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27 March 2025

Understanding Pregnant Women’s Emotions in Each Trimester and How to Cope with Them


27 March 2025
Updates

Another major issue for new families is the emotional changes in pregnant women, often discussed as being "abnormal" due to hormonal fluctuations. These changes can sometimes cause frustration for both the mother and the father. But what exactly is the root cause of this issue? And how can each family navigate through it together

Pregnancy emotions

Pregnancy emotions refer to changes in hormone levels in the body. During pregnancy, the levels of estrogen and progesterone in the blood increase to help prepare the mother’s body for pregnancy. However, these hormones can also affect emotions, making expectant mothers feel more sensitive, irritable, or easily angered.

What causes mood swings during pregnancy?

  • Hormonal Changes
    Estrogen affects a pregnant woman's emotions, causing mood swings such as sensitivity, emotional instability, and irrational behavior. Additionally, anxiety about pregnancy can lead to stress and an increased risk of depression.

  • Physical Changes
    As the body adapts to support the baby’s growth, expectant mothers may experience morning sickness, body aches, an expanding belly, and skin changes. Some may feel unattractive or irritated, while others may worry that their bodies will not return to their pre-pregnancy state.

  • Mental Well-being
    Pregnant women often experience heightened emotional stress, overthinking, and concerns about various issues, such as weight gain, post-pregnancy weight loss, or whether taking medication is safe during pregnancy. Worries about abdominal pain affecting the baby can also lead to increased stress, resulting in fatigue, loss of appetite, and insomnia.

  • Fatigue
    Discomfort and stress can contribute to sleep difficulties during pregnancy. Lack of sufficient rest has been proven to significantly impact a person’s emotional state.

Emotions During the First Trimester of Pregnancy

During the first trimester, the increased hormone levels significantly impact a mother's mental well-being. This, combined with worsening morning sickness for some women—including headaches, dizziness, nausea, vomiting, and fainting—can make this period particularly challenging.

Additionally, emotional fluctuations such as irritability and sensitivity are common. Some expectant mothers may feel overly emotional and easily hurt by words, leading to tears. However, not all women experience these symptoms in the same way.

Emotional Changes During the Second Trimester

As the second trimester begins, an expectant mother's emotional state gradually stabilizes. Morning sickness typically subsides, allowing for a more relaxed and comfortable experience. By this time, many mothers have adjusted to the physical changes in their bodies and feel more at ease with their pregnancy.

A significant highlight of this phase is the ability to feel the baby's movements for the first time. This exciting milestone brings joy and deepens the emotional connection between the mother and her growing baby.

However, physical discomforts such as leg pain, backaches, and swelling in the feet or ankles may arise, which can still affect the mother’s mood.

If the pregnancy is progressing safely without complications, light exercise is recommended to relieve muscle tension and promote relaxation. Activities such as walking for 30 minutes a day, swimming, or practicing prenatal yoga can help expectant mothers feel more at ease and improve overall well-being.

Emotional Changes During the Third Trimester

During the last three months of pregnancy, most mothers tend to worry about the upcoming delivery. They may wonder about the best delivery method, how to prepare, how painful it will be, and whether the birth will be safe. Concerns also arise about the baby’s health—whether the little one will be born healthy and complete. Additionally, mothers may worry about how to take care of the baby after birth and whether the baby will be fussy. These concerns can lead to stress and anxiety for the expectant mother.

Mental Health Issues That May Occur During Pregnancy

Pregnant women may experience depression, which manifests in various ways, such as persistent sadness or irritability lasting for weeks or even months. Other symptoms include losing interest in previously enjoyable activities, lack of engagement with surroundings, insomnia or excessive sleep, feelings of guilt, low self-worth, hopelessness, difficulty concentrating, or even suicidal thoughts.

Depression during pregnancy can be triggered by multiple factors, such as a lack of enthusiasm about the pregnancy or high levels of stress from work or personal life.

Anxiety During Pregnancy

Some expectant mothers may experience excessive worry or fear that something bad will happen. This anxiety can stem from various concerns, such as expectations of being a good mother or doubts about their ability to care for a child. Symptoms of anxiety include excessive worrying, inability to control anxious thoughts, lack of concentration, irritability, muscle tension, and sleep disturbances.

Causes of Depression During Pregnancy

  • A history of depression

  • Lack of support from family or loved ones during pregnancy

  • Anxiety related to pregnancy

  • Previous miscarriage or child loss

  • Concerns about the baby’s health

  • Unplanned pregnancy

  • Relationship problems, such as separation or divorce

ข้อสรุป

In summary, pregnant women experience significant physical and emotional changes. These may include increased irritability, heightened sensitivity, and mood swings, sometimes making it difficult for them to control their emotions. The primary cause of these mood fluctuations is the increased levels of estrogen hormones.

To manage these emotional changes, expectant mothers should engage in activities they enjoy, do light exercises, and openly communicate with those around them. These approaches can help them feel more at ease and maintain emotional stability.

If you have any questions or need further information, feel free to contact us via Line: @beyondivf

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Being overweight or underweight can reduce fertility, so it is important to keep your body weight within the normal healthy range.

Body Mass Index (BMI) is an indication of your body weight and can be calculated by dividing weight by height. You should aim for a BMI of between 20 and 25, as this will optimise your chances of conception.

Woman’s BMI below 19

Even in these modern times, nature knows best. If a woman's BMI falls below 19, the body senses famine and ovulation is switched off to prevent the risk of having a baby with malnutrition. Excessive exercise can reduce body fat and increase muscle mass to a point where periods cease for the same reason. Risk of miscarriage is also increased in women with a low BMI.

Being underweight

If a woman's BMI falls below 19, the body senses famine and ovulation is switched off to prevent the risk of having a baby with malnutrition. Excessive exercise can reduce body fat and increase muscle mass to a point where periods cease for the same reason. Risk of miscarriage is also increased in women with a low BMI.

BMI’s greater than 30

This can reduce fertility by 50%. Pregnancy for women with a 30+ BMI is often associated with problems such as maternal diabetes, high blood pressure, big babies and increased risk of caesarean section.

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