What may change in your body
The weight of the bump can increase shortness of breath on exertion, heartburn, lower back pain and trouble sleeping. Nosebleeds can also happen because of hormonal and blood vessel changes.
Care for this week
Talk to your care team about the RSV vaccine and confirm whether you have already had the Tdap (dTpa) vaccine.
Start paying closer attention to the baby's usual movement pattern, as advised by your prenatal care team.
Plan breaks, sleep and ergonomics for the final stretch.
Prenatal care focus
- In low-risk prenatal care, appointments are usually every two weeks from week 28 to week 36.
- Brazil's 2026 national vaccination schedule recommends the RSV vaccine from week 28 in every pregnancy.
If you're expecting twins
With twins, this final phase usually brings even closer monitoring of growth, blood pressure, anemia and signs of preterm birth.
For those by your side
Help keep vaccinations, tests and appointments organized in one place — it can be right in Nilu.
Questions for this week
Do I need to count movements every day?
Follow the method recommended by your care team. The key is to recognize the usual pattern and seek care if you notice a decrease.
Are nosebleeds dangerous?
They can happen in pregnancy, but heavy, recurring or hard-to-control bleeding should be checked.
When to seek care
- Once movements have become familiar, a significant decrease in the pattern you notice should be evaluated without waiting until the next day.
- After 20 weeks, a severe/persistent headache, vision changes, severe pain in the upper abdomen or sudden swelling deserve evaluation for a possible hypertensive condition.
- Before term, regular contractions, increasing pelvic pressure or signs of labor need prompt advice.
In an emergency, go to the urgent care service in your area. This content does not replace a professional assessment.
The next chapter
In week 29, the baby gains more fat and strength, and the pregnant woman starts to feel that every centimeter of space counts.
See week 29Was this helpful?
Sources and transparency
- Brazil's Ministry of Health — Brazilian Pregnancy Booklet, the official prenatal record (Caderneta Brasileira, updated in 2026)
- Brazil's Ministry of Health — Prenatal care (Ministério da Saúde — Pré-natal)
- Brazil's Ministry of Health — High-Risk Pregnancy Manual — Multiple pregnancy (Manual de Gestação de Alto Risco — Gestação múltipla)
- NHS — Week-by-week guide to pregnancy
- ACOG — How Your Fetus Grows During Pregnancy
- Brazil's Ministry of Health — Prenatal tests and vaccines (Ministério da Saúde — Exames e vacinas no pré-natal)
- Brazil's Ministry of Health — 2026 National Vaccination Schedule — Pregnant women (Calendário Nacional de Vacinação 2026)
- ACOG — Bleeding During Pregnancy
Nilu editorial content, written from the official sources above. Individual clinical review of each week is in progress — this text is for information and does not replace your prenatal care.