Significant other issues.

Anyone dealing with or getting through issues with their significant others? 
If I'm in pain or feeling off he will just walk right past me. Only one night when my lower back had taken its toll on me and I was holding back tears did he offer to  rub my shoulders for me for a few minutes, then headed to bed. 
This pregnancy has been rough on me and what makes it harder is when I need a hand or shoulder he's so distant and not caring. He goes into work before I get up and will go all day with out talking to me. No messages to make sure I'm doing okay after having a rough night. 
I don't complain, I keep to myself for the most part. I have fibromyalgia so I'm use to toughing things out so when it's bad I need him to understand its past my normal threshold. 
We planned this baby. He said he would be there for me this time and he would be more involved than he was 5 years ago with our first child. 
But he's back in his old ways and won't put forth any effort in planning for our daughter. Her room is still his office. We still have a lot to do, and I'm so worn down I don't think anything will be ready by the time she comes. I don't know how to get through to him. I don't feel like I can rely on him through the labor either. 
At a loss...