Do you get tired in early pregnancy

Tiredness and sleep problems - NHS

Is it normal to feel tired in pregnancy?

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.

Strange dreams during 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.

Bump-friendly sleep positions

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.

Insomnia remedies 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.

Medical reasons for insomnia in pregnancy

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.

Video: how can I sleep comfortably with my bump?

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

What to expect from pregnancy fatigue

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.

What does pregnancy fatigue feel like?

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:

Difficulty getting up in the morning
Daily tasks becoming harder to complete
Difficulty focusing
Constant tiredness throughout the day
Irritability
Feeling weak

When does pregnancy fatigue start?

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.

What causes fatigue during pregnancy?

There are various factors that can cause fatigue, but they differ from trimester to trimester.

First trimester fatigue

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:

Hormone changes: There are a lot of hormone changes that happen in early pregnancy. One of them, a big jump in progesterone levels, has been directly linked to fatigue. The emotional ups and downs that come with hormone changes can be tiring, too.
Metabolic changes: Creation takes energy. And in addition to a fetus, your body is making a placenta and extra blood. All these things create a greater demand for energy and may be partly why you feel the urge to sleep more.

Second trimester 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.

Third trimester fatigue

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.

Tips for managing pregnancy fatigue

When it comes to managing fatigue, the best thing you can do is take steps to increase your energy levels. This means:

Stay on top of your nutrition

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.

Exercise

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.

Rest

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.

When should I see my doctor or midwife about fatigue during pregnancy?

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:

Fever
Pain in the chest, abdomen or head
Dizziness
Difficulty breathing
Swelling in your hands, ankles or feet
Vision changes

Get the care you need

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.

Early pregnancy | Shchelkovsky perinatal center

Pregnancy is a wonderful period! However, the changes taking place in the body at this time can greatly frighten you. The phenomena characteristic of pregnancy are different for all women, and will not necessarily be repeated during each subsequent gestation. Let's analyze the most common symptoms, their causes and possible methods of correction.

1. Frequent urination.

Frequent, painless (!) urge to urinate is one of the signs of pregnancy. This is due to increased secretion of progesterone (pregnancy hormone), changes in metabolism and pressure from the growing uterus on the bladder.

Be sure to see a doctor if:

painful urination (this may be a sign of an infection)
urine of strange color (stained with blood, brown)
the amount of urine excreted per day is much less than the liquid drunk per day

Life hack! Under no circumstances should fluid intake be restricted! To alleviate the condition and reduce the frequent urge to urinate, it is necessary to exclude products that have a diuretic effect: tea, coffee, zucchini, watermelon; as well as salty, spicy and fried foods. It is better to drink water or juice. Wear comfortable cotton underwear that does not squeeze the lower abdomen.

2. Nausea, vomiting, heartburn, increased susceptibility to smells.

Nausea is one of the common symptoms of early pregnancy. The range of issues related to nausea and vomiting during pregnancy is quite wide. From "it's good, I don't even feel sick" (with relief), "I don't feel sick, what's wrong with me?" (with anxiety) to "when will this nausea pass" (with hope). Indeed, these symptoms are not at all a mandatory accompaniment of gestation, they can manifest at 7-8 weeks and last up to 12-14 weeks. The duration of this condition can sometimes be delayed, but rarely persists throughout pregnancy.

Life hack! For nausea, eat before feeling hungry. Solid, non-hot food and drinks at a cool temperature are best. With heartburn, you should eat small portions of food and often, and most importantly, sit, stand or walk for at least 30 minutes after eating, but do not lie down.

You should definitely consult a doctor if:

vomiting occurs even after drinking water
vomiting is exhausting, accompanied by dizziness, weakness
dryness, jaundice and flaking of the skin appear
Nausea and vomiting interfere with proper nutrition, accompanied by weight loss

To reduce nausea and vomiting in the morning, try eating something before you get out of bed. It can be a cracker, a cookie, a piece of hard cheese. And salty food is preferable to sweet. You can have a snack in the same way at night when you get up to go to the toilet. Do not lie down immediately after eating, this will only increase nausea. Vitamins for pregnant women with nausea should be taken in the evening after meals. Cool water with lemon, ginger, mint tea, or ginger or mint candies can alleviate the condition. It is necessary to exclude those foods, drinks and smells that are unpleasant to you. Brushing your teeth and rinsing your mouth often can also reduce nausea.

