During this waiting game period, your ankles and feet will likely swell even more than before. However, increased swelling or puffiness around your eyes or a sudden weight gain is cause for concern. It should be reported to your doctor immediately as they can be signs of a serious condition called preeclampsia.
Preeclampsia is a serious pregnancy complication that can only be stopped/treated by giving birth. The condition can cause blood pressure problems that could lead to seizures, an aneurysm, and even death. So if you suffer from headaches, light sensitivity, flashing lights, vision loss, intense abdominal pain, or nausea and vomiting, you must contact your doctor. Your doctor will be able to evaluate your symptoms to determine if they are normal and ordinary late-stage pregnancy problems or if they are indications of preeclampsia. With quick blood pressure tests and a urine check for proteins, your doctor will have the information she needs to decide to induce labor or schedule a C-Section.
The best thing you can do for the baby and yourself at this point is rest, continue to eat well, and monitor your body for any signs of labor or complications. If anything is left on your "to do" or "to get" list, we suggest you have family or friends finish things up for baby preparation and reserve your strength for more important events. Labor and delivery can be arduous events that take a lot of energy and a significant amount of time. If sleep is elusive because you can't find a comfortable position, this is an excellent time to read more about taking care of the baby after he arrives.
- American Pregnancy Association - Week 38