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Pregnancy Fatigue: Why It Happens and What to Do

July 10, 2025

Pregnancy is one of the most magical experiences in life, but for so many women, it's also fraught with an unexplained and suffocating fatigue. You may find yourself fighting to stay awake during the day, feeling strangely worn out even after a good night's sleep, or wondering why routine activities now seem like scaling a mountain. If you've ever looked around and asked, "Why am I this tired? ”—you’re not alone. Pregnancy fatigue is real, common, and, at times, downright frustrating. While some expectant mothers brush it off as a normal part of the journey, others find themselves genuinely concerned about just how wiped out they feel.

Understanding the reasons behind this tiredness and learning how to overcome tiredness during pregnancy can make the journey toward maternity feel a little more manageable and a lot more empowering.

What is Pregnancy Fatigue?

Pregnancy fatigue is a deep sense of tiredness that happens as a consequence of the numerous physical, hormonal, and emotional shifts brought about by pregnancy. It may present itself as:

● Physical exhaustion

● Emotional burnout

● Mental fog

Extreme tiredness in early pregnancy is different from typical end-of-the-day fatigue. It can be intense and may lead to challenges such as difficulty concentrating, low energy or even struggling to get out of bed.

Why Does Pregnancy Make You So Tired?

Several reasons account for the fatigue you experience:

● Hormonal fluctuations, specifically the sudden increase in progesterone, have a sedative effect.

● Increased production of blood, which places extra pressure on your heart and vascular system.

● Decreased blood sugar and blood pressure, which can make you dizzy and weak.

● Emotional strain, fueled by the anticipation, anxiety, and life changes that come with preparing for parenthood.

● Sleep disruption due to frequent need to urinate and inability to get comfortable.

These all happen quickly, particularly in early pregnancy, and are responsible for severe fatigue early in pregnancy.

When Does Fatigue Peak During Pregnancy?

One of the most frequent questions asked by women is: "When does first-trimester fatigue peak?"

For many women, the height of pregnancy fatigue is week 9 or 10. That's when hormonal fluctuations are at their most extreme, and your body is doing its best to sustain the placenta that will feed your baby for the duration of the pregnancy.

Understanding fatigue in early pregnancy, when does it start, can help you feel more prepared and less caught off guard. For many women, the exhaustion begins as early as week 5 and tends to intensify as the first trimester progresses.

Causes of Pregnancy Fatigue by Trimester

First Trimester

This is when fatigue strikes most women. The interaction of hormonal spikes, the development of organs in the fetus, and enhanced metabolic requirements can leave you drained.

Second Trimester

Most women feel relief at this stage, commonly referred to as the "honeymoon period" of pregnancy. Hormones normalise to some extent, and energy levels typically pick up, although some women continue to feel exhausted, particularly if they're expecting multiples.

Third Trimester

Fatigue often resurfaces in the third trimester as your body copes with the added weight of the growing baby, more frequent sleep disturbances, and the physical demands of approaching labour. This exhaustion is completely normal and commonly experienced during the final stretch of pregnancy.

Does Pregnancy Fatigue Last?

Fatigue usually drops off in the second trimester but can return in the third. While some women feel a lot better after week 12 or 13, others can suffer from severe tiredness during early pregnancy and beyond.

Book an online appointment with Dr. Dhanashri Revadekar for Pregnancy & Gynecology related issues.

How to Overcome Tiredness During Pregnancy?

Here are real-life tips to assist you in overcoming the pregnancy slump:

1. Rest First

Allow yourself to slow down. Sleep early, nap if you must, and don't overcommit.

2. Eat Smart

Healthy meals with lean proteins, whole grains, and iron-rich foods (such as spinach and lentils) may help combat fatigue. Steer clear of processed sugars that can cause energy crashes.

3. Stay Active

Gentle exercises, such as prenatal yoga, walking, and swimming, can boost circulation and release feel-good endorphins.

4. Hydrate

Dehydration can worsen tiredness. Aim to drink at least 8–10 glasses of water daily.

5. Manage Stress

Practice relaxation techniques like meditation, deep breathing, or journaling to help reduce mental fatigue.

6. Take Your Vitamins

Ensure you’re taking a quality prenatal vitamin that includes iron, B vitamins, and folic acid to support your energy levels.

These strategies can significantly help if you're wondering how to overcome tiredness during pregnancy, safely and naturally.

When to Call Your Doctor?

Fatigue is a normal part of pregnancy, but there are certain times when it can be a sign of something more serious:

Iron-deficiency anaemia

Thyroid problems (hypothyroidism)

Gestational diabetes

● Depression

If your tiredness is severe, sudden or accompanied by other symptoms like dizziness, shortness of breath, or rapid heartbeat, talk to your healthcare provider right away.

Why Choose Cloudnine for Your Pregnancy Journey?

When it comes to riding the highs and lows of pregnancy, including difficulties such as exhaustion, having the proper support system can be the turning point. This is where Cloudnine takes the centre stage. As a top maternity and women's health hospital in India, we offer top-notch medical care with empathetic care to make every expecting mother feel empowered, informed, and cared for.

Whether you're looking for expert guidance on pregnancy symptom management, individualised prenatal care, or just a safe and warm place to give birth, Cloudnine is an ideal companion on your journey of pregnancy. With the best obstetricians on board, world-class facilities, and a focus on holistic well-being, Cloudnine allows you to concentrate on what matters most: you and your baby's well-being.

Final Thoughts

Pregnancy fatigue can be overwhelming, especially when it strikes early and lingers longer than expected. It’s one of the body’s first signals that something remarkable is underway. The most important thing you can do is listen to your body and respond with patience and compassion.

Though the exhaustion may feel relentless at times, it usually eases as your pregnancy progresses. By adopting supportive habits and making small, intentional changes, you can learn how to overcome tiredness during pregnancy and bring a little more comfort into your daily routine. And remember, if something feels off or your fatigue feels unusually intense, don’t hesitate to visit your healthcare provider.

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FAQ

1. What does fatigue in pregnancy mean—boy or girl?

There's a popular myth that intense exhaustion reveals the sex of your baby. From a scientific standpoint, there is no proof that exhaustion foretells whether you're having a boy or a girl; it's more a matter of how your body reacts to pregnancy.

2. At what point does exhaustion get better in pregnancy?

Fatigue tends to reduce at the beginning of the second trimester, weeks 13 to 14, when hormone levels stabilise and the body adjusts to pregnancy. Everyone's energy levels, though, can be very different.

3. How to boost energy levels during pregnancy?

Other than rest, consuming small and frequent meals, staying active, proper hydration, and avoiding stress are a few of the best ways to boost energy levels during pregnancy.

4. What are healthy ways for pregnant women to boost their energy?

Natural choices are: ● Water with a splash of lemon or cucumber ● Coconut water as an electrolyte ● Smoothies with fruits, yoghurt, and protein ● Herbal teas (consult your doctor for pregnancy-safe herbal teas) Avoid energy drinks or any high caffeine beverages, which are not advisable during pregnancy.

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