Health Encyclopedia
Search Clinical Content Search Patient Health Library
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z A-Z Listings

Weeks 40 to 41 of Your Pregnancy: Care Instructions

By week 40, you've reached your due date. Your baby could be coming any day. Most babies born after their due dates are healthy. But you may have tests to make sure everything is okay. If you feel stressed, you could try a meditation exercise, such as guided imagery. It may help you relax.

  • If you are past 41 weeks, your doctor may measure the amount of fluid that surrounds your baby. They may also test your baby's movement and heart rate.

  • If you don't start labor on your own by 41 or 42 weeks, your doctor may want to start (induce) labor. If there are other concerns, your doctor may talk to you about a C-section.

4 ways labor is induced

To start (induce) your labor, your doctor or midwife may do any of these things.

  • Place a narrow tube with a small balloon on the end (balloon catheter) into your cervix.

    The doctor or midwife inflates the balloon. This helps your cervix open (dilate).

  • Sweep the membranes (separate the lining of the amniotic sac from the uterus).

    This helps the uterus make a chemical that can start contractions.

  • "Break your water" (rupture the amniotic sac).

    This may be done if your cervix has started to open.

  • Use medicines.

    They may be used to soften the cervix or start contractions.

How to do guided imagery

  1. Close your eyes, and take a few deep breaths. Picture a peaceful setting, such as a beach or a meadow. Add a winding path. Follow the path until you feel more and more relaxed.

  2. Take a few minutes to breathe slowly and feel the calm. When you are ready, slowly take yourself back to the present. Count to 3, and open your eyes.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and contact your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Call 911anytime you think you may need emergency care. For example, call if:

  • You have severe vaginal bleeding. You have soaked through one or more pads in an hour, and the bleeding is not slowing down.
  • You have sudden, severe pain in your belly that does not go away.
  • You have chest pain, are short of breath, or cough up blood.
  • You passed out (lost consciousness).
  • You have a seizure.
  • You see or feel the umbilical cord.
  • You think you are about to deliver your baby and can't make it safely to the hospital or birthing center.

Call your doctor now or seek immediate medical care if:

  • You have vaginal bleeding.
  • You have belly pain.
  • You have a fever.
  • You are dizzy or lightheaded, or you feel like you may faint.
  • You have signs of a blood clot in your leg (called a deep vein thrombosis), such as:
    • Pain in the calf, back of the knee, thigh, or groin.
    • Swelling in your leg or groin.
    • A color change on the leg or groin. The skin may be reddish or purplish.
  • You have symptoms of preeclampsia, such as:
    • Sudden swelling of your face, hands, or feet.
    • New vision problems (such as dimness, blurring, or seeing spots).
    • A severe headache that will not go away.
  • You have a sudden release or slow trickle of fluid from your vagina. This may mean your water has broken.
  • You notice that your baby has stopped moving or is moving less than normal.
  • You have signs of heart failure, such as:
    • New or increased shortness of breath.
    • New or worse swelling in your legs, ankles, or feet.
    • Sudden weight gain, such as more than 2 to 3 pounds in a day or 5 pounds in a week.
    • Feeling so tired or weak that you cannot do your usual activities.
  • You have symptoms of a urinary tract infection. These may include:
    • Pain or burning when you urinate.
    • A frequent need to urinate without being able to pass much urine.
    • Pain in your low back (below the rib cage and above the waist).
    • Blood in your urine.
  • You have signs of active labor. During active labor, contractions:
    • Happen more often and at regular intervals (about every 3 to 5 minutes).
    • Last longer (about 60 seconds or more).
    • Get stronger and are hard to talk through.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • You have vaginal discharge that smells bad.
  • You feel sad, anxious, or hopeless for more than a few days.
  • You have skin changes, such as a rash, itching, or a yellow color to your skin.
  • You have other concerns about your pregnancy.
© 2006-2026 Healthwise, Incorporated.
Powered by Krames by WebMD Ignite

These resources and their content are provided by a third party for informational purposes and do not necessarily reflect the values and positions of Ascension, its ministries, or its subsidiaries.

About StayWell | Terms of Use | Privacy Policy | Disclaimer

The Services may integrate with Third-Party Apps or contain third-party content or provide links to third-party websites. For example, the Services may integrate with Third-Party App providers to provide you with information. You authorize Ascension to transmit information about You to and receive information about You from applicable third parties.
You agree that Ascension is not responsible for Third-Party Apps, third-party content or third-party websites, and does not make any endorsements, representations or warranties regarding the same. Your use thereof is at Your own risk and subject to the third party’s terms and conditions, as applicable. By using a Third-Party App or third-party content or websites, You agree to the applicable third party’s terms and conditions, even if Ascension does not present them to You at the time of Your use.