Pregnancy

Physiology and Emotions of the Expectant Mother: Changes

5 min read · 1 September 2026
Иллюстрация к статье «Физиология и эмоции будущей мамы: изменения при беременности»

Introduction: What Happens to the Expectant Mother’s Body?

Pregnancy is not just the anticipation of a baby, but a profound transformation of the entire female body and psyche. From the very first weeks, hormonal and physiological processes begin that affect mood, physical condition, and overall well-being. Understanding these changes helps to better accept new sensations and reduce anxiety.

Over the 40 weeks of pregnancy, a woman’s body typically gains between 11 and 16 kg, while progesterone levels increase roughly tenfold, directly impacting emotional state and physiology.

First Trimester: Hormonal Storm and Early Symptoms

The first 12 weeks are marked by a sharp rise in hormones — estrogen and progesterone. During this time, about 70% of women experience morning sickness. The increased hormone production affects the central nervous system, causing mood swings and heightened fatigue.

Main Physiological Changes

  • Progesterone levels rise to 30 ng/ml (normal for non-pregnant women is about 1 ng/ml).
  • Onset of morning sickness: nausea and vomiting during the first 8–10 weeks.
  • Blood volume increases by 30% to supply oxygen to the fetus.

Emotional Characteristics

Due to hormonal shifts, 60–80% of expectant mothers experience anxiety and irritability. During this time, it is especially important to maintain a proper rest and nutrition routine.

Second Trimester: Stabilization and Preparing for Changes

From weeks 13 to 26, morning sickness usually subsides, energy levels rise, and mood improves, thanks to hormone stabilization. However, the growing belly and bodily changes bring new sensations and possible discomfort.

Physiological Aspects

  • Weight gain of approximately 4–5 kg during the trimester.
  • Vasodilation and lowered blood pressure, which can cause dizziness.
  • Beginning of mammary gland development; prolactin levels rise to 150–200 µg/l.

Psychological Adaptation

Many women report improved mood, but new anxieties emerge related to upcoming childbirth and life changes. According to Semashko Maternity Hospital in Tomsk, about 30% of pregnant women require psychological support specifically during the second trimester.

Third Trimester: Preparing for Labor and Increased Emotional Strain

From week 27 onward, the body intensively prepares for childbirth, accompanied by physical discomfort and heightened emotional sensitivity.

Physiological Changes

  • Weight gain up to 2 kg per month, with an average total gain of 12–16 kg by the end of pregnancy.
  • Increased cardiovascular load: cardiac output rises by 30–50%.
  • Elevated relaxin levels, which help soften ligaments and prepare the body for labor.

Emotional Sphere

According to the Fomin Clinic, chronic stress and anxiety during the third trimester increase the risk of premature birth by 15%. Therefore, monitoring emotional well-being and seeking support is crucial.

The Impact of Stress and Emotions on Pregnancy

Emotional state directly affects physiology and fetal development. Persistent stress raises cortisol levels, which can lead to intrauterine growth retardation and lower birth weight.

Consequences of Stressful States

  • Increased risk of premature birth — up to 10–12% of cases.
  • Higher likelihood of morning sickness and worsened overall well-being.
  • Negative impact on the child’s future mental health.
Comparison of Stress Impact on Pregnancy Course
Indicator No Stress With Chronic Stress
Risk of Premature Birth 5% 15%
Average Newborn Weight 3300 g 2900 g
Frequency of Morning Sickness 60% 75%

How to Support Yourself: Recommendations and Resources

To minimize negative effects, it’s important to pay attention to daily routine, nutrition, and psychological well-being.

Key Recommendations

  • Balanced nutrition with increased intake of proteins and vitamins (especially folic acid — 400 mcg/day).
  • Regular moderate physical activity, such as prenatal yoga from the company “FitBaby” with courses starting at 3000 ₽ per month.
  • Psychological support: consultations at public centers, for example, the psychological service at N. A. Semashko Maternity Hospital.
  • Relaxation and meditation techniques that reduce cortisol levels and improve sleep.

Frequently Asked Questions

Why does mood change so often during pregnancy?
Hormonal changes, especially increases in progesterone and estrogen, affect the central nervous system, causing mood swings and heightened sensitivity.
Is it possible to control morning sickness?
Partially yes: following frequent small meals, consuming ginger, and B vitamins can help reduce morning sickness symptoms. In severe cases, see a doctor.
How to manage stress during pregnancy?
Breathing exercises, psychological counseling, and regular physical activity are beneficial. It’s important not to hesitate to ask for support from loved ones and professionals.
When should you see a psychologist during pregnancy?
If anxiety and depression interfere with daily life for more than two weeks, it’s recommended to consult a specialist, especially in the second and third trimesters.

Key Takeaways

  • Physiological changes during pregnancy include a hormonal surge and weight gain up to 16 kg.
  • Emotional fluctuations are linked to changes in progesterone and estrogen levels.
  • Stress increases the risk of premