Is It Normal to Feel So Tired in the Second Trimester?

Pregnancy is a journey filled with physical, emotional, and hormonal changes. Many expectant mothers hear that the second trimester is the “easiest” phase—often referred to as the “honeymoon” period of pregnancy, where energy levels are supposed to improve, and the discomforts of the first trimester ease. However, some women may still feel tired or exhausted during the second trimester, leaving them confused and concerned. Is this normal, or is something wrong?

In this article, we’ll explore why fatigue can persist during the second trimester, discuss how antenatal care plays a role in managing energy levels, and provide tips on how to cope with tiredness. We’ll also touch on related antenatal topics, such as prenatal care, antenatal yoga, and relaxation techniques, to help expectant mothers maintain their well-being.

Why Is the Second Trimester Supposed to Be Easier?

The second trimester, typically weeks 13 to 27, is often hailed as the most comfortable part of pregnancy. After the fatigue, nausea, and hormonal rollercoaster of the first trimester, many women look forward to this phase, expecting renewed energy and fewer symptoms.

By this stage, your body has had time to adjust to the pregnancy hormones, and some of the early pregnancy discomforts, such as morning sickness and heightened fatigue, may subside. The placenta has fully developed by the end of the first trimester and takes over the production of essential hormones to support the baby’s growth, which can lead to a stabilisation in hormone levels and, consequently, improved energy.

However, not every woman experiences the same boost in energy. For some, tiredness continues, which can be worrying, especially if they were expecting the “easy” phase of pregnancy.

The Causes of Second Trimester Fatigue

Several factors can contribute to ongoing tiredness during the second trimester. Although this is generally the phase where energy levels improve, there are valid reasons why some women might still feel fatigued. Understanding these causes can help you manage your expectations and seek the right support.

1. The Growing Baby

Your baby’s growth accelerates in the second trimester, and while this is an exciting time, it also places physical demands on your body. Blood volume increases to supply oxygen and nutrients to the baby, and your body continues to work hard to support the pregnancy. The extra blood flow and weight gain can result in increased fatigue, even if you’re otherwise feeling well.

2. Iron Deficiency (Anaemia)

Fatigue in pregnancy is often linked to iron deficiency anaemia, which is quite common among pregnant women. According to the NHS, the body requires more iron during pregnancy to support the growing baby and produce more blood. If your iron levels are low, you may experience ongoing tiredness, dizziness, and weakness (NHS, 2022). During your antenatal checkups, your midwife will likely check your iron levels and may recommend iron supplements if necessary.

3. Hormonal Changes

While hormone levels stabilise after the first trimester, the ongoing rise of oestrogen and progesterone can still affect your energy levels. Progesterone, in particular, is known to have a sedative effect, which can make you feel more sluggish or fatigued.

4. Sleep Disruptions

Many women experience sleep disruptions in the second trimester, which can contribute to daytime tiredness. As the baby grows, discomfort when sleeping can become more common, with aches, pains, and the need to use the bathroom more frequently disrupting restful sleep. If you’re struggling with sleep, consider investing in a pregnancy pillow or discussing relaxation techniques such as antenatal massage with your antenatal care provider.

5. Emotional Stress

Pregnancy is a time of significant emotional change, and stress or anxiety can affect sleep and energy levels. You might be worried about antenatal scans, the health of your baby, or the impending arrival of your little one. This mental and emotional burden can lead to fatigue, even if your physical health is otherwise good. Antenatal classes, antenatal yoga, and relaxation techniques can be excellent tools to manage stress during pregnancy.

Antenatal Care and Managing Fatigue

It’s important to recognise that tiredness during the second trimester is normal and that every pregnancy is different. What works for one woman may not work for another, which is why antenatal care is essential for monitoring your individual health needs. Regular antenatal appointments ensure that both you and your baby are healthy, and they give you the opportunity to discuss concerns like persistent fatigue with your midwife or doctor.

