Pregnancy is often described as a magical journey, but let’s be honest — it’s also exhausting. When I was pregnant with my daughter, I had imagined glowing skin, cute maternity clothes, and a calm nine months. What I didn’t expect was the level of fatigue that hit me, especially in the first trimester when I was battling constant vomiting and still working full-time.
For me, the first three months were the hardest. The nausea was relentless, and the exhaustion felt bone-deep. I was working in a hybrid setup at the time, going to the office on some days and working from home on others. Just the thought of getting dressed, commuting, and sitting through meetings felt overwhelming. By the seventh month, I finally switched to working from home completely, which made things easier.
Looking back, I realize how much I learned about managing pregnancy fatigue — both from experience and from researching what my body was going through. In this post, I’ll share my personal journey along with practical, expert-backed tips for any mom-to-be struggling with the same.
What is Pregnancy Fatigue?
Pregnancy fatigue is more than just feeling sleepy. It’s a deep, persistent tiredness that doesn’t always improve with rest. Unlike the regular exhaustion you feel after a busy day, pregnancy fatigue is fueled by major changes happening in your body.
When Does Pregnancy Fatigue Start?
- First trimester: For most women (myself included), fatigue begins early. The surge of progesterone — a hormone crucial for maintaining pregnancy — has a sedative effect, making you feel constantly drowsy. Add morning sickness (which, in my case, lasted all day) and you’ve got the perfect recipe for exhaustion.
- Second trimester: Many women feel a burst of energy during this phase. I did feel slightly better, but the vomiting continued well into my sixth month, so fatigue lingered.
- Third trimester: By the time your belly grows bigger, fatigue often returns. Sleep becomes difficult thanks to frequent bathroom breaks, back pain, and simply trying to find a comfortable position.
Causes of Pregnancy Fatigue
There are several reasons behind pregnancy fatigue, including hormonal changes, morning sickness, and more. Here are the key causes:
- Hormonal changes: Rising progesterone levels make you feel unusually sleepy.
- Increased blood production: Your body is producing 40–50% more blood to support your baby, putting strain on your heart and circulation.
- Metabolic demands: You’re nourishing another human — your energy demands skyrocket.
- Morning sickness & vomiting: Constant nausea (like I had) can drain your energy and deplete nutrients.
- Emotional stress: Anxiety about the baby, work, or motherhood can leave you mentally exhausted.
- Lifestyle factors: Poor sleep, lack of exercise, or an imbalanced diet worsen fatigue.
Why Pregnancy Fatigue Shouldn’t Be Ignored
At first, I tried to brush it off — telling myself I just needed to “push through.” But ignoring fatigue only made things worse. Persistent exhaustion can affect your mood, increase irritability, and even impact your ability to focus at work. More importantly, rest is vital for your baby’s development.
Your body is signaling that it needs extra care. Respecting that signal is one of the kindest things you can do for yourself and your little one.
How I Managed Pregnancy Fatigue While Working Full-Time
Balancing pregnancy fatigue with a demanding job was no small feat. But through trial and error, I found strategies that kept me afloat.
1. Creating a Supportive Work Routine
During the first trimester, when vomiting and fatigue peaked, I opened up to my manager and HR. At first, I was hesitant — I didn’t want to look unprofessional. But being honest helped me gain flexibility with my schedule.
On hybrid days, I planned lighter tasks for office visits and scheduled deeper work for home days. I also built in short breaks — sometimes just stepping away from my laptop for five minutes to stretch or close my eyes.
2. Prioritizing Rest and Sleep Hygiene
Sleep became sacred. Even though nausea often interrupted my nights, I set a fixed bedtime and avoided late-night scrolling. On office days, I’d sometimes sneak into the wellness room for a 15-minute power nap — and believe me, those naps saved me.
At home, I made my sleep environment more comfortable with extra pillows, dim lighting, and calming music. Later, in my third trimester, working from home allowed me to rest between calls, which was a game-changer.
3. Nourishment & Hydration
Food was tricky. In the first trimester, constant vomiting meant I struggled to keep meals down. Instead of forcing myself to eat large portions, I survived on small, frequent snacks — crackers, fruits, yogurt — that felt less overwhelming. As vomiting eased around month seven, I focused on energy-boosting foods:
- Iron-rich options (spinach, legumes, lean meat) to fight anemia.
- Protein sources (eggs, nuts, dairy) for steady energy.
- Complex carbs (whole grains, oats) to avoid crashes.
- And I kept a water bottle with me at all times. Dehydration can sneakily worsen fatigue.
4. Gentle Movement & Exercise
At first, I thought exercise would drain me further. But light movement actually helped. Short walks in the evenings gave me fresh air and improved my mood. Later, I added simple prenatal yoga stretches. They reduced backaches and helped me sleep better.
5. Stress Management & Mental Health
Pregnancy fatigue wasn’t just physical — it weighed on me emotionally. I often felt guilty about not being as productive at work or at home.
What helped was:
- Breathing exercises before bed.
- Journaling my feelings (especially the anxiety).
- Talking openly with my husband and close friends.
- Following positive pregnancy communities online.
6. Delegation & Support System
This was hard for me because I was used to doing everything myself. But I learned to lean on others. My husband stepped in more with household chores, and I stopped feeling guilty about outsourcing tasks like cooking or cleaning. Learning to say “no” without guilt was freeing.
Medical Considerations
While fatigue is normal, sometimes it can signal something more serious. Your doctor may want to check for:
- Anemia (low iron levels).
- Thyroid issues.
- Gestational diabetes.
- Depression or anxiety.
In my case, routine blood work kept things on track, and my doctor reassured me that my fatigue was mostly linked to hormonal changes and prolonged nausea.
If your tiredness feels extreme or is paired with dizziness, fainting, or breathlessness, it’s best to consult your healthcare provider.
Practical Tips for Working Moms-to-Be
Over time, I built a toolkit of little hacks that made working while pregnant more manageable:
1. Energy-Boosting Hacks at Work
- Keep healthy snacks at your desk (nuts, granola bars).
- Stretch or walk during calls.
- Use blue light filters to reduce eye strain.
- Drink water regularly — dehydration sneaks up during busy workdays.
2. Setting Realistic Expectations
This one took me time to accept: I couldn’t do it all. Some days, I worked at 70% capacity, and that was okay. Pregnancy is not the time to chase perfection. It’s the time to listen to your body and set boundaries.
3. Building a Self-Care Ritual
Every evening, I’d create a little routine to wind down: a warm shower, chamomile tea, and soft music. This helped signal my body that it was time to rest.
Lifestyle Changes That Helped Me
- Morning adjustments: I woke up earlier to avoid rushing and give myself time to eat something light before nausea hit.
- Digital detox: I limited screen time after work to reduce overstimulation.
- Weekend rest: I dedicated weekends to catching up on sleep and doing things that recharged me — reading, listening to music, or simply napping guilt-free.
When to Call the Doctor
Fatigue is normal, but seek medical advice if you experience:
- Severe, persistent exhaustion.
- Dizziness or fainting spells.
- Shortness of breath or chest pain.
- Pale skin, rapid heartbeat (possible anemia).
- Ongoing sadness or hopelessness (possible prenatal depression).
Your health matters as much as your baby’s.
Final Thoughts
Pregnancy fatigue can feel overwhelming, especially when you’re juggling work, home, and preparations for the baby. I remember doubting myself often — “Why can’t I handle this better?” But the truth is, fatigue is a normal and healthy sign that your body is working overtime to nurture life.
What helped me most was accepting my limits, asking for help, and making small lifestyle changes. Looking back, I realize pregnancy taught me one of the most important lessons of motherhood: it’s okay to slow down.
To every mom-to-be reading this — listen to your body, rest without guilt, and know that you’re doing an incredible job already.