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Pregnancy fatigue during the last month of your pregnancy is a common symptom along with other discomfort and should be expected. Although an uncomplicated pregnancy is a normal, physiologic state and not an illness, it does put a certain strain on your body. Shortness of breath is a common complaint as the due date approaches. Your blood volume has increased significantly and your heart is working harder than ever. The diaphragm is a muscular "floor" under the lungs which moves downward as the lungs expand when you take a breath. The growing fetus physically prevents the diaphragm from moving as far as it can in the non-pregnant state. This can contribute to shortness of breath and the feeling of inability to take a deep breath. Often, the shortness of breath is exacerbated when lying on your back.
The increased weight associated with a full-term pregnancy can also contribute to pregnancy fatigue and cause other certain discomforts. You may experience throbbing feet and backaches, too. Often, swelling in your feet can also make matters worse. As you get close to delivery, the cartilage in your pelvis becomes softer in preparation for birth. This can cause pelvic and hip pain, which is worsened with walking. You may also experience contractions, some of which can be uncomfortable, as you get closer to labor. You may experience side pain (a cramping in your the side of your expanding tummy) from uterine ligaments being stretched by a full-term uterus. As the baby begins to "drop" into the pelvis in preparation for birth, you may feel more pressure (a full, heavy feeling) in your pelvis and on your bladder (it may feel like you are packing a watermelon between your legs). Frequent bathroom trips are normal. You may have problems with constipation from the intestines being compressed by the uterus (this usually clears up a few days before labor begins as your body cleans itself out naturally in preparation for birth).
As long as you are compliant with your scheduled check-ups with your midwife and everything is going well medically, you may continue to work and do your regular activities until the time of delivery. However, your body may tell you to slow down some. Listen to your body. Try to get as much rest as possible when you can. You will need to conserve energy that will be needed for your labor. Be sure to follow a good nutritional plan with plenty of fluids, protein, and fiber in your diet. And, if you think you cannot get enough sleep now, wait until you are getting up every couple of hours to breastfeed your newborn!!
MoonDragon's Pregnancy Information Index
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