Causes of Fatigue During Pregnancy
During early pregnancy, your body makes more of a hormone called progesterone. This can make you feel sluggish and sleepy. In addition, your body produces more blood to carry nutrients to the baby. This causes more work for your heart and other organs. Your body also changes the way it processes foods and nutrients. All of this change is stressful for your body and may lead to fatigue.
Physical and psychological changes during pregnancy can be stressful mentally and emotionally as well. This stress can add to your feelings of fatigue.
During later pregnancy, the additional weight of the baby further taxes your body's strength. Several changes may occur later in pregnancy that makes you feel tired:
- Difficulty sleeping
- The need to urinate often during the night
- Late-night cramps in your legs
- Heartburn
Fatigue can also be a symptom of anemia, particularly iron-deficiency anemia, which affects about half of all pregnant women. Your body needs iron to make hemoglobin, the substance in red blood cells that enables them to carry oxygen to your tissues and to your baby. Your need for iron increases during pregnancy because of the needs of the baby, the increase in blood produced by your body, and the blood loss that occurs during delivery.
Fatigue: What You Can Do
The following tips may help you avoid excessive fatigue during pregnancy:
- Take naps and breaks. Rest when you can during the day, during your lunch hour, or before dinner. At work, take frequent breaks to pace yourself and renew your energy.
- Go to bed early. You may need to go to bed earlier than usual, especially if you find yourself waking up several times during the night. Go to bed when you feel tired. Don't push yourself to stay awake until your usual bedtime.
- Avoid getting up during the night. Drink adequate fluids earlier in the day. Avoid drinking anything for two or three hours before bedtime so that you won't have to get up often during the night to urinate. If you often have heartburn, be sure to eat your last meal of the day several hours before lying down or going to sleep. Gently stretch your leg muscles before bedtime. This may help you avoid nighttime leg cramps.
- Exercise. Unless your health care provider has advised against it, try to exercise for at least 30 minutes per day. Even moderate exercise, like walking, can lift your spirits and increase your energy level. (Always be sure to find out from your health care provider what exercises are safe for you and how long you can maintain your exercise program.)
- Drink plenty of fluids. Be sure to drink enough fluids. Lack of fluids can contribute to fatigue.
- Cut back and relax. Avoid stressful situations. Cut back on social events and other activities that wear you out. Instead, spend this time on things that you find soothing and relaxing. Use relaxation techniques, such as deep breathing, when you feel that you need a break.
- Ask for help. Let your partner, children, or friends help out around the house as much as possible. If you are feeling overstressed, talk to friends and relatives who can help you feel better. Talk to your health care provider about finding support groups and other resources.
- Eat right. Eat a balanced diet, including plenty of iron and protein. It's particularly important to eat plenty of iron-containing foods during pregnancy. Foods that contain iron include red meat, seafood, poultry, whole-grain or iron-fortified cereals and pastas, dark-green leafy vegetables, beans, nuts, and seeds. Drinking citrus juice when you eat iron-rich foods can help your body better absorb this mineral.
- Take a prenatal vitamin and an iron supplement if recommended by your health care provider.
When to Talk to Your Health Care Provider
Some tiredness is normal during pregnancy, especially during the first and third trimesters. While the symptoms generally improve during the second trimester, some women feel tired throughout their pregnancy.
Talk to your health care provider if you feel:
- Sudden fatigue
- Fatigue that doesn't go away with adequate rest
- Severely fatigued a few weeks into your second trimester
- Depressed or worried
Fatigue can be a symptom of anemia, particularly if you also have:
- Shortness of breath
- Heart palpitations
- Weakness
- Pale skin
- Dizziness
You may also experience pica, an appetite for non-food items like ice, dirt, clay, or paper. Pica has been linked to iron deficiency. While these cravings can be normal, it's not a good idea to eat dirt, clay, or paper. Talk to your health care provider. He or she will check your blood count and perhaps prescribe an iron supplement.
