Your pregnancy at 40 weeks

It’s here—the week you’ve been waiting for! Even if baby hasn’t arrived just yet, you’re truly at the final stretch. If this is your first baby, you will have another midwife appointment this week where you’ll discuss what might happen if you go over 41 weeks. Rest assured, you’re very close to meeting your little one.

What's Happening with Baby

At 40 weeks, your baby is fully developed and ready for the outside world. They should be head down in the engaged position, though some babies may not engage fully until labour begins. Your midwife will assess how engaged your baby is at your appointment, using terms like 1/5 or 0/5, where 0/5 indicates deep engagement. Remember, every baby is different, and engagement can vary.

What’s Happening with You

You might be on maternity leave by now, or perhaps you're feeling the strain of the waiting game. Either way, the finish line is in sight!

If you’re unsure when to contact your midwife or hospital, here are some signs that labour might be starting:

• Contractions: Regular and increasingly painful, unlike Braxton Hicks.
• Waters Breaking: This could be a small trickle or a gush of fluid.
• Period-like Pain or Lower Back Pain: This can be a sign that labour is approaching.
• Urgency to Go to the Toilet: Baby’s head pressing on your bowels may create this sensation.
• The ‘Show’: A plug of mucus from your cervix may be expelled.

If contractions start at night, try to rest as much as possible to conserve your energy for labour. Staying active can help move things along if your contractions start during the day. When contractions last at least 60 seconds and occur every 5 minutes, it’s time to contact your midwife or hospital to discuss coming in.

This article has been written using the latest guidance and information from trusted sources, primarily the NHS. This information should not replace professional medical advice. Always consult with your healthcare provider for advice tailored to your personal health and circumstances.