3. Pain or cramps in the lower abdomen, constipation, pain in the lumbar region.

The simplest and most easily controlled cause of pain is delayed and incomplete bowel movements. An increase in the concentration of progesterone relaxes the smooth muscles, which are located not only in the uterus, but also in other hollow organs. In this case, the correction of the diet and the restoration of the passage of feces will help. If the measures are ineffective, the doctor may prescribe safe drugs for you. A special type of pain that occurs during exclusivity in pregnant women is pain in the round ligament of the uterus. This acute, rather intense pain occurs, as a rule, on the one hand with a sharp change in body position (for example, when getting up from a chair or leaving a car). This pain occurs due to stretching, and then a sharp contraction, like a spring, of the round uterine ligaments. The pain quickly passes if you immediately take a comfortable position and does not require special treatment.

You should definitely consult a doctor if:

pain is accompanied by spotting bloody discharge from the external genitalia
increasing duration and intensity of pain
abdominal pain accompanied by dizziness, fever, loss of consciousness

Life hack! To normalize bowel movements, eat more vegetables and fruits, drink water and move more during the day. Try to eat often and in small portions.

4. Enlargement and soreness of the mammary glands.

Hormonal restructuring of the body during gestation is accompanied, among other things, by an increase in the size of the mammary glands and an increase in their sensitivity. By the end of the first trimester, the soreness usually disappears, no additional methods of treatment are needed.

Life hack! Choose comfortable supportive underwear (it should not leave marks on the skin at the end of the day). You may need a larger size or a sports bra. Pain in the mammary glands is relieved by a warm shower at the end of the day.

You should definitely see a doctor if:

the pain is intense
mammary glands are very dense with redness and body temperature is increased
discharge from the nipples appears (purulent, bloody)

5. Increased body temperature.

In early pregnancy, an increase in body temperature to 37.5 ° C is not necessary, but is possible due to the peculiarities of the action of progesterone. Because of this, it is difficult for pregnant women to endure stuffy, hot rooms. Self-medication is dangerous: an attempt to bring down the temperature even with a seemingly harmless folk method - tea with raspberries - can mask the true cause of hyperthermia and delay the diagnosis. Due to the increased body temperature, pregnant women should dress in layers and avoid stuffy and hot rooms and spaces so that they can always “adjust” their temperature on their own.

temperature above 37.5 °C
along with fever, any pain occurs
runny nose, cough, body aches appear

6. Nasal congestion, difficulty breathing, nosebleeds.

These symptoms can be explained by the individual reaction of the vascular system to the increase in blood volume that occurs during pregnancy. Another possible reason is dry air in the room, the operation of central heating batteries.

Life hack! The easiest way to deal with nasal congestion is to use a humidifier. If you don't have one, you can put a damp towel on the battery - less effective, but better than nothing. It is possible to use sprays with sea salt, but you need to carefully read the instructions and especially the "Indications" section, it should contain information about the safety of the product during pregnancy.

You should definitely see a doctor if:

symptoms of a cold occur
nasal congestion accompanied by ear congestion
These symptoms appeared after exposure to the allergen known to you

7. Blood pressure fluctuations.

An ideal option for the course of any pregnancy is the stability of the blood pressure throughout the gestation. However, this is extremely rare. A small (up to 10 units) increase in pressure from the usual reference may be due to an increase in the load on the cardiovascular system as a result of changes in body weight, hormonal changes, and uterine pressure on the vessels. Normal pressure: systolic below 130 mm Hg, diastolic no more than 85 mm Hg. Blood pressure in the range of 130-139/ 85–89 mm Hg considered high to be normal. High numbers are often observed in patients of older reproductive age, suffering from diabetes mellitus and kidney disease, obesity, etc. However, it is imperative to tell the doctor about all these concomitant pathological conditions at the first appointment and, if necessary, consult a neurologist, cardiologist, endocrinologist and other related specialists . Reasonable physical activity, adherence to sleep and wakefulness, a balanced diet, and the rejection of coffee and strong tea allow you to keep pressure within limits. Of the completely exotic for our days, but no less significant - the prevention of stress.

