthcare Provider

Your healthcare provider is your guide throughout this journey. They provide essential care, information, and support. Be sure to:

Attend all Prenatal Appointments: Regular checkups allow your doctor to monitor your and your baby's health. They will measure your belly, check your blood pressure, listen to the baby's heartbeat, and answer your questions.

Ask Questions: Don't hesitate to ask any questions you have. Your healthcare provider is there to provide information and address your concerns. It’s better to ask than to guess.

Communicate Changes: Report any changes in your health or any unusual symptoms, such as bleeding, severe headaches, or decreased fetal movement. Early intervention can prevent serious complications.

Follow Their Advice: Follow your healthcare provider's recommendations for prenatal care, labor and delivery, and postpartum care.

Trust the expertise of your healthcare provider. They are there to make sure you and your baby are safe and healthy. Building a strong relationship with your provider can provide peace of mind throughout this exciting time.

Postpartum Care and Recovery

Once you’ve delivered your baby, there is a whole new chapter to begin. The postpartum period is a time of incredible change, both physically and emotionally. You'll be recovering from labor and delivery while also caring for a newborn. Here’s what you can expect:

Physical Recovery: Your body will need time to heal. Rest as much as possible, drink plenty of fluids, and eat a healthy diet. You may experience vaginal bleeding (lochia) for several weeks. Use pads (not tampons) and change them frequently to prevent infection. Follow any specific instructions from your healthcare provider.

Emotional Changes: You may experience a range of emotions, including joy, excitement, and even some sadness or anxiety. Baby blues are common. If you have any concerns about your mood, reach out to your healthcare provider. Postpartum depression is a real condition, and help is available. Don't hesitate to seek support.

Breastfeeding or Formula Feeding: Whether you choose to breastfeed or formula-feed, your healthcare provider and lactation consultant can offer guidance and support. Attend any classes offered or seek support from other mothers if needed.

Follow-up Appointments: Attend all your follow-up appointments with your healthcare provider. They will monitor your recovery, check your baby's health, and answer any questions.

Self-Care: Don't forget to take care of yourself. Make time for rest, relaxation, and self-care activities. Take some time to breathe and process the life changes. Your partner, family, and friends can provide essential support during this time.

Final Thoughts and Support

Congratulations on reaching this exciting time! Remember, you're not alone. Lean on your support network and don't hesitate to seek help when you need it. Embrace the journey of pregnancy, labor, and delivery. Stay informed, stay positive, and trust in your body and your ability to bring your little one into the world. You’ve got this!

Here are some final tips:

• Stay Informed: Continue researching and educating yourself about pregnancy and childbirth.
• Trust Yourself: Believe in your instincts and your ability to be a great parent.
• Celebrate: Take time to celebrate this incredible milestone with your partner, family, and friends.
• Remember, every pregnancy is unique, and every baby is special. Enjoy the journey, and welcome your little one with love and joy. Your baby is almost here, and it will be an incredible adventure.