Meals or snacks: A freezer meal or a snack box for her to grab during those hectic newborn days.
Self-care items: A pamper pack with hand cream, lip balm, or a scented candle.
Personalized gift: A small keepsake like a name plaque or a family ornament.
Help voucher: A note offering to babysit, do school runs, or clean—support like this can be invaluable.

Honestly if its her fourth baby and she has everything she needs – I’d buy a present for her rather than the baby. Maybe a pamper pack or even book her in for a mani or pedi before the baby is born ( and offer to babysit while she is there)

I would cook her some dinners that she can freeze. I always appreciated when my friends gave me something g hat would make my life easier.

That’s very practical. She might also appreciate a special outfit for her daughter, or something for herself.

Wipes would be super handy.

Wipes would be super helpful or something just for her like previously suggested.

Anyone should be just grateful for the thought, no matter what you gift them. If your worried a box of Chocolates/ champagne or a candle, are always winners with women too.