Tiredness and sleepiness in pregnancy
Why exhaustion is so common in pregnancy, when it needs a doctor's attention, and what helps.
Constant sleepiness, tiredness and exhaustion in pregnancy are far from unusual. They are strongest in the early months, ease towards the middle of pregnancy and increase again as delivery approaches. Some women feel tired throughout. You may find yourself falling asleep even in front of your favourite television programme.
Why it happens
Rising progesterone is usually held responsible, but this may also be nature's way of making sure a pregnant woman rests and does not overtire herself.
Nausea and vomiting can also bring exhaustion. And one thing that should not be overlooked: the mood swings of pregnancy can lead to depression and anxiety in pregnancy, which themselves cause tiredness and a tendency to sleep.
When to call your doctor
If, along with tiredness and sleepiness, you feel anxious, low or hopeless, cannot carry out your daily activities, or have thoughts of harming yourself, tell your doctor straight away.
One important cause of tiredness and exhaustion in pregnancy is iron deficiency anaemia, which is very common. If you had this before pregnancy, or have never been tested, your doctor will arrange the necessary tests.
What can help
- Listen to your body and rest with short naps during the day.
- If you are working, create 15-minute breaks that suit your day.
- Going to bed earlier will do no harm.
- Organise your daily tasks in a way that allows you to rest.
- Eating well will increase your energy.
- Cut down on tea and coffee, and drink plenty of fluids.
- If you are getting up often at night to pass urine, not drinking for a few hours before bed will help stop your sleep being broken.
- Short walks will leave you feeling more alert, however exhausted you feel.