Life hack! If you first discovered that you have high normal pressure, repeat the measurement after 15 minutes. If the pressure remains elevated, see a doctor.

Be sure to see a doctor if:

your blood pressure is above 140/90 mmHg.
pressure increased by more than 10 mm Hg. relative to your regular
an increase in the pressure indicator is accompanied by edema, the appearance of "flies" before the eyes

NB! You should also pay attention to lowering blood pressure. Numbers less than 90/60 mmHg - an excuse to see a doctor.

Life hack! Keep a blood pressure diary, especially if you are prone to hypertension. Show your diary to your doctor at every appointment.

8. Heaviness and pain in the legs.

Heaviness and pain in the legs, especially in the evening, are frequent companions of pregnancy. There is an explanation for the occurrence of symptoms: an increase in load due to growing weight and a shift in the center of gravity of the body.

Life hack! Ask your partner/husband to give you a foot massage, relax with your limbs elevated (not too much!) A therapeutic pedicure, dousing the legs with cool water, a contrast shower, a cream or gel for legs with cooling components (menthol, essential oils), as well as compression stockings or stockings of the lightest degree of compression will help.

You should always see a doctor if:

one or both legs are very swollen or discolored
previously diagnosed varicose veins, family history of thrombosis

9. Skin changes.

During pregnancy, you may notice dark spots on your skin. Especially often such darkening (hyperpigmentation) is observed in the nipple area, along the white line of the abdomen. Stretch marks (stretch marks) may appear on the skin of the abdomen and thighs. These are normal signs and do not require any treatment. In most cases, skin color will return to normal after breastfeeding ends, and stretch marks will shrink and fade. Itching can be associated with stretching of the skin, especially in the abdomen and mammary glands. This symptom occurs infrequently and is usually successfully stopped by the use of special products to moisturize and soften the skin. By the way, these same remedies usually help in the fight against stretch marks.

Life hack! Oils and moisturizing creams to increase skin elasticity, contrast showers, massage with a hard brush will help reduce the likelihood of skin changes.

You should definitely consult a doctor if:

along with itching there are areas of redness, spots, peeling
itching increases

10. Bleeding gums.

Changes in the characteristics of blood circulation in the body of a pregnant woman can cause bleeding gums. The appearance of minor blood impurities during brushing your teeth, when eating solid foods (for example, an apple) is acceptable. However, the key provision is "insignificant". If you find it difficult to assess your own condition, consult a specialist.

You should definitely consult a doctor if:

you have loose teeth, sore gums, bad breath
bleeding in the gum area increases

11. Fatigue, mood instability.

Tearfulness, lack of strength, forgetfulness, distraction, the whole palette of feelings "here and now"... The list can be continued, and there is only one explanation for this - pregnancy. The most common early symptom is severe fatigue. There is no universal recipe, just as there is no single picture of these states. The main recommendation for all pregnant women is to rest often, relax and even sleep during the day. Most importantly, you need to remember: pregnancy is not a disease, but a great time to prepare for motherhood.

Pregnancy while breastfeeding: the first signs

Is it possible to get pregnant during lactation? There is an opinion that this is impossible. However, in practice, such cases are not uncommon. How to recognize the first signs of pregnancy while breastfeeding and what are the risks? More on this later in the article.

Sunday, March 17th, 2019

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What happens in the body of a breastfeeding woman

Immediately after the birth of a child, the amount of a special hormone, oxytocin, increases in a woman's body. It causes the uterus to contract after childbirth and is also responsible for the production of breast milk. The more often you breastfeed your baby, the higher the concentration of oxytocin in the blood. Interestingly, the same hormone is a provocateur of lactational amenorrhea. In other words, it is he who is to blame for the absence of menstruation.

