Pregnancy symptoms, explained gently
Most pregnancy symptoms are normal and manageable. Here's what helps — and the signs that mean you should call your doctor or midwife right away.
Reviewed against ACOG, NHS and WHO guidance · Updated November 2026
Call your provider or emergency services now if you have:
- Vaginal bleeding or fluid leaking
- Your baby is moving less than usual or you feel no movement
- Severe headache, vision changes or sudden swelling
- Severe or constant tummy pain
- Fever of 38°C (100.4°F) or higher
- Painful or burning urination
- Thoughts of harming yourself or feeling unable to cope
Nausea & morning sickness
Usually: Weeks 6–14 for most women
What helps
- Small, frequent meals and dry crackers before getting up
- Ginger tea or ginger candies
- Vitamin B6 — ask your provider about dosage
Call your doctor if: You can't keep any fluids down for 24 hours, you're losing weight, or your urine is dark (possible hyperemesis gravidarum).
Fatigue
Usually: First and third trimesters
What helps
- Rest and early nights
- Iron-rich foods
- Short walks for energy
Call your doctor if: Extreme tiredness with paleness or breathlessness — ask for an anaemia test.
Heartburn
Usually: Usually from the second trimester
What helps
- Smaller meals, eaten slowly
- Avoid lying down for 2–3 hours after eating
- Raise the head of your bed slightly
- Ask about pregnancy-safe antacids
Call your doctor if: Severe upper-right pain under the ribs, especially with headache — it can signal pre-eclampsia.
Constipation
Usually: Any time
What helps
- More fibre, fruit and water
- Daily gentle movement
- Ask before taking laxatives
Call your doctor if: Severe abdominal pain or blood in your stool.
Back pain
Usually: Second and third trimesters
What helps
- Flat, supportive shoes
- Bend your knees to lift
- Pregnancy pillow when sleeping on your side
- Warm (not hot) baths and prenatal massage
Call your doctor if: Rhythmic lower back pain that comes and goes before 37 weeks — it may be preterm labour.
Swelling of feet & ankles
Usually: Third trimester, often in the evening
What helps
- Put your feet up
- Avoid standing for long periods
- Drink water and move regularly
Call your doctor if: Sudden swelling of the face, hands or feet, especially with headache or vision changes.
Leg cramps
Usually: Second and third trimesters, often at night
What helps
- Stretch your calves before bed
- Flex your foot toward you during a cramp
- Stay hydrated
Call your doctor if: One leg is swollen, red, warm or painful — this may be a blood clot (DVT).
Braxton Hicks contractions
Usually: From around week 20+
What helps
- Change position or go for a walk
- Drink a glass of water
- Rest
Call your doctor if: Contractions become regular, stronger and closer together, especially before 37 weeks.
Headaches
Usually: Common in the first trimester
What helps
- Rest in a dark, quiet room
- Hydrate and eat regularly
- Paracetamol (acetaminophen) is usually considered safe — ask your provider
Call your doctor if: Severe headache that doesn't go away, or with blurred vision or flashing lights.
Carry this guide in your pocket
Mamivaa is a free pregnancy app with a week-by-week tracker, vitamin and water reminders, a food scanner and a baby checklist.
Start freeThis guide offers general information and does not replace advice from your doctor or midwife. If something feels wrong, contact your provider or emergency services.