The Journal

From the clinic

32 Weeks Pregnant: Getting Ready to Be Born

Last week, your baby's brain was wiring itself into a whole mind. This week, your baby turns their attention to something new entirely. Getting ready to be born.

By Courtney Garland, NICU registered nurse and IBCLC lactation consultantPublished From Courtney’s clinical experience

Last week, your baby's brain was wiring itself into a whole mind. This week, your baby turns their attention to something new entirely. Getting ready to be born.

Welcome to week thirty-two. Your baby is beginning to settle into position for the big day, their head is beautifully built for the journey ahead, and those tiny fingernails have reached the very tips of their fingers. Let me show you.

Your baby is getting into position

This week, your baby begins one of the most purposeful things they have done yet. They start getting into position for birth.

Many babies settle head-down around now, turning so their head points down toward the cervix, toward the way out. It is the position most babies are born in, and it is your baby quietly readying themselves for the journey ahead.

If your baby has not turned yet, please do not worry for a moment. Plenty of babies are still happily head-up, or lying sideways, at thirty-two weeks, and there is lots of room and time left. Most make their move by around thirty-six or thirty-seven weeks, and some turn even later. Your baby is on their own schedule, and that is perfectly fine.

A head built for the journey

Here is the clever part, and it is one of my favourites.

By now, your baby's bones have hardened into proper bone. All except in one place. The skull. Your baby's skull is made of separate plates that have not yet fused together, with soft gaps between them. And that is entirely on purpose.

When the time comes, those unfused plates let your baby's head gently squeeze and mould as it passes through the birth canal, narrow enough to make the journey safely. Then, once your baby is born and in your arms, the skull slowly eases back, and the plates stay soft for many months, leaving room for that hard-wiring brain to keep on growing.

It is one of the most beautiful pieces of design in the whole human body. Your baby's head is built, quite literally, to be born.

Perfect little fingernails

And a tiny, tender detail this week. Your baby's fingernails have now grown all the way to the very tips of their fingers.

They are so complete, in fact, that some babies arrive with nails long enough to need a careful little trim, or with a tiny scratch or two on their face from their own waving hands. Ten perfect, miniature fingernails, on ten perfect, miniature fingers, all finished and ready, weeks before you will ever hold them.

How big is my baby at 32 weeks?

Around forty-two to forty-three centimetres now, head to heel, and getting close to two kilograms. Your baby is plump and pink, their skin no longer see-through but soft and opaque over all that lovely new fat, and they fill almost every corner of your belly.

Mostly finished, beautifully formed, and just growing bigger and stronger for the day you meet.

What is happening in my body?

With your baby filling so much space, your body is certainly letting you know about it.

You may be short of breath as your uterus presses up under your ribs, troubled by heartburn, or aching in your back and pelvis. You might also start to notice Braxton Hicks contractions, where your bump tightens and hardens for a few seconds, then softens again. These are your body's practice runs for labour, completely normal, and usually nothing to worry about. They tend to ease if you change position, rest, and have a drink of water. As always though, if they become painful, regular, or you are at all unsure, call your midwife. That is exactly what they are there for.

From Courtney. As a NICU nurse, the soft skull is one of those details that still makes me marvel at how cleverly babies are made. That your baby's head is built to gently give and reshape, just enough to make the journey to you, then quietly settle back, is engineering no one could improve on. But what really gets me this week is the turning. Somewhere in there, your baby is shifting, settling, pointing themselves head-down toward the way out. Toward you. After all these months of growing, they are beginning, in the most literal sense, to get ready to come and meet you. And if your baby has not turned yet, do not fret for a second. There is time and room aplenty, and they so often flip when they are good and ready. Trust your baby, mama. They know exactly what they are doing in there.

The one thing to do this week

This week, as your body starts its practice runs and birth begins to feel real, it can help to gently turn your mind toward what is ahead. Not with fear, but with quiet confidence.

You do not need to know everything. But understanding the basics of what to expect, in labour, in those first hours, and in the early days at home, can take so much of the worry out of it. That is exactly what my Prep for Baby course in the Mama Years app is there for, walking you calmly through the birth, feeding, recovery, and those first newborn days, at whatever pace feels right for you.

And then, just as importantly, rest. Knowledge in one hand, a nap in the other. You are doing wonderfully.

Coming up in week thirty-three

Next week, your body begins handing your baby a remarkable parting gift, one that will protect them long after they are born. Your own hard-won immunity starts passing across to your baby, packing their tiny body with defences against a world they have not even met yet.

Week thirty-three is where you give your baby their very first shield. I will see you there.

Written by Courtney Garland, NICU nurse, lactation consultant and mother of four, and founder of The Mama Years. This is here to inform and reassure you. It is not a substitute for medical advice, so always follow the guidance of your own doctor or midwife.

The Mama Years. 2026.

References

American College of Obstetricians and Gynecologists. (n.d.). How your fetus grows during pregnancy. https://www.acog.org/womens-health/faqs/how-your-fetus-grows-during-pregnancy

Cleveland Clinic. (2023). Fetal development: Stages of growth. https://my.clevelandclinic.org/health/articles/7247-fetal-development-stages-of-growth

Mayo Clinic. (2025). Fetal development: The third trimester. https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/fetal-development/art-20045997

Merck Manual. (2024). Stages of fetal development (Consumer Version). https://www.merckmanuals.com/home/women-s-health-issues/normal-pregnancy/stages-of-fetal-development

The Mama Years is written by Courtney Garland, a NICU registered nurse and IBCLC lactation consultant, against the research. When the science is genuinely unsettled, she says so instead of guessing. Nothing here replaces the advice of the clinician looking after you.

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