- You’re more than ready to get this show on the road. It won’t be much longer yet. Your doctor has probably already broached the topic of induction.
- You’ll probably get a biophysical profile this week—a non-stress test and ultrasound to make sure baby is still in tip-top shape and that you have adequate amniotic fluid.
- A “post-term” pregnancy is linked to certain risks for potential complications, including placental problems, so you’ll almost definitely be delivering by the end of this gestational week.
While you might feel like you’re going a little crazy with anxiety, remember: 98 percent of babies emerge by the end of week 42 (if your pregnancy dating is accurate!). So you’ll get to meet baby really soon—we promise!
By 42 weeks, baby is more than ready to meet you! But if you’re reading this, you’re one of the rare moms-to-be who makes it to 42 weeks pregnant. If you notice a decrease in the way baby moves, call your heathcare provider immediately.
The most significant difference you might notice with a 42-week baby–aside from their larger size–is how much more alert they are. You can expect a baby at 42 weeks to be more lively and awake at birth.
At this point, you can expect all of baby’s organs and systems to be fully developed and running smoothly. You can consider all of their developmental milestones complete–yay!
How big is baby at 42 weeks?
At 42 weeks pregnant, baby is the size of a watermelon—a bigger watermelon than last week. The average 42-week fetus measures 20.3 inches and weighs 8.1 pounds. Yup, baby is still growing! But don’t worry, they’re unlikely to be too big to deliver vaginally.
42 weeks pregnant is how many months
Forty-two weeks pregnant is 10 months and about two weeks. Yes, it happens!
42 week ultrasound
Due to the 42 weeks pregnant risks, your OB will want to monitor baby extra closely. A 42 weeks pregnant ultrasound, a non-stress test and a biophysical profile will be given to make sure baby is still moving well, has plenty of amniotic fluid, is breathing well and has a healthy heart rate.
What happens at 42 weeks of pregnancy? Well, your 42 weeks pregnant symptoms are probably the same ones you’ve been feeling the past few weeks—leg cramps, trouble sleeping, backaches, pelvic pressure, hemorrhoids, frequent urination and contractions—just maybe more intense.
You might be stressed at 42 weeks pregnant. No one said pregnancy after 40 weeks was easy! Try to be patient as you let baby decide when to make their debut.
At 42 weeks pregnant, the signs of labor—the ones you’ve been waiting for!—may begin. Look out for:
Mucus plug and/or bloody show
The thick mucus discharge—sometimes tinged with blood—is a sign the cervix is getting itself ready for delivery. It’s often a sign that labor will start soon, though just how soon, we can’t predict!
Water breaking
If you’re leaking amniotic fluid or if your water breaks in one huge gush, call your doctor. Labor will probably begin within hours.
Regular contractions
Hallelujah! This sign you’re in labor is the one you’ve probably been anticipating most. These guys are more intense than any Braxton Hicks contractions you may have been having, and most importantly, they don’t go away. True labor contractions happen over and over, at shorter intervals and at higher intensity (ouch!), and don’t let up until baby is born. (Yay!)
Wondering how to induce labor at 42 weeks pregnant? You probably have been trying natural methods such as walking, sex and acupuncture. But don’t resort to drinking castor oil (you’ll probably just make yourself sick), taking herbal supplements (they could potentially be dangerous to you and baby) or stimulating your nipples (the resulting contractions could be too strong and dangerous for baby).
At this point, your doctor has probably already discussed some induction options. One or more of the below options may be necessary.
Stripping the membranes
At 42 weeks pregnant, this technique might be the thing that tips you over the edge into labor. Your doctor uses a finger to swipe around the amniotic sac. The hormones released often cause contractions within 48 hours.
Breaking your water
Your doctor breaks the amniotic sac with an instrument that looks like a plastic croshet hook. This can cause contractions in just hours.
Ripening your cervix
A synthetic prostaglandin is inserted vaginally overnight or taken orally in order to dilate the cervix.
Stimulating contractions
You’ll be hooked up to an IV with a synthetic version of the hormone oxytocin. This medication can get contractions started.
Rest assured that as long as baby is being watched with an eagle eye, they’re doing just fine in there. And they may be comfy inside your uterus, but they can’t stay there forever!
How many weeks overdue is safe?
At 42 weeks pregnant, risks are higher for complications such as placental problems, low amniotic fluid and a pinched umbilical cord. And if baby gets too big, you may have to deliver by c-section. Because of those increased risks, your doctor may recommend a medical labor induction at 42 weeks if tests show it isn’t safe for baby to stay in utero much longer.
What is the longest a woman has been pregnant?
