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Fatigue During Pregnancy: Why It Happens & How to Boost Your Energy

24 Mar 2025
Fatigue During Pregnancy Why It Happens & How to Boost Your Energy
Feeling exhausted all the time during pregnancy? You’re not alone! Fatigue is one of the earliest and most common pregnancy symptoms, especially in the first and third trimesters. While it’s completely normal, extreme tiredness can make daily tasks feel overwhelming. Let’s explore why pregnancy fatigue happens, when it’s most intense, and safe ways to boost your energy.

Why Does Pregnancy Cause Fatigue?

1. Hormonal Changes (Hello, Progesterone!) 

  • During pregnancy, progesterone levels skyrocket, making you feel extra sleepy.
  • This hormone helps support your baby’s growth, but it also slows down your metabolism, leading to fatigue.

2. Increased Blood Production 

  • Your body produces 50% more blood to support your baby, making your heart and organs work harder.
  • This can cause lower blood pressure, dizziness, and exhaustion.

3. Low Blood Sugar & Iron Levels 

  • Your baby absorbs nutrients from you, sometimes causing low blood sugar or mild anemia, both of which lead to tiredness.

4. Poor Sleep & Pregnancy Discomfort 

  • Frequent urination, nausea, heartburn, and body aches can disrupt your sleep.
  • Many moms-to-be struggle to get comfortable, especially in the third trimester.

5. Emotional & Mental Changes 

  • Pregnancy comes with stress, anxiety, and mood swings, which can be mentally draining.
Good news: Fatigue usually improves in the second trimester when your body adjusts to the changes!

Fatigue by Trimester: What to Expect

First Trimester (Weeks 1-12): Extreme Tiredness

Your body is working overtime to grow the placenta.
Morning sickness and hormonal shifts can make you even more drained. Best approach: Rest as much as possible! This is usually the most exhausting phase.

Second Trimester (Weeks 13-27): Energy Boost!

Many women feel less fatigued and experience a "pregnancy glow."
Your body is more adjusted to hormone changes. Best approach: Take advantage of this time to prepare for baby!

Third Trimester (Weeks 28-40): Fatigue Returns

Your growing baby puts pressure on your organs, making breathing and sleeping harder.
Frequent bathroom trips, leg cramps, and heartburn can disrupt sleep. Best approach: Prioritize rest, hydration, and light movement to stay energized.

8 Ways to Fight Pregnancy Fatigue & Boost Energy

1. Get More Sleep (Nap When Needed!) 

Go to bed earlier and aim for 7-9 hours of sleep.
Take short power naps (20-30 minutes) during the day.
Use a pregnancy pillow to sleep comfortably. Tip: Sleeping on your left side improves circulation and helps with energy levels.

2. Eat Energy-Boosting Foods

Protein & healthy fats: Eggs, nuts, lean meats, avocados.
Iron-rich foods: Spinach, lentils, red meat (to prevent anemia).
Whole grains & fiber: Oatmeal, quinoa, whole wheat bread for steady energy. Avoid sugary snacks—they cause energy crashes!

3. Stay Hydrated 

Drink at least 8-12 cups of water per day.
Coconut water or herbal teas can help with hydration. Avoid too much caffeine (limit to 200 mg per day).

4. Move Your Body (Gently!)

Prenatal yoga, walking, or stretching can boost circulation and energy.
Avoid intense workouts that may make fatigue worse. Tip: A 10-minute walk in fresh air can work wonders for energy levels!

5. Manage Stress & Relax

Try deep breathing, prenatal meditation, or journaling.
Delegate tasks and don’t be afraid to ask for help. Tip: Too much stress = more exhaustion, so take mental breaks when needed.

6. Take Your Prenatal Vitamins

Iron, folic acid, and B vitamins help prevent fatigue.
If you’re feeling extra tired, ask your doctor about checking for anemia. Avoid skipping meals—your baby needs those nutrients!

7. Avoid Overloading Your Schedule 

Listen to your body and say no to unnecessary commitments.
Break tasks into smaller steps to avoid feeling overwhelmed. Tip: Prioritize rest and self-care—pregnancy is a marathon, not a sprint!

8. Improve Your Sleep Environment

Use blackout curtains and keep your room cool and dark.
Avoid screens before bed (blue light disrupts melatonin).
Try pregnancy-safe magnesium supplements (with doctor approval) to relax muscles. Tip: If leg cramps wake you up, stretch your calves before bed!

When to Call Your Doctor About Fatigue

Fatigue is normal, but extreme tiredness can sometimes signal a health issue. Call your doctor if you experience: Severe exhaustion that doesn’t improve with rest.
Dizziness, shortness of breath, or rapid heartbeat.
Pale skin or extreme weakness (possible anemia).
Swelling, high blood pressure, or vision changes (signs of preeclampsia). Tip: If something feels off, trust your instincts and reach out to your doctor!

Final Thoughts: Listen to Your Body & Rest When Needed!

Fatigue during pregnancy is completely normal, but that doesn’t mean you have to suffer through it. By prioritizing rest, eating well, staying hydrated, and managing stress, you can boost your energy and feel your best. And remember—growing a baby is hard work! Take it easy, mama—you’re doing an amazing job!
Content Reviewed by Dr V. profile picture

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.

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