The unborn baby also starts learning what to pay attention to—and what to ignore. In one study, babies whose mothers lived near an airport for the last few months of pregnancy became so used to airplane noise in the womb that they slept through it after birth. But when they heard a new sound at the same volume, they woke up.8 This ability to tune out familiar, unimportant noise helps the baby focus on what is new and meaningful.
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Month 7
Smelling, hearing, and learning
- Post-conception week 26-29
- 7 Months Pregnant
- Gestational Weeks 28-31
By 30 weeks, the baby shows clear signs of learning in the womb. The earliest form, called habituation, is a reduced response to repeated sounds or touch. Researchers observe this in diminishing startle reflexes, changes in movement, and shifts in brain activity.4
By seven months of pregnancy, babies in the womb are not just hearing sounds — they’re starting to remember them. A small brain response occurs when a sound is new; a larger brain response shows fetal recognition of the sound and early learning. In one fascinating study, pregnant women listened to recordings that included nonsense words like “tatata” and “tatota” during their last 10 weeks of pregnancy. After birth, the babies who had heard those sounds in the womb showed larger brain responses when hearing them again — even at just a few days or months old!6 Similarly, when pregnant women repeatedly listened to recordings of “Twinkle twinkle little star” in the last 10 weeks of pregnancy, the babies who had heard that song in the womb showed larger brain responses when hearing them again right after birth or at 4 months old. They also had smaller brain responses when parts of the melody were changed.7
By 7 months of pregnancy, unborn babies appear deeply connected with their mothers. At 25 weeks gestation, unborn babies are more likely to open their mouths after their mother sings or speaks than after she makes unrelated mouth movements.9 Similarly, fetuses between 28 and 32 weeks gestation were more likely to yawn shortly after their mothers yawned, but not after other mouth movements. Fetal yawning often occurred about 90 seconds later, similar to contagious yawning in adults.10 Yawning begins in the womb as early as 11 weeks, but soon becomes more than a simple reflex. Instead, these tiny responses may reflect one of the earliest signs of social bonding and communication between mother and child. Furthermore, baby starts to interact with his family. At 7 months, when the mother rubs her belly, the fetus is more likely to respond by moving his hands to the uterus wall to return the touch.11
Between 28 and 30 weeks of pregnancy, babies begin to smell — not through the air, but through the amniotic fluid.13 The fluid carries a mix of odors that come from the baby’s own body and from the flavors in the mother’s diet.14 Even though the baby isn’t breathing air yet, his developing nose is already at work, soaking in the scent-rich world of the womb.
Studies of babies born prematurely provide more evidence that the sense of smell functions early. Around 7 months gestation, a baby can react to different smells in clear and measurable ways. For example, when premature infants encountered the scent of mint, babies older than 29 weeks became more alert or started sucking, but younger infants were less likely to respond.15 Other studies show that premature babies between 28 and 34 weeks speed up their breathing for pleasant smells like vanilla, but slow down their breathing and even grimace for unpleasant odors, like rancid acid — even at tiny concentrations. 16 17 This shows that by 7 months, both fetuses and preterm infants react to a wide-range of smells.18
At 7 months, the unborn baby sleeps about 65% of the time, increasing with each month so that by the last month of pregnancy, the baby sleeps almost 85% of the time.21 By about 28 weeks of pregnancy, researchers can distinguish the two major types of sleep—REM and non-REM—in unborn babies using ultrasound.22 REM sleep, marked by rapid eye movements beneath closed eyelids, plays an important role in memory formation and sensory development,23 while non-REM sleep represents deeper, quieter rest. Research suggests that the baby might be dreaming during REM sleep.24 Studies tracking babies between 20 and 40 weeks gestation show that by this stage babies sleep in repeating cycles of about 45 minutes, roughly half the length of an adult sleep cycle. As the unborn baby matures, the proportion of time spent in REM sleep steadily increases.25
Cutting-edge 3D ultrasound recordings have revealed that at both 23 and 31 weeks the fetus responds with different facial expressions to painful versus startling stimuli.28 29 Researchers examined different facial gestures before and after an unborn baby received an injection of anesthetic in their thigh prior to an in utero surgical procedure. The researchers compared these facial movements to those that a fetus made before and after hearing a startlingly loud noise. They found that the fetuses who received a painful injection made more horizontal and vertical mouth stretches, as a baby might make while crying, and were more likely to lower their brows and squeeze their eyes shut than the fetuses who merely got startled.30 These facial features are also associated with a conscious pain experience in newborn babies, who also cannot communicate their pain experience with words.
Watch the movie to see the fetus’s reaction to the painful injection.
Continuous ultrasounds from babies as young as 23 weeks gestation have also shown “scowling” facial expressions which may demonstrate discomfort or distress.31 Smiling, as well as scowling, is more frequent in older unborn babies.32 33 In month 7, the unborn child can pick his nose, make the “peace” sign with his fingers and blink regularly. 34
If a woman delivers her baby when she is 7 months pregnant, most of the time that baby will survive without any major disabilities. At 28 weeks gestation, at least 92% of all premature babies survive the first year. By 31 weeks, that number has risen to over 96%.36 Premature children born before 30 weeks still have significantly higher risks of vision and hearing problems, as well as lower IQs than their full-term counterparts.37 38
During pregnancy, a mother shares immune protection with her baby. Antibodies in her bloodstream cross the placenta, and higher maternal antibody levels mean more protection for the fetus. For this reason, the CDC recommends the Tdap vaccine between 27 and 36 weeks of pregnancy, even if the mother has been vaccinated before. The shot boosts the mother’s antibody production, increasing the amount passed to the baby and helping shield her newborn from whooping cough after birth. A similar benefit occurs with the flu vaccine: when given late in pregnancy, it significantly reduces the risk of infection and hospitalization in infants during their first six months outside the womb.39 40 Furthermore, when the mom receives an RSV vaccine around 8 months of pregnancy, her baby is half as likely to end up hospitalized by RSV.41
The brain creates an overabundance of neurons and an overabundance of synaptic connections in a process called blooming and pruning. Just as a tree needs trimming to clear away the excess branches, synaptic pruning removes unneeded connections in the brain. At 28 weeks, the unborn baby has more neurons than he will ever have again, over 100 billion neurons!42 Neurons that fail to integrate into meaningful brain circuits start to die off, leaving adults with 60-85 billion neurons.43 44 45 For the rest of fetal development, childhood and adulthood, neurons that do not become part of useful circuits undergo programmed cell death, called apoptosis. Neurons are energy-intensive cells, so removing unhelpful neurons makes the brain more efficient. The remaining neurons also undergo periods of explosive synaptic growth, where they make thousands of connections with other neurons. Advantageous connections get stronger and useless connections deteriorate, leaving the brain with useful and efficient circuits.46 47
When a woman is 7 months pregnant, scientists have a variety of tools to study the growing child while still inside the womb. The unborn baby’s brain activity is now strong enough to detect outside the abdomen using neuroimaging techniques like functional magnetic resonance imaging (fMRI) and magnetoencephalography (MEG).49 These techniques use blood flow or electrical signals from neurons to measure brain activity.
Researchers have used fMRI and MEG to determine that at 28 weeks, the fetal brain responds to different pitches of sound and flashes of light much the way that the adult brain responds.50 51 Researchers who observed premature infants at these ages also could measure brain responses to touch, electrical stimulation,52 flashes of light,53 and sound.54
The first recordings of visual-evoked responses in the brain come from fetuses at 28 weeks gestation,55 although premature babies show brain responses to flashes of light as early as 26 weeks.56
By 31 weeks, the unborn baby’s heart has beat more than 40 million times.57 At this point, the fetal heart pumps 750 quarts of blood each day, enough to fill about 8 bathtubs!58
Some premature infants born between 30 and 32 weeks gestation show visual attention and can fixate on objects, while others take more time to develop this skill.59 A premature infant’s pupils will get smaller in brighter environments. This pupillary response has first been observed in preterm babies at 30 weeks, and is consistently seen after 35 weeks.60
The amniotic fluid provides a little nutrition to the unborn baby. This month marks the highest concentration of total protein in the amniotic fluid.61