It's common to feel tired, or even exhausted, during pregnancy, especially in the first 12 weeks.
Hormonal changes at this time can make you feel tired, nauseous and emotional. The only answer is to rest as much as possible.
Make time to sit with your feet up during the day, and accept any offers of help from colleagues and family.
Being tired and run-down can make you feel low. Try to look after your physical health – make sure you eat a healthy diet, and get plenty of rest and sleep.
Later in pregnancy, you may feel tired because of the extra weight you're carrying. Make sure you get plenty of rest.
As your bump gets bigger, it can be difficult to get a good night's sleep. You might find that lying down is uncomfortable or that you need to use the loo a lot.
Feeling tired will not harm you or your baby, but it can make life feel more difficult, especially in the early days before you've told people about your pregnancy.
You may have strange dreams or nightmares about the baby, and about labour and birth. This is normal.
Talking about them with your partner or midwife can help. Remember, just because you dream something, it does not mean it's going to happen. Relaxation and breathing techniques may be helpful in reducing any anxiety you might be feeling.
The safest position to go to sleep is on your side, either left or right. Research suggests that, after 28 weeks, falling asleep on your back can double the risk of stillbirth. This may be to do with the flow of blood and oxygen to the baby.
Do not worry if you wake up on your back – the research looked at the position pregnant people fell asleep in, as this is the position we keep for longest. If you wake up on your back, you can just turn over and go to sleep again on your side.
You can try supporting your bump with pillows and putting a pillow between your knees.
The baby charity Tommy's has a video about safer sleeping in pregnancy.
Try not to let it bother you if you cannot sleep, and do not worry that it will harm your baby – it will not. If you can, nap during the day and get some early nights during the week.
Avoid tea, coffee or cola drinks in the evening, as the caffeine can make it harder to go to sleep.
Try to relax before bedtime so you're not wide awake. Relaxation techniques may also help, ask your midwife for advice. Your antenatal classes may teach you some techniques, or you could use a pregnancy relaxion CD or DVD.
You could join an antenatal yoga or pilates class. Make sure the instructor knows you're pregnant. Exercise can help you feel less tired, so try to do some activity, such as a walk at lunchtime or going swimming, even if you feel tired during the day.
If lack of sleep is bothering you, talk to your partner, a friend, doctor or midwife.
Read about preventing insomnia, including daytime habits, such as exercising, and bedtime habits, such as avoiding caffeine.
Occasionally, sleeplessness – when accompanied by other symptoms – can be a sign of depression. If you have any of the other symptoms of depression, such as feeling hopeless and losing interest in the things you used to enjoy, speak to your doctor or midwife. There is treatment that can help.
Read about mental health in pregnancy.
Healthtalk.org has videos and written articles of people talking about their symptoms and feelings in the early weeks of pregnancy, including tiredness.
In this video, a midwife explains the various ways pregnant mothers can get more comfortable at night.
Media last reviewed: 25 January 2020
Media review due: 25 January 2023
Pregnancy is all about changes, and some are more dramatic than others.
Along with all the physical changes happening to your body, you may also be experiencing symptoms like mood swings, swelling, nausea or morning sickness, to name a few. So, it can be easy to overlook something as straightforward as fatigue.
But as you may be finding out, fatigue can be quite a challenge, too. Below, we cover everything you can expect from this common pregnancy symptom, its causes, and what you can do to manage it.
Fatigue is totally normal during pregnancy, but people’s experiences with it can vary widely. It may be that you don’t experience much fatigue at all, or it may be that you feel extreme tiredness in early pregnancy that drops off later on. No matter how it affects you, fatigue can generally be characterized by:
Pregnancy fatigue can start as soon as one week after conception, which means it may be an early sign of pregnancy before a test can tell you for sure.
It’s also common to start feeling tired any time during the first 12 weeks.
There are various factors that can cause fatigue, but they differ from trimester to trimester.
The overall cause of fatigue in early pregnancy is simple – your body is preparing for the months ahead. But there are a couple parts of this preparation that can really contribute to feelings of fatigue:
In the second trimester, people typically find that they have more energy – you may be used to the new hormone levels in your body, and your baby isn’t very big yet.
But it’s still possible to feel fatigued in the second trimester, especially if your sleep gets interrupted by pregnancy symptoms like frequent urination and leg cramps.
When fatigue happens in the third trimester, it’s generally because the baby’s gotten bigger. Carrying around that extra weight can be tiring on its own, but it also makes other things harder, including sleeping comfortably. Plus, as the baby settles into the pelvis, it puts more pressure on the bladder, so nighttime trips to the bathroom may become even more common. And all of that is in addition to any other pregnancy symptoms you’re experiencing.
When it comes to managing fatigue, the best thing you can do is take steps to increase your energy levels. This means:
A solid pregnancy diet can be a great way to keep your energy up. In particular, focus on getting enough iron, which supports red blood cell production and prevents any additional tiredness from anemia (a condition which results from not having enough red blood cells to carry the amount of oxygen your body needs).
Foods that are high in protein are also good choices, as protein is a longer-lasting source of energy compared to carbohydrates.
You may benefit from eating smaller meals throughout the day. This can help keep your blood sugar and energy levels consistent. It’s also important to drink plenty of water, as water helps your body function properly.
The American College of Obstetricians and Gynecologists recommends that you get at least 150 minutes of moderate aerobic activity each week while you’re pregnant. That may sound like a lot, but if you break it down into 30 minutes of pregnancy-safe exercises per day, it adds up quickly.
Exercise improves blood circulation, which helps bring oxygen to every part of your body. This can give a boost to overall energy levels. Plus, exercise helps manage other pregnancy symptoms like back pain and constipation.
Even if you’re doing everything you can to boost your energy levels, you still have to listen to your body.
And when your body is fatigued, rest is the answer. Take breaks throughout the day, nap when you need to and sleep as much as possible. It may help to go to bed earlier, and avoiding fluids for a few hours before going to bed can help cut down on bathroom visits at night.
Fatigue is very common and normal during pregnancy. Still, don’t hesitate to talk to your care provider at any point along your prenatal appointment timeline if you have questions or concerns about your level of tiredness.
But keep in mind, there are times when fatigue may be a symptom of a pregnancy complication like anemia, depression or gestational diabetes. Call your care provider if you experience sudden fatigue, fatigue that completely stops you from doing your daily tasks or if you have fatigue with any of the following:
Whether your pregnancy is making you tired, nauseous or anything else, a prenatal appointment can help.
In addition to making sure you and your little one are safe and healthy, your care provider can give you tips and recommendations for every part of your pregnancy.
At 30 weeks pregnant, you are ready to go on maternity leave. In the case of twins, prenatal leave is from 28 weeks. Active work, physical and mental overload during this period can provoke premature birth.
It's time to put on the bandage - it will help your baby stay in the right position and you in good shape after childbirth.
The child still needs a lot of nutrients, vitamins, mineral salts. Use your vacation to relax, but don't lie around all day. We hope that hiking in the fresh air has become a habit for you. nine0003
Do not forget to keep track of the ratio of drunk and excreted liquids. Accumulating in the body, the fluid disrupts the functioning of the kidneys, increases the load on the heart, which causes an increase in blood pressure.
As a result, the child suffers: he lacks nutrients, oxygen.
A sharp headache, flashing flies before the eyes, convulsions are signs of eclampsia, a severe complication of pregnancy that poses a threat to the life of the mother and child. Urgently call the ambulance. nine0003
At this time, the uterus becomes very sensitive to the pushes and movements of the child, its muscles periodically tighten. It's like she's doing gymnastics. If this rarely happens and you do not feel pain, then everything is in order and there is no cause for concern. But if the uterus tenses often, pain appears - call an ambulance. If spotting appears, amniotic fluid is pouring out, do not wait for contractions - immediately to the hospital!
Sex life from 32-33 weeks is not recommended. nine0003
At 32 weeks, another scheduled ultrasound examination is scheduled to assess the correct functioning of the placenta, if necessary, the study of fetal heart sounds.
The last month is the most difficult.
The load on the body has increased to the maximum. You are already tired of the long wait. Approximately two weeks before delivery, a mucous plug will come off the cervix, which is a lump, sometimes slightly stained with blood.
Do not forget to make up for the lack of calcium in the body - until the last day of intrauterine existence, the child intensively stores minerals. Eat fully and properly - the fetus eagerly takes everything valuable for the formation of the body. He needs protein now. Be sure to take a prenatal multivitamin. Rest during the day. Lie on your side, slightly raise your legs. nine0003
Many women suffer from constipation at this time. Only a rational diet will help. Eliminate grapes, fresh cabbage, peas and other legumes, fresh milk, muffins, sweets. Useful: curdled milk, fermented baked milk, kefir. Steamed dried fruits normalize bowel function well. Don't take laxatives. In the last trimester of pregnancy, they can provoke uterine contractions and cause premature birth.
Sometimes, if the fetus is very large, the navel turns outward. Don't be scared and don't try to push it back. After giving birth, everything will return to normal. nine0003
By the last weeks of pregnancy, the mammary glands are greatly enlarged. The appearance of colostrum is another harbinger of close childbirth. The bra should be tight, with wide straps, always cotton.
Be prepared for contractions to start at any moment. Trim your fingernails and toenails short, and shave your pubic hair. Prepare things for the newborn and for yourself. Show your husband or relatives where they lie. An exchange card, passport, insurance policy, birth certificate should always be with you. nine0003
Think that you have to help your child come into the world. Everything will be ok!
Wrestler Maria Vladimirovna
Obstetrician-gynecologist
MD GROUP Clinical Hospital, Mother and Child Clinic Savelovskaya
False contractions
They may appear after the 38th week of pregnancy.
False contractions are similar to Braxton-Hicks contractions, which a woman could already feel starting from the second trimester of pregnancy (the uterus seems to stiffen for a few seconds - a couple of minutes, then the tension in it subsides). False contractions train the uterus before childbirth, they are irregular and painless, the intervals between them are not reduced. Real labor pains, on the contrary, are regular, their strength gradually increases, they become longer and more painful, and the intervals between them are reduced. That's when you can already say that the birth began for real. In the meantime, false contractions are going on, it is not necessary to go to the maternity hospital - you can easily survive them at home. nine0003
Abdominal prolapse
Approximately two to three weeks before birth, the baby, in preparation for birth, presses the presenting part (usually the head) against the lower part of the uterus and pulls it down. As a result, the uterus moves lower into the pelvic region, its upper part ceases to put pressure on the internal organs of the chest and abdominal cavity.
In the people it is called - the stomach dropped. As soon as the stomach drops, the expectant mother notices that it has become easier for her to breathe, but, on the contrary, it becomes more difficult to sit and walk. Heartburn and belching also disappear (after all, the uterus no longer presses on the diaphragm and stomach). But, having dropped down, the uterus begins to put pressure on the bladder - naturally, urination becomes more frequent. nine0003
For some, uterine prolapse causes a feeling of heaviness in the lower abdomen and even slight pain in the area of the inguinal ligaments. These sensations arise due to the fact that the child's head, moving down, irritates the nerve endings of the pelvic organs.
During the second and subsequent births, the belly drops later - right before the birth. It happens that this harbinger of childbirth is not at all.
Removal of the mucous plug
This is one of the main and obvious harbingers of childbirth.
During pregnancy, the glands in the cervix produce a secret (it looks like a thick jelly and forms the so-called cork), which prevents various microorganisms from entering the uterine cavity. Before childbirth, under the influence of estrogens, the cervix softens, the cervical canal opens slightly and the cork can come out - the woman will see that there are mucus clots on the linen that look like jelly. Cork can be of different colors - white, transparent, yellowish-brown or pink-red. Often it is stained with blood - this is completely normal and may indicate that childbirth will occur within the next day. The mucus plug can come out all at once (at once) or come out piecemeal throughout the day. nine0003
Weight loss
Approximately two weeks before delivery, weight loss may occur, usually by 0.5–2 kg. This happens because excess fluid is removed from the body and swelling decreases. If earlier during pregnancy, under the influence of the hormone progesterone, fluid in the body of a pregnant woman accumulated, now, before childbirth, the effect of progesterone decreases, but other female sex hormones - estrogens - begin to work hard, they remove excess fluid from the body of the expectant mother.
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In addition, the expectant mother often notices that at the end of pregnancy it became easier for her to put on rings, gloves, shoes - this means that swelling on the hands and feet has decreased.
Changes in stool
Right before childbirth, hormones often act on the intestines - they relax its muscles, as a result, stool disorder begins. Sometimes such frequent (up to 2-3 times a day) and even loose stools are mistaken for an intestinal infection. But if there is no nausea, vomiting, discoloration and smell of feces, or any other symptoms of intoxication, you should not worry: this is one of the harbingers of the upcoming birth. nine0003
And on the eve of childbirth, you often don't feel like eating at all. All this is also the preparation of the body for natural childbirth.
Mood changes
Many women experience mood changes a few days before giving birth. The expectant mother gets tired quickly, she wants to have more rest, sleep, even some kind of apathy appears.
