What are the causes of fatigue in pregnant women?
The tired Has physiological and organic causes, but we must not forget the dimension psychological. Every woman, pregnant (or not for that matter!) Has a different feeling about fatigue.
At the pregnant woman, the causes of fatigue differ over the months of pregnancy.
1st trimester fatigue
“It is mainly characterized by a hypersomnia, specifies Dr Odile Bagot, gynecologist. This is linked to thehormonal impregnation with progesterone which causes drowsiness. ”
Indeed, the level of progesterone increases a lot at the beginning of pregnancy. It is between 11 to 42 ng / l at 5 weeks of amenorrhea and reaches between 85 and 225 ng / l at the end of pregnancy.
Due to this hormonal impregnation, the woman feels tired, she has sleepiness after meals, and often sinks into the arms of Morpheus from 8:30 p.m.! So that’s why pregnant women sleep a lot!
“The thyroid being very stressed in early pregnancy, it may be useful to check TSH to diagnose thyroid dysfunction causing fatigue,” warns the gynecologist.
Other causes of fatigue during the first three months of pregnancy: nausea and the vomiting possible. “Nausea can cause hypoglycemia which will lead to a ‘change of heart’, intense fatigue, warns the gynecologist. Just like breast tension or any other discomfort such as ligament pain. ”
These ‘novelties’ are sources of weariness and pain which can have repercussions on morale and therefore lead to fatigue.
What is the progesterone level in non-pregnant women? The progesterone level varies according to the cycle: less than 1.5 ng / l during the follicular phase. It is between 0.7 and 4 ng / l at the time of ovulation then between 2 and 30 ng / l during the luteal phase, period between ovulation and the rules following.
2nd trimester fatigue
Most of the time, the second trimester of pregnancy is THE idyllic quarter for pregnant women. They got used to the progesterone impregnation; they no longer have nausea… However, they can be tired. “The main cause is anemia, specifies Dr. Bagot. In particular, due to the hemodilution effect (blood dilution) during pregnancy. ”
3rd trimester fatigue
With the last trimester of pregnancy, fatigue reappears! There are many reasons. ” There is the weight taken by the pregnant woman, the increase in plasma volume for which the heart has to work harder, the swollen legs, a less good sleep because of the difficulties to turn around, to find a comfortable position with his ‘big belly’… ”, lists the gynecologist.
How to fight against pregnancy fatigue?
It all depends on its cause, of course. But, fortunately, there are many solutions to perk up a pregnant woman!
“Unfortunately, there is nothing to do,” laments Dr. Bagot. This excessive need for sleep will pass before the end of the first trimester when the body of the pregnant woman gets used to hormonal impregnation.
“You have to be attentive to his reactions: look, in his food, which may or may not give you nausea and eat accordingly, advises the gynecologist. If antinausea drugs are prescribed, they must be taken at the right time. In the evening at bedtime to combat morning sickness. If they persist throughout the day, it may be necessary to take medicine in the morning as well. ”
In allopathy, Cariban is a drug only on medical prescription very effective in the fight against nausea, but not reimbursed by health insurance.
In homeopathy, we can use Nux Vomica 2 granules of 5 CH, 3 times a day or Sepia in case of nausea in the morning and severe fatigue: 5 granules in 9 CH before getting up and having breakfast. We can complete with Tabacum 9 hours, 5 granules before each meal.
“A prescription of iron is necessary until the end of pregnancy, because it should not be forgotten that the delivery is ‘bleeding’ ”, recalls the gynecologist.
Iron supplementation is around 40 to 50 mg/day. A pregnant woman may also find iron in her food. For this, it must consume calf’s liver which contains 5 mg of iron per 100 g, red meat which contains between 4 and 7 mg of iron depending on the pieces, lentils which provide 1.5 mg of 100 g of non-heme iron, fatty fish (tuna, mackerel, anchovies, sardines, etc.) which contain between 1.5 and 3 mg of iron per 100 g, oleaginous fruits such as almonds, walnuts, hazelnuts which provide between 2.5 and 3.5 mg of non-heme iron per 100 g, green vegetables such as spinach and chard which contain between 2 and 3 mg of iron per 100 g…
Think about vitamins!
“All pregnant women should take vitamin supplements throughout their pregnancy, advises Dr. Bagot. And ideally, from the desire for a child. “Among the essential vitamins and minerals:” Iodine intervenes in the development of the fetal brain and helps fight against hypothyroidism of pregnancy, ”explains the gynecologist. The magnesium is also useful in the fight against nausea, cramps that can occur in pregnant women. “Essential fatty acids Omega 3 are good for the mood and vitamin B9 reduces the harmful effects of endocrine disruptors (genital malformations of little boys, neurological development abnormalities such as autism spectrum disorders, etc. “, specifies the doctor.
Engage in physical activity
Keeping moving when you are pregnant only has advantages! “The physical activity improve it well-being and it is beneficial to cardiac system », Specifies Dr. Bagot. What to practice? “Activities that raise the serotonin (the well-being hormone) through caresses, massages. This is the case with the swimming with the water that brushes the skin when swimming. ”
Pregnant: when can you stop working?
Prenatal rest or maternity leave starts, for the first and second child, at 35 weeks of amenorrhea, ie 33 weeks of pregnancy; and from the third pregnancy to 33 weeks of amenorrhea, ie 31 weeks of pregnancy.
“To this legal leave, 15 days of pathological leave can be added,” says Dr. Bagot.
The latter can be very useful for women who exercise certain professions such as sales assistants, hairdressers, requiring to remain standing all day; or for those whose home-work trips are long.
“Some women do not wish to benefit from the two pathological weeks, but find when they are arrested that, in the end, they need it”, says the doctor.
Indeed, this rest is necessary to get in shape on the day of childbirth. However, some pregnant women prefer to postpone their prenatal leave to enjoy their baby longer. It is possible to delay it for three weeks. “This has no effect on fatigue related to childbirth,” reassures the gynecologist.
Practical advice for resting pregnant
Even though pregnancy is not an illness, throughout these nine months it is important to take care of yourself. How? ‘Or’ What? By setting up small, simple things!
- Agree, in the day of short rest periods, recovery by isolating yourself, if possible, in a quiet room.
- Think about ventilate your room so as not to be too hot in the evening when going to bed.
- Treat yourself to a nursing pillow to settle down to sleep.
- Split your meals in case of nausea or heartburn (burning sensation in the stomach).
- Good hydrate All day long.
- Avoid wearing too high heels that require extra effort. Pregnant with the axis of balance moving forward. Prefer shoes whose heels do not exceed 3 cm, for more comfort!
- Consider using a physiotherapist, an osteopath in the event of osteo-articular pain, and an acupuncturist.