Managing Common Pregnancy Symptoms

What symptoms can you expect during pregnancy and how do you manage them?

05/08/2026

Nausea and Morning Sickness

Nausea is one of the most common early pregnancy symptoms and is often strongest in the first trimester. Despite the name "morning sickness," it can occur at any time of day.

Eating small, frequent meals rather than large ones, choosing bland foods like crackers or rice, and sipping water or ginger tea can all help. If vomiting is so severe that you cannot keep any fluids down for more than 24 hours, contact your CHW or health facility — severe nausea (hyperemesis gravidarum) needs medical attention.

Fatigue

Feeling very tired — especially in the first and third trimesters — is your body's normal response to the demands of pregnancy. Your body is working hard even when you are resting.

Rest when you can, accept help from family with household tasks, and try to sleep on your left side, which improves blood flow to your baby. If fatigue is extreme or comes with dizziness, shortness of breath, or a very pale appearance, ask your provider to check your iron levels, as anaemia (low blood) is common in pregnancy and treatable.

Back Pain and Pelvic Discomfort

As your baby grows, the added weight changes your posture and puts extra pressure on your lower back and pelvis. Gentle stretching, avoiding standing for long periods, and sleeping with a pillow between your knees can all reduce discomfort.

Avoid carrying heavy loads and wear supportive footwear without high heels. If back pain is severe, sharp, or shoots down your legs, discuss this with your health provider — it may need specific treatment.

Heartburn and Indigestion

Pregnancy hormones relax the muscle that separates the stomach from the oesophagus, causing stomach acid to rise and create a burning feeling in the chest or throat.

Eating smaller portions, avoiding very spicy or fatty foods, staying upright for an hour after eating, and sleeping with your head slightly raised can reduce heartburn. Your health provider can recommend safe antacids if needed — do not take any medication without checking it is safe during pregnancy.

Swelling and Leg Cramps

Mild swelling of the ankles and feet is very common, especially in the third trimester and in hot weather. Elevate your feet when resting, drink plenty of clean water, and avoid standing for long periods.

Leg cramps at night can be reduced by gently stretching the calf before bed. However, report significant swelling of the face, hands, or sudden severe swelling of the legs to your provider immediately, as this may be a sign of a more serious condition requiring prompt attention.