Feeling tired during first trimester

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 2023
Media review due: 25 January 2026

First trimester fatigue: How long it lasts, how to ease it

Is it normal to feel so tired during pregnancy?

Yes, although the extreme tiredness of the first trimester can come as quite a surprise. It can be an especially hard transition for those who are normally go-getters with lots of energy. Women who usually need only six hours of sleep at night may find they need nearly double that during these first weeks of pregnancy.

And for others, daytime tiredness is paired with trouble sleeping deeply or for more than a few hours at night. Nausea and vomiting can also be a big drain on your energy.

Why am I so tired?

Creating human life is a big job that takes lots of time and energy. Fatigue in the first trimester is a signal from your body to slow down and give it time to adjust to the incredible changes happening inside.

Several factors may contribute to first trimester pregnancy fatigue, including:

Hormones. Hormonal changes play a big role in making you feel tired, especially the hormone progesterone. This hormone rises sharply in the first trimester.
Increased blood volume. Your blood volume has doubled to ensure your baby is getting the nutrients it needs to grow. To accommodate this increase, your heart is pumping harder and stronger. This in turn increases your metabolism and lowers your blood sugar and blood pressure, adding to your fatigue.
Anemia. Iron levels can drop in pregnancy, resulting in iron-deficiency anemia. If you are experiencing extreme fatigue, talk to your provider about testing your iron levels.

How long will I feel like this?

For most women, the extreme fatigue of the first trimester is soon forgotten with the glow and boost in energy that comes with the second trimester. So, don’t worry if it seems like all you’re doing these first few weeks is lying around, dozing or napping. It’s normal. Although fatigue often returns in the third trimester because of disrupted sleep and increasing discomforts, this too will pass in time.

What can I do to feel better?

Sleep. Try to go to bed early and take naps when you can.
Adjust your schedule. There’s no need to fill every waking minute of your day with work and tasks. Recognize the things that can wait until tomorrow to allow yourself some much-needed rest. Reduce any extra job or social commitments during these first few weeks so you can be as productive as possible in your regular responsibilities.
Eat right and eat often. Protein and complex carbohydrates are your friends. Start your day with protein and eat small, frequent, healthy meals to help stabilize your blood sugar.
Exercise. A little exercise can energize you and may help you get some quality zzz’s at bedtime. Get up and walk around the office, do some deep stretches or take a break outside. When you can, go on a brisk 20-minute walk.
Stay hydrated. Drink enough fluids during the day. If you’re struggling with frequent urination during the night, limit your fluids several hours before bedtime.

What should you avoid? Squelch the urge to drink coffee or other caffeinated drinks to stay alert, as too much caffeine really isn’t good for your developing baby. Instead, drink plenty of water.

Tips to avoid sleepless nights

Pregnancy is tiresome work, but some women still have trouble sleeping when they do get the chance.

How can you sleep more comfortably while pregnant? Try these tips:

Get into a routine. Go to bed at around the same time each night.
Get in position. Sleep tilted to one side with pillows supporting your knees, back and belly. Lying on one side can help the baby get good blood flow, but it’s OK if you roll over onto your back during the night. Also, propping yourself up even slightly can help with heartburn.
Limit distractions. Keep your room comfortable and dark. Limit screen or phone time, TV watching and computer use in the bedroom.
Watch what you eat or drink. Stay hydrated with water throughout the day but limit it at night. Don’t eat immediately before sleeping as this can increase heartburn. Avoid spicy and acidic foods at dinner if your heartburn flares up at night.
Exercise. In addition to giving you an energy boost to fight fatigue, exercising every day helps you sleep better at night.
Relax. Try calming music, white noise, meditation, a warm bath or deep breathing to calm your restless mind.
Treat pain first. If you have back, hip or leg pain, try a heating pad before bed or take Tylenol before lying down to help soothe those aches.

If you’ve tried everything and still cannot sleep, talk to your doctor for more suggestions and recommendations.

Give yourself a break

It’s easy to feel guilty about not being able to do everything like you’re used to. It’s OK to step back, relax and pamper yourself.

Remember this is only temporary. Don’t let your fatigue put a damper on your pregnancy joy. You are creating life, and that’s definitely something to celebrate.

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Posted In Health Information, Pregnancy, Women's

1st trimester of pregnancy: what happens to the fetus

1st trimester of pregnancy: what happens to the fetus - Private maternity hospital Ekaterininskaya Clinics

1st trimester: 1st-12th weeks

The gestational age is calculated from the first day of the last menstruation, since it is difficult to determine the exact day of conception. Since conception usually occurs in the middle of the menstrual cycle, you are not actually pregnant during the first two weeks, but this period is counted as the beginning of pregnancy.

As soon as the fertilization of the egg takes place around the 3rd week, the hormones begin to produce changes in your body little by little. As a result, you may experience some of the following symptoms:

Morning sickness. As a result of rising levels of hormones characteristic of pregnancy, up to 80% of women in the 1st trimester experience morning sickness with symptoms such as nausea and vomiting. The idea that such malaise is observed only in the morning is a common misconception. In fact, symptoms can appear at any time of the day or night. Up to 1 in 5 women experience morning sickness in the 2nd trimester of pregnancy and can sometimes persist throughout pregnancy.
If you experience morning sickness, avoid foods that make you sick, eat little and often, avoid fatty and spicy foods, drink more water. If you experience severe symptoms or symptoms that bother you, see your doctor.
Breast changes. The mammary glands will begin to increase in size, soreness may appear. The nipples will increase in size, become darker and more protruding.
Fatigue. High levels of the hormone progesterone can make you feel tired and sleepy. Rest as often as possible in a horizontal position with your legs up and eat as well as possible, which is not easy if you are experiencing morning sickness!
Increased emotionality. A higher level of emotionality, manifested as a result of an increase in hormone levels, is normal. Understanding and patience on the part of your partner and loved ones is very important here.
Food likes and dislikes. You may find yourself intolerant of one food and addicted to another. This is usually not a problem, unless you feel like eating weird foods like chalk. If you are concerned about the situation, contact your doctor.
Frequent urination. As your fluid levels increase and your uterus puts pressure on your bladder, you will become more likely to visit the toilet. Go to the toilet as soon as you feel the need - this minimizes the pressure on the bladder.
Feeling of dizziness. Sometimes you may feel a little dizzy (this is due to hormonal changes). Try not to stay on your feet for a long time and slowly rise from a sitting or lying position. If you experience severe dizziness, contact your doctor immediately.
Heartburn and constipation. Your digestive system will slow down to give you more time to digest your food. This can lead to heartburn and constipation. To help manage heartburn, try to eat small meals at regular intervals and avoid fried or spicy foods and carbonated drinks. Constipation is helped by eating a diet rich in fiber, maintaining physical activity and drinking plenty of water.

1st trimester milestones

Approximately 7 days after fertilization, the embryo implants in the uterine wall. The placenta, umbilical cord and amniotic sac will begin to form to provide nourishment and protection to the embryo.
By the end of the first 12 weeks of pregnancy, the uterus is palpable through the wall of the abdomen, the abdomen will begin to grow.

Child development in the 1st trimester of pregnancy

By the end of the 1st trimester:

All the main organs of the baby are formed, the circulatory system works.
The development of the sexual organs has begun.
Fingers are formed on the hands and feet, nails have appeared.
Facial features have formed.
The length of the baby's body is about 6 cm from the head to the lower part of the body, he is already recognizable. The baby moves in the amniotic sac, but you don't feel it move yet.

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Drowsiness and fatigue during pregnancy - causes and how to deal with them

“Pregnancy is not a disease,” a future mother can hear when she complains of fatigue or that she cannot quickly cope with her usual activities, concentrate . And it is true. Pregnancy is not a disease, but a huge complex of physiological processes that take place in the female body and give life to a new person. It is not surprising that the creation of a new life takes a lot of strength and energy from a woman.

Fatigue during pregnancy is a normal reaction of the body to bearing a child, as well as drowsiness, inability to concentrate and mood swings.

Where does the strength of a pregnant woman go and what causes fatigue during pregnancy at different stages?

Sleepiness and fatigue in early pregnancy

Tiredness in early pregnancy is easy to explain.

First, the fetus actively grows and develops, its internal organs are formed. The processes of synthesis of proteins and other molecules, acting as a "building material" for new cells, proceed rapidly. This wastes energy.

Secondly, a powerful hormonal restructuring takes place in the body of a pregnant woman, an additional circle of blood circulation is formed. The circulatory system is rebuilt, the load on the heart increases. The hormone progesterone, produced in the first weeks of pregnancy, affects vascular tone, lowering blood pressure. If you have experienced low blood pressure personally, then you know this condition. Similarly, a pregnant woman experiences drowsiness, it is difficult for her to concentrate.

Thirdly, all the resources of the body are directed first to the formation and development of the fetus, and then to the normal needs of the female body. This applies to both energy and nutrients. A woman simply does not have enough “fuel” to provide not only for her unborn child, but also for herself. This is especially acute for women who do not take vitamins during pregnancy. The fact is that many vitamins and minerals, on the one hand, are needed for energy production (especially for B vitamins), on the other hand, these same micronutrients are needed for the proper development of the fetus. For example, from vitamin B9depends on the closure of the neural tube - the basis of the spinal cord and brain.

Finally, toxicosis also contributes to fatigue in the first trimester. This condition can be accompanied not only by nausea and vomiting, but also by drowsiness, fatigue, and rapid mood swings. Toxicosis, if it passes without health complications, is considered a normal, although not very pleasant, element of pregnancy. In this case, one of the likely causes of toxicosis is a lack of vitamin B6.

By the second trimester, the hormonal background stabilizes, but other reasons lead to weakness and drowsiness during pregnancy.

Late term drowsiness

The fact is that in the third trimester the child's weight becomes quite significant and grows rapidly. The weight of the placenta and the fluid that fills it should be added to the weight of the fetus. That is why the load on the body of a pregnant woman (especially the legs and back) becomes palpable. Even after walking a short distance, a woman may feel tired, as if she was carrying heavy loads. And yet it is so!

Another cause of late-term sleepiness is quite commonplace. With a large belly, it is more difficult to fall asleep and get enough sleep. It is difficult for a woman to turn around or take her usual position, the child may begin to push in her sleep. After all, if in ordinary life we don’t get enough sleep for a night or two, then we can sleep off on the weekends, and there are no days off from pregnancy.

But drowsiness during late pregnancy can be a symptom of a dangerous disease - anemia, lack of iron in the body. It is especially bad because it develops gradually, and it can easily be mistaken for ordinary overwork. Pallor, fatigue, rapid pulse, heart pain, dizziness and fainting during pregnancy are all signs of anemia and a reason to see a doctor as soon as possible. It is impossible to delay a visit to a specialist: anemia can have the most serious consequences, up to the loss of a child. Iron supplements usually help prevent anemia. It is better to choose iron in liposomal form, which is well absorbed.

How to deal with drowsiness and fatigue during pregnancy

Despite the fact that the beginning of pregnancy, most women spend at work in the same mode as usual, experts strongly recommend that they slow down their rhythm of life a little and take more rest.

Great changes are taking place in the body of a pregnant woman, and it would be wrong to load oneself with work in the same way as always. And if a woman says that her pregnancy was much easier and she didn’t need rest, you can only be happy for her, but you should listen only to your feelings.

How to deal with drowsiness during pregnancy, or at least reduce the level of fatigue as much as possible?

You should definitely get more sleep. Lack of sleep makes a person shaky, nervous. Which, in turn, greatly affects the level of stress. Stress interferes with normal sleep - and the circle closes. You can buy special pillows under the stomach, which help to take a comfortable position in a dream.
Eat properly and fully! This will help to provide both organisms - both the mother and the unborn child - with everything necessary, as well as avoid health problems, prevent weight gain that affects the feeling of fatigue, especially by the last trimester. Be sure to include vitamin and mineral complexes for pregnant women in the diet, for example, Pregnoton Mom - with B vitamins, liposomal iron and other micronutrients that are important for the health of mother and baby.
Walking in the fresh air (especially in the morning, when the least amount of gas pollution) will help tone the muscles, enrich the blood with oxygen.
Take CoQ10. It is involved in energy production at the cellular level. That is, it does not work as an energy tonic, but helps the body naturally efficiently extract energy from food. In addition, studies show that CoQ10 reduces the risk of preeclampsia and other pregnancy complications.
Vitamins C and E will also help you stay energetic and active. Vitamin C is also involved in the synthesis of energy, and vitamin E is necessary for cellular respiration, without which muscle weakness develops in the body.
Coenzyme Q10, vitamins C and E are contained in the antioxidant complex Sinergin, which will give a pregnant woman additional energy. Of course, Sinergin is allowed to be taken throughout pregnancy.

When does sleepiness go away during pregnancy?

When will fatigue and drowsiness during pregnancy go away? It is impossible to predict this, because each woman's pregnancy is individual. Some will feel much better already in the second trimester of pregnancy, while others will need additional support of vitamins and antioxidants throughout the pregnancy.