It is generally accepted that while you are breastfeeding your baby and there are no periods, it is impossible to get pregnant. After all, there is no menstruation, no ovulation. No ovulation - no egg ready for fertilization. Everything is logical. In some women, amenorrhea can last a year or two, and in some - a month. And to understand when it ended is extremely difficult. The main sign of the restoration of fertility (ability to reproduce) is menstruation. But menstruation begins two weeks after ovulation. Therefore, a sexually active breastfeeding mother can become pregnant again at any time without even knowing it.

See also : Ovulation Calendar

In addition to oxytocin, the amount of prolactin in the body of a nursing woman also increases. It blocks the growth of follicles and ovulation, but there is no guarantee that the follicle will not start growing. Therefore, it is also impossible to exclude the possibility of fertilization during this period.

Breastfeeding pregnancy: how it is possible

Unplanned fertilization during lactation can occur, doctors say. The fact is that during breastfeeding, fertility decreases, but does not freeze completely. And if a woman is breastfeeding her baby on schedule rather than on demand, or if she alternates between breastfeeding and formula, the chances of getting pregnant again are quite high.

Longer intervals between feedings or complete weaning of the baby from the breast reduces the level of oxytocin and prolactin in the blood. This, in turn, starts the process of follicle growth and ovulation, the resumption of the menstrual cycle. If you are not planning a second child in the first year after the birth of the first, consider contraception.

Symptoms of pregnancy while breastfeeding

How to determine pregnancy during lactation? Not easy enough. Breastfeeding mothers often simply do not notice the classic signs of the birth of a new life in the womb, attributing them to the natural postpartum state of the body. Indeed, insomnia, anxiety, excessive fatigue, nausea and back pain are quite typical phenomena for a woman who has recently given birth. And the most obvious symptom of pregnancy - the absence of menstruation - is completely written off, since they are not there anyway. How do you know if you are pregnant or not?

See also: The second child in the family

The first signs of pregnancy during breastfeeding may be:

You are more tired than usual and constantly want to sleep.

This symptom can be attributed to sleep deprivation at night and baby care, which takes all your strength. However, if you notice that you are getting tired more than usual and in the morning you feel completely overwhelmed, even if the baby did not wake up at night, buy a pregnancy test.

Go to the toilet often

This may be due to cystitis or kidney disease, or it may be one of the symptoms of a new pregnancy. Our body is designed in this way: as soon as a new life is born in the womb, the body increases blood flow to provide the unborn baby with all the necessary substances. This in turn causes the kidneys to produce more urine. Do you often go to the toilet? Make an appointment with a gynecologist and buy a pregnancy test.

You feel pain in your chest

This may be due not only to stagnation of milk, but also to a new pregnancy. Changes in the amount of estrogen and progesterone cause those very painful sensations in the mammary glands. Are you seeing this symptom in yourself? Buy a test.

You feel sick in the morning.

Anything can make you feel sick, including an increase in the concentration of hCG in the blood. This hormone increases during pregnancy. Take blood tests and take a pregnancy test. It will respond to changes in the composition of urine, even during lactation.

The baby refuses to breastfeed.

When a new pregnancy occurs, the hormonal background changes. Because of this, the taste of breast milk changes, its consistency thickens and it becomes smaller. Therefore, your baby may refuse to take the breast, will be naughty and constantly demand to eat.

Pregnancy during lactation: pros and cons

Another baby in the family is a joy. You should be aware of the possible risks and positive aspects that a new pregnancy promises.

It is much easier to bring up children with the age of a few years than children with a difference in age of several years. They have a common daily routine, common interests and toys for two. It will be easier for you to adjust.

Possible risks:

A woman's body needs at least 2 years to fully recover after childbirth. A new child may simply not have enough resources for growth and development.
If the delivery was by caesarean section, the uterus may not be ready. There is a risk of fetal death and irreversible consequences for the woman's health.
Breastfeeding causes uterine contractions, which can cause miscarriage.

It is up to you to keep an unplanned pregnancy or not.