Fatigue in pregnancy is especially common in the first trimester because of changing hormone levels and increased metabolism. If fatigue persists into the second semester, ask your doctor or midwife if you might benefit from an iron supplement. Fatigue is also common in the third trimester because of the extra weight you’re carrying and increased sleeplessness.
For many pregnant women – who juggle the physical and emotional demands of careers, family obligations, domestic chores and the needs of
other children – coping with fatigue often feels overwhelming. And just when you’ve given up coffee and other sources of the stimulant caffeine.
Chronic tiredness can lead to a lowered immune system and thus greater susceptibility to illness. It can also impair judgment, cause a short temper, increase the probability of accidents and even lead to anxiety and depression.
Experts say that for “super moms” who are used to accomplishing 10 tasks at a time it’s important to distinguish what’s necessary from what’s preferable. And don’t be shy about asking for help.
If you work outside the home, try to take a catnap or two in the office or find time to sit quietly and relax or meditate. Also, keep your body fueled by eating five to six small meals a day and carry protein-bars and fruits and vegetables to snack on. Drinking plenty of water is also important because dehydration increases fatigue.
Joan Swirsky is a psychotherapist, former OB nurse and Lamaze teacher and author of Gift of Life: A Spiritual Companion for the Mother-to-Be.
For a Good Night’s Sleep:
Try to get some exercise each day. Regular walks, bicycle rides, stretching may help you sleep better at night.
Before bed, relax by taking a bath, meditating, listening to music or reading. Also stretch your muscles to avoid leg cramps at night.
Wear loose-fitting nightclothes.
Keep your bedroom darkened. If street lights are a distraction, buy room-darkening shades or blinds.
Keep your bedroom as quiet as possible. If you can't block outside noise, "cover" it with a familiar inside noise such as the steady hum of a fan or other appliance.
If you can't sleep, get up and pursue a relaxing activity like reading or knitting, until you feel sleepy. Don’t lie in bed worrying about getting to sleep.
More Help:
For advice on coping with fatigue and other symptoms of pregnancy, read
The Pregnancy Book: Month-by-Month, Everything You Need to Know From America's Baby Experts by Martha Sears (Little Brown, $12.95) and The Girlfriend’s Guide to Pregnancy by Vicki Iovine (Pocket, $10).
