GUIDE

29 Weeks Pregnant

Your baby's bones are fully developed but still soft, and their brain is growing rapidly.

At 29 weeks you're firmly in the third trimester. Your baby is about the size of a butternut squash and weighs around 2.5 pounds. Their skeleton is hardening, their muscles are getting stronger, and their brain is developing billions of neurons. You may notice more shortness of breath as your uterus pushes upward against your diaphragm.

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Baby's Development at Week 29

Your baby is now about the size of a butternut squash — roughly 15.2 inches long and weighing around 2.5 pounds. This is a remarkable week for skeletal and neurological development.

Your baby's bones are now fully formed, though they're still soft and pliable. This flexibility is by design — it will help your baby navigate through the birth canal when the time comes. The bones will continue to harden over the coming weeks, and calcium intake is more important than ever. Aim for 1,000 mg of calcium daily through dairy, leafy greens, or supplements.

The brain is going through an extraordinary growth spurt right now. The surface of the brain, which was previously smooth, is developing the characteristic folds and grooves (sulci and gyri) that allow for more brain cells in the same space. Your baby's brain is now controlling body temperature and rhythmic breathing movements.

Your baby can now sense light through the uterine wall and may turn toward a bright light source. Their eyes can focus, and their pupils dilate and constrict in response to light. The senses of taste and smell are also well developed.

White fat is accumulating under the skin, filling out those tiny limbs and giving your baby a rounder appearance. This fat is critical — it will help regulate body temperature after birth.

Your Body This Week

Welcome to the third trimester reality: your body is working harder than ever. Your blood volume has increased by nearly 50% since the start of pregnancy, and your heart is pumping significantly more blood with each beat.

The most noticeable new symptom for many parents at 29 weeks is shortness of breath. Your uterus now extends well above your belly button and is pressing upward against your diaphragm, leaving less room for your lungs to fully expand. This is normal but can feel alarming — especially when you're just climbing stairs or talking. It will improve somewhat when your baby "drops" into your pelvis in the coming weeks.

The third trimester brings new challenges. Back pain may be intensifying as your center of gravity continues to shift forward. The hormone relaxin is loosening your joints and ligaments in preparation for delivery, which can make your lower back and pelvis feel unstable.

Swelling in your feet and ankles is common now due to increased blood volume and fluid retention. Elevating your feet, staying active, and drinking plenty of water can help. However, sudden or severe swelling — especially in your face or hands — can be a sign of preeclampsia and warrants an immediate call to your provider.

Braxton Hicks contractions may be more noticeable now. These practice contractions are your uterus preparing for the real thing. They're typically irregular, painless, and stop when you change positions or drink water.

Common Symptoms at Week 29

  • Shortness of breath as uterus presses on diaphragm
  • Heartburn and acid reflux (especially after meals)
  • Frequent urination as baby presses on bladder
  • Back pain and pelvic pressure
  • Braxton Hicks contractions (irregular tightening)
  • Leg cramps, especially at night
  • Swollen feet and ankles
  • Fatigue and difficulty sleeping
  • Hemorrhoids from increased blood volume and pressure
  • Itchy skin as your belly stretches

Every pregnancy is different. You may experience all, some, or none of these symptoms.

What to Do This Week

With about 11 weeks to go, it's time to start thinking practically about preparation — but there's no need to rush. Focus on one or two items at a time.

Start daily kick counts

Pick a time when your baby is usually active, sit or lie down, and count movements. You should feel at least 10 movements in two hours. Tracking this daily helps you learn your baby's patterns and catch any changes early.

Research pediatricians

If you haven't already, now is a good time to start interviewing pediatricians. Many offices offer prenatal meet-and-greet visits. You'll want someone chosen before baby arrives so they can see your newborn within the first few days.

Adjust your sleeping position

Side sleeping (especially left side) is recommended in the third trimester. A pregnancy pillow between your knees and under your belly can make a big difference for back pain and comfort. Avoid sleeping flat on your back for extended periods. Our pregnancy exercise guide has gentle routines that can also help with sleep quality.

Stay hydrated

Drink at least 10 cups of water daily. Proper hydration helps with swelling, constipation, and Braxton Hicks contractions. Dehydration can actually trigger more frequent Braxton Hicks, so keep a water bottle with you at all times.

When to Call Your Doctor

  • Regular contractions (more than 4 per hour) before 37 weeks
  • Vaginal bleeding or fluid leaking
  • Sudden or severe swelling in face, hands, or feet
  • Severe headache that won't go away
  • Vision changes (blurriness, seeing spots)
  • Significant decrease in baby's movement
  • Pain or burning during urination (possible UTI)
  • Fever over 100.4°F (38°C)

When in doubt, call your provider. It's always better to check and be reassured than to wait and worry.

Looking Ahead

Next week at 30 weeks, your baby will be about the size of a cabbage and weighing around 3 pounds. The fine hair covering your baby's body (lanugo) will start to disappear, and red blood cell production will shift from tissue groups to bone marrow — an important milestone in your baby's development.

If you're dealing with pregnancy insomnia, you're not alone. Sleep disturbances are extremely common in the third trimester. Establishing a calming bedtime routine now can make a real difference in these final weeks.

You're in the home stretch. Every week from here brings your baby closer to full development and brings you closer to meeting them.

Sources

  • American College of Obstetricians and Gynecologists (ACOG) — Pregnancy FAQ: How your baby grows during pregnancy
  • Mayo Clinic — Fetal development: The 3rd trimester
  • National Institutes of Health (NIH) — Fetal development milestones
  • March of Dimes — Week-by-week pregnancy guide

This guide is for informational purposes only and is not a substitute for professional medical advice. Always consult your healthcare provider with any questions about your pregnancy.

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