It’s hard to know for sure! In 1945, a Los Angeles woman gave birth after reportedly being pregnant for 375 days (for comparison, the typical pregnancy lasts 280 days). There's no definitive confirmation of this though. Similarly, in 2016, a woman in China claimed she was 17 months pregnant, but she didn’t have medical records to back her up and doctors expressed a sizable dose of skepticism. In any case, we’re pretty sure your pregnancy won’t be breaking any records!
Keep doing kick counts and letting your OB know if you notice any changes in kick frequency. Also tell your doctor right away if you have any troubling 42 weeks pregnant symptoms, such as strange discharge, bleeding or abdominal pain.
The good news? One way or another, baby is coming this week. Here’s what you can do in the meantime.
Relax as much as you can
If you’re worrying about how long things are taking and suffering from those 42 weeks pregnant symptoms, it’s easy to get stressed out. Try calming your mind with prenatal yoga, meditation or even a soothing scalp massage from your partner. You can also relax by taking some deep, slow breaths—and that can help prepare you for labor!
Do your kick counts
Keep doing kick counts and letting your OB know if you notice any changes in kick frequency. Also tell your doctor right away if you have any troubling 42 weeks pregnant symptoms, such as strange discharge, bleeding or abdominal pain.
Set up online deliveries for supplies
If you haven’t done so already, set up regular deliveries of diapers, wipes and other essentials on your favorite shopping sites. No more last-minute or late-night runs to the store!
Double check your hospital bag
You probably packed this several weeks ago, so you may want to give it a quick once-over and make sure you have everything you need.
Treat yourself
Want to nap in the middle of the day? How about ordering a new lipstick in a pretty pink or bold red color? Maybe you just want to indulge in a scoop of ice cream? Whatever it is, go for it—at 42 weeks pregnant, you deserve to pamper yourself!
Frequently Asked Questions
What should I do if baby’s movements slow or stop?
If you notice any decline in baby's usual movements, inform your provider immediately. Baby's movements are a key indicator of their well-being, and any deviation from their normal pattern should be taken seriously. This is why doing kick counts can be especially helpful. The goal is to feel 10 baby movements every single hour. If that’s not the case, call your provider. And if you can't reach your prenatal team quickly, don't hesitate to go to the nearest emergency department for a closer look at what’s going on.
What are the risks of medical induction?
One major risk of medial induction is the possibility of overstimulating the uterus. This can lead to excessive contractions and complications such as changes in fetal heart rate or distress, sometimes resulting in an unplanned C-section. Plus, there's also the risk of infection, unsuccessful induction, uterine rupture and post-delivery bleeding. But, at the end of the day, it’s important to remember that these are only the potential risks–many parents undergo medical inductions safely and without any complications. Inductions can be incredibly helpful for your well-being and that of baby’s, so talk to your doctor about your specific concerns.
What recovery items should I have on hand and ready for a vaginal birth and c-section?
Being prepared ahead of time is key to a quick recovery after birth. Experts recommend the following essentials for both C-section and vaginal births:
- Peri pads and/or adult diapers
- Peri squirt bottle
- Numbing spray
- Ibuprofen
- Extra undies
- Peri ice packs / padsicles
- Medicated or witch hazel cooling pads
- Stool softeners
- Hemorrhoid cream
- Prenatal or postnatal vitamins
Additional essentials for C-section parents:
- Peri squirt bottle
- Extra high-waisted undies
- Scar balm
- Extended grabber tool
- Loose-fitting clothing
How long will I need to stay at the hospital for?
Your hospital stay after birth really depends on how you delivered baby and if there were any complications. After an uncomplicated vaginal birth, you can usually expect to stay at the hospital for about two nights. If you had a C-section without any complications, then it's typically around three nights. On the other hand, if you or baby did have complications, your stay could be longer–based on the severity of the situation.
What happens if a baby has meconium during birth?
Some babies have their first bowel movement (or meconium) before or during labor while still inside the womb. Generally, this is not a cause for concern, and baby comes out without any issues. In rare cases, baby can suck in some of this meconium with their first few breaths right after delivery–this puts them at risk for something called meconium aspiration, which can be life-threatening. If your birthing team notices meconium in your amniotic fluid during labor, they’ll usually call in a respiratory therapist and a NICU nurse who will stick around briefly as a backup to make sure baby doesn’t have any adverse effects from accidentally inhaling meconium.
I was so anxious about being induced—I tried everything I could to avoid it. In the end, it wasn't nearly what I spent weeks worrying about. With my first I had all the first-time-mom anxiety, so being in the hospital for my entire labor (no having my water break on the subway) actually eased my concerns.
Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.
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