Fatigue With Twins

If fatigue has drained you of excitement about being pregnant, it's no surprise. Your body is working hard to adapt to pregnancy and support two new little lives. It takes a big toll on your energy. Your hormone levels are surging and your metabolism is shifting into high gear.

Fatigue may lift during the second trimester, but usually sets in again during the third trimester when it's harder to find a comfortable sleeping position.

Call Doctor If:

  • Fatigue occurs suddenly.
  • Fatigue doesn't ease with rest.
  • Fatigue doesn't ease during second trimester.

Step-by-Step Care:

  • Walk it off. Moderate exercise, like walking for 30 minutes most days of the week, can help boost energy and mood.
  • Stay hydrated. Drink plenty of fluids during the day. Dehydration can sap energy.
  • Go to bed early or take naps during the day.
  • Eat regular meals and snacks to keep your blood sugar stable. Avoid food or drinks that are high in sugar.
  • Ask for help from family and friends.
WebMD Medical Reference Reviewed by Traci C. Johnson, MD on June 25, 2018



The American College of Obstetricians and Gynecologists: "Your Pregnancy and Childbirth."

March of Dimes: "Your Pregnant Body."

U.S. Department of Health and Human Services. Womenshealth.gov: "Pregnancy: Body Changes and Discomforts."

National Sleep Foundation: "Pregnancy and Sleep."

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