You feel a pulling in your back, your belly feels different, and suddenly you ask yourself: Is it time? The last weeks of pregnancy are filled with excitement, anticipation – and sometimes uncertainty. But don't worry: Your body gives you clear signals when labor is approaching. Let's take a look together at what to watch for.

Your Baby is Ready – and So Are You

At 38 weeks pregnant, your baby is fully developed and is no longer considered a premature baby. All organs function independently, reflexes are developed, and your little one is gradually losing the protective lanugo hair. It now weighs about 3,000 to 3,400 grams and measures around 49 to 50 centimeters – ready to discover the world.

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Your body is now working hard to prepare for labor. Hormones are causing your pelvis to stretch, ligaments to relax, and the cervix to gradually soften. All of these are natural processes that pave the way for your baby.

What Happens in Your Body?

  • Light Contractions: They push your baby deeper into the pelvis – you breathe easier but may need to go to the bathroom more often.
  • Hormonal Changes: Prostaglandins soften the cervix and prepare it for opening.
  • Weight Loss: Many women lose 1-2 kilograms shortly before birth due to water loss.
  • Nesting Instinct: The sudden urge to organize and prepare is a psychological sign.

The 7 Most Important Signs of Labor at 38 Weeks

Not every cramp means that labor is imminent. Your body has been practicing for weeks – but there are clear signals that indicate it’s getting serious. Here are the main signs to watch for:

1. Light Contractions – Your Baby is Dropping

Light contractions push your baby deeper into the pelvis. You feel them as a pulling in your back, regular pain, or a stabbing pain in the pubic area. Unlike labor contractions, they are irregular and often disappear when you move or rest. Your belly looks lower afterward, and you can breathe easier.

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2. The Show – The Mucus Plug is Coming Out

If you notice reddish-brown discharge, the mucus plug that was sealing your cervix may have come loose. This so-called "show" is a clear sign that your cervix is opening. Labor usually begins within 24 hours after the mucus plug has released with labor-related contractions. Some women barely notice it, while others see clear traces.

3. Water Breaking – When the Amniotic Fluid Leaks

The water breaking can happen as a gush or as a trickle. Amniotic fluid is usually clear and odorless. When your waters break, you should head to the hospital within the next few hours – even if contractions haven't started yet. Keep track of the time and the color of the amniotic fluid (greenish may indicate stress for the baby).

4. Regular Contractions

Real labor contractions come at regular intervals, become stronger and more frequent. They cannot be stopped by movement or a warm bath. If contractions come every 5-10 minutes and last 30-60 seconds, it's time to go to the hospital. Breathe consciously through each contraction and trust that your body knows exactly what to do.

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5. Diarrhea and Nausea

Many women experience diarrhea, nausea, or abdominal pain shortly before labor. Your body is essentially cleaning house, making room for the birth. These symptoms can occur 24-48 hours before the first contractions. Make sure to drink enough and eat light foods.

6. Extreme Fatigue or Sudden Energy

Some women feel incredibly tired just before birth, while others experience a surge of energy and suddenly want to clean the whole house. Both are normal responses from your body. Listen to your needs: rest when you’re tired, but also harness that energy when it’s there – without overexerting yourself.

7. Changes at the Cervix

During prenatal check-ups, your midwife or doctor can determine whether your cervix is shortening, softening, or already opening. These changes are a clear sign that your body is preparing for birth. You may not be able to feel this, but it is an important indicator.

When Should You Go to the Hospital?

The golden rule is: Better to ask too often than too rarely. Go to the hospital or contact your midwife if:

  • Contractions are regularly coming every 5-10 minutes (for first-time mothers) or every 10 minutes (for experienced mothers).
  • Your water has broken – especially if the amniotic fluid is greenish or brownish.
  • You have heavy bleeding (more than during the show).
  • You feel significantly fewer baby movements than usual.
  • You have severe, persistent pain that doesn’t ease up.
  • You have a bad feeling – your intuition is important!
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How to Prepare Now

The last days before labor are a special time. Use them purposefully to prepare mentally and practically. Here are some things that can help you:

Your Hospital Bag

Pack your bag if you haven’t done so yet. Important items include: maternity card, insurance card, comfortable clothing for labor, nursing pads, sanitary pads, baby clothes, phone charger, snacks, and something that gives you strength (photo, music, essential oil).

Relaxation Techniques

Practice breathing techniques that help you during contractions. Deep, conscious breathing can alleviate pain and center you. Visualizations – like the image of a blooming flower – can also be powerful.

  • Try the 4-7-8 Breathing: Inhale for 4 seconds, hold for 7 seconds, exhale for 8 seconds.
  • Find your favorite position: hands and knees, side lying, sitting upright.
  • Create a playlist with music that calms or empowers you.
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Conversations with Your Partner

Discuss the plan together: Who is driving to the hospital? What route will you take? Who will you inform first? Clarifying these practical questions gives both of you security and calm.

Trust Your Body – It Knows What to Do

The 38th week of pregnancy is a time of waiting, but also of anticipation. Your body has accomplished amazing things over the past months – and it will carry you through labor as well. The signs it sends you are guides on this last stretch of the journey.

Trust that you will recognize the signals. Listen to your intuition. And remember: Every birth is unique, just like your baby. Soon you will hold your little one in your arms – and all the uncertainty will transform into pure love.

You can do this. Your body knows exactly what to do. And you are not alone.