Install the car seat
Rear-facing in the back seat, properly secured. Have it inspected at a local fire station or certified inspection station. Do this by 36 weeks — it is non-negotiable for leaving the hospital.
GUIDE
You cannot control how labor unfolds, but you can control how prepared you are when it starts.
This comprehensive checklist covers physical, mental, and practical preparation so you can focus on the experience instead of the logistics.
Be prepared from day one
You cannot predict how your labor will unfold, but you can eliminate the logistical surprises. When the practical details are handled — car seat installed, bag packed, route mapped, childcare arranged — you free up mental space to focus on what really matters: your body, your baby, and the experience.
This checklist is organized into three categories: practical preparation (the tasks and logistics), physical preparation (getting your body ready), and mental preparation (building confidence and managing fear). Aim to have everything completed by 37 weeks. Some women go into labor before their due date, and having everything ready gives you the freedom to respond calmly whenever it happens.
These are the concrete tasks that need to get done before labor. They are not glamorous, but they make the difference between a smooth transition to the hospital and a panicked scramble. Work through them in your third trimester, ideally completing the list by 37 weeks.
Rear-facing in the back seat, properly secured. Have it inspected at a local fire station or certified inspection station. Do this by 36 weeks — it is non-negotiable for leaving the hospital.
Bag for mom, partner, and baby packed and by the door by 35-37 weeks. See our complete hospital bag checklist for what to include.
Complete online or phone registration at 32-36 weeks. Insurance information, medical history, and advance directives are filed so you skip the paperwork when you arrive.
A one-page document outlining your preferences for labor, pain management, delivery, and newborn care. Print 3 copies and discuss with your provider.
Map the fastest route and an alternate. Time the drive during rush hour. Know where to park and which entrance to use for labor and delivery.
Have a primary plan and a backup plan for who will care for older children when you go into labor — including middle-of-the-night scenarios.
Line up someone to feed, walk, or care for pets during your hospital stay (typically 1-4 days).
Groceries, toilet paper, diapers, wipes, and freezer meals. You will not want to run errands in the first week home.
Wash newborn and 0-3 month clothes in gentle detergent. Set up the crib or bassinet with a firm mattress and fitted sheet — nothing else in the sleep space.
Set up your baby tracking app before the baby arrives so it is ready to go from the first feeding and diaper change.
Your body has been growing a baby for nine months — it is already doing remarkable work. Physical preparation for labor is about supporting what your body is already doing and building stamina, flexibility, and familiarity with the sensations of labor.
Staying active throughout your third trimester — even if "active" means a daily 20-minute walk — helps maintain your endurance for labor. Perineal massage starting at 34-36 weeks has been shown to reduce the risk of severe tearing during delivery. And practicing breathing techniques from your birthing class builds the muscle memory you will rely on during contractions.
Always check with your provider before starting new exercises in the third trimester. Most activities that were safe earlier in pregnancy are still fine.
The mental side of labor preparation is just as important as the physical side. Fear and tension during labor can actually slow progress — the body produces stress hormones that counteract oxytocin, the hormone that drives contractions. Confidence and relaxation, on the other hand, support labor's natural progression.
The best mental preparation is education. When you understand the stages of labor, know what contractions feel like, and have a plan for when to go to the hospital, the unknown becomes less scary. A good birthing class is the single most effective thing you can do to build confidence. Consider whether hiring a doula is right for your birth team — the evidence on continuous labor support is compelling.
Fear of labor is normal and valid. Preparation does not eliminate fear — it gives you tools to manage it.
Partners — your preparation matters more than you think. Women with prepared, involved support partners have better outcomes and higher satisfaction.
At 37 weeks, your baby is considered full-term and could arrive any day. By this point, your hospital bag should be packed, your birth plan should be printed, your car seat should be installed, and you should know the signs of labor. Everything after 37 weeks is bonus preparation time — do not waste it.
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.