Pregnancy Education Companion: week 40

Pregnancy Education Companion: week 40

If you don't want to receive this information, please call (03) 8345 3272 or email patientexperience@thewomens.org.au

By now, you’ve probably had or are about to have your 40-week appointment.

This week, we remind you to rest and get ready for labour and birth. We’ll also go over the signs of labour, when to contact the hospital, and things to think about after your baby is born.

Part 1: Reminders and recap

Birth plan or map

Have you written your birth plan or map? It can help you explore your options, make informed decisions, and share your preferences.

For more information, read our fact sheet creating a birth plan.

Rest and prepare

Rest is vital as you prepare for labour and birth. It allows your body to save energy and helps you prepare physically and mentally for the birth of your baby.

Have your bag packed and ready to go. Make sure it’s in a place where you can grab it quickly. For ideas on what to pack, read our fact sheet, things to bring to the hospital. 

Covid updates

Check the Women’s website for current updates regarding COVID-19 and possible restrictions. You will find the latest information at our COVID-19 Information Hub.

Part 2: Things affecting your pregnancy now

Signs of labour and when to contact the hospital

You may be feeling more Braxton Hicks contractions or some irregular labour contractions. Hopefully, labour will start on its own over the next few days.

If you have any concerns, please call the hospital on (03) 8345 3635.

For more information, read our fact sheet when to call the hospital: advice in late pregnancy.

Induction of labour

At 40 weeks, if you haven’t gone into labour, your doctor or midwife will talk with you about booking an induction of labour from 41 weeks and 3 days. They’ll organise an appointment with a midwife to discuss your options. This is a longer appointment and will happen after 41 weeks.

Your midwife will discuss induction options, do a vaginal assessment, monitor your baby with a CTG, and use an ultrasound to check the fluid around your baby.

An induction of labour will be booked after 41 weeks and 3 days, depending on your personal circumstances and your baby’s wellbeing.

Before your appointment, read the information provided in Week 36 about inductions and write down any questions you have.

You can also watch our induction of labour video and read our fact sheet. This fact sheet is available in several languages.

Part 3: Things to consider

Back-up or contingency plans

Labour, birth, and early parenting experiences are unique for every parent and baby, so it’s important to keep your plans flexible. There may be times when changes are recommended or needed. This can apply to your labour, new baby, and caring for any older children.

It’s a good idea to think about some potential backup plans - in other words have a Plan A and Plan B. Our staff will work closely with you to help you make informed decisions.

Plan for life after giving birth (post-birth planning)

Just like making a birth plan can help you prepare for your birth and identify what matters most to you, making a post-birth plan can help prepare you for the changes that come with having a new baby.  

Discuss what’s important to you with your partner (if you have one), family, and friends. They can help you create realistic expectations and develop strategies to help you adjust to early parenting.

Here are some helpful resources for your recovery after childbirth:

  • The Women’s fact sheets:
  • Better Health Channel: Parenthood and your relationship
    Having a baby can change your relationship with your partner and other important people in your life. This resource explains common issues new parents face and where to get help if you need it. 
Postnatal depression and anxiety

The first few weeks at home with a new baby can be both challenging and amazing. If things become more challenging than enjoyable, it’s important to recognise the signs of postnatal depression and anxiety early. This can help you or your partner get the support you need.

If you need help or want to talk to someone for advice, reach out to these organisations:

Tell us what you think

The Royal Women’s works to create clear and helpful health information for everyone. We welcome your feedback! If you have any comments about this resource, please contact us.

Email: rwh.publications@thewomens.org.au.

You can also send comments to:

Women’s Consumer Health Information
Royal Women’s Hospital Locked Bag 300
Cnr Grattan St and Flemington Rd
Parkville VIC 3052

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