What causes drowsiness and excessive sleepiness at 28 weeks of pregnancy, and what should be done about it?

Aug 27, 2023 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Feeling tired and sleepy at 28 weeks of pregnancy may be caused by physical fatigue, iron-deficiency anemia, gestational hypertension, gestational diabetes, hypothyroidism, or other reasons, and requires targeted treatment. If a pregnant woman experiences unusual fatigue and excessive sleepiness, she should promptly consult her doctor and undergo further evaluation and diagnosis to develop a suitable treatment plan.

Feeling drowsy and sleepy at 28 weeks of pregnancy may be caused by physical fatigue, iron-deficiency anemia, gestational hypertension, gestational diabetes, hypothyroidism, or other reasons, requiring targeted treatment. Specific analysis is as follows:

1. Physical Fatigue

During pregnancy, the body undergoes significant changes, with increased metabolic rate to meet the needs of both the fetus and the mother. This heightened metabolism can lead to fatigue and sleepiness, which is a normal phenomenon.

2. Iron-Deficiency Anemia

Iron-deficiency anemia is one of the common conditions in pregnant women and can cause decreased energy levels, fatigue, and drowsiness. Treatment includes oral or intravenous iron supplementation, along with recommendations to increase intake of iron-rich foods such as lean meat, legumes, and leafy green vegetables.

3. Gestational Hypertension

Gestational hypertension is a common complication during pregnancy and may lead to fatigue and drowsiness. Management includes regular blood pressure monitoring; antihypertensive medications may be prescribed when necessary. Attention should also be paid to weight control, avoiding excessive exertion, and maintaining healthy dietary and lifestyle habits.

4. Gestational Diabetes

Gestational diabetes is a metabolic disorder that develops during pregnancy and may cause fatigue and sleepiness. Treatment involves dietary control, limiting carbohydrate intake, increasing protein and fiber consumption, and, if necessary, insulin therapy.

5. Hypothyroidism

Hypothyroidism in pregnancy refers to reduced thyroid hormone levels in expectant mothers, which may result in fatigue and drowsiness. Treatment includes oral thyroid hormone replacement therapy, with dosage adjusted according to medical guidance.

If a pregnant woman experiences unusual tiredness or excessive sleepiness, she should promptly consult her doctor for further evaluation and diagnosis to develop an appropriate individualized treatment plan.


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