Your antenatal clinic will carry out routine checks to monitor your iron levels, blood pressure, and overall well-being. If fatigue is a concern, your midwife may suggest specific lifestyle changes, such as improving your diet, incorporating gentle exercise like antenatal yoga, or adjusting your daily routine to include more rest.

Antenatal Vitamins

A balanced diet rich in nutrients is crucial during pregnancy, but antenatal vitamins can help ensure that you’re getting all the essential nutrients needed to support your pregnancy. These vitamins typically contain folic acid, iron, vitamin D, and other key nutrients that contribute to your baby’s development and your own energy levels.

If your fatigue is related to iron deficiency, your antenatal clinic may recommend an iron supplement alongside your prenatal care routine. It’s important to follow their guidance, as too much iron can also lead to other issues such as constipation.

How Antenatal Yoga and Fitness Can Help

Exercise during pregnancy, including antenatal yoga and pregnancy fitness classes, can be beneficial in boosting energy levels. While it may seem counterintuitive, gentle exercise helps to increase circulation, improve mood, and reduce stress, all of which can help combat feelings of tiredness.

Benefits of Antenatal Yoga

Antenatal yoga is specifically designed for pregnant women and is a safe way to maintain flexibility, strengthen muscles, and improve posture during pregnancy. It also promotes relaxation, which can help you sleep better and manage any pregnancy-related stress. By attending pregnancy yoga classes or practising yoga for pregnancy at home, you can enjoy both the physical and mental benefits of gentle movement.

In the UK, antenatal yoga classes are widely available, either in person or online, allowing you to participate from the comfort of your home. These classes are led by qualified instructors who understand the specific needs of pregnant women, making them a great way to stay active during the second trimester.

Antenatal Fitness

Aside from yoga, other forms of antenatal fitness such as walking, swimming, or low-impact aerobics can help to boost your energy levels. These activities are not only safe but also recommended for most pregnant women as a way to maintain cardiovascular health, improve circulation, and enhance overall well-being.

As always, check with your antenatal care provider before starting any new exercise routine to ensure it’s appropriate for your pregnancy.

Relaxation Techniques: Antenatal Massage and More

Relaxation during pregnancy is essential to managing stress and ensuring you get the rest your body needs. Antenatal massage is a popular choice for many expectant mothers as it provides relief from the physical discomforts of pregnancy while promoting relaxation.

Antenatal Massage

Massage for pregnancy can help reduce muscle tension, improve circulation, and alleviate back pain, which can often interfere with sleep and contribute to fatigue. Many antenatal clinics and spas across the UK offer prenatal massage services with trained therapists who are familiar with the unique needs of pregnant women.

Other Relaxation Techniques

In addition to antenatal massage, consider incorporating relaxation techniques such as deep breathing exercises, guided meditation, or a warm bath before bed. These simple practices can help calm your mind and body, making it easier to fall asleep and stay rested throughout the night.

When to Be Concerned About Fatigue

While tiredness is normal during pregnancy, extreme or persistent fatigue that interferes with daily life may indicate an underlying issue. If you’re feeling constantly exhausted, even after a good night’s sleep, or if you’re experiencing other symptoms such as shortness of breath, dizziness, or fainting, it’s important to speak with your antenatal care provider.

During your antenatal checkups, your midwife will monitor your health and may carry out additional tests if necessary to rule out conditions such as anaemia or gestational diabetes, both of which can cause fatigue.

Coping with Second Trimester Fatigue

Feeling tired in the second trimester, while not uncommon, can be disheartening, especially if you were expecting this to be the “easy” phase of pregnancy. The demands of your growing baby, changes in your body, and emotional stress can all contribute to ongoing fatigue. However, by working with your antenatal care team and making lifestyle adjustments, you can manage your energy levels and maintain your well-being.

Remember that pregnancy is a unique journey, and it’s okay if your experience doesn’t align with others’ expectations. Listen to your body, rest when you need to, and take advantage of supportive services such as antenatal yoga, prenatal massage, and antenatal education to make the most of your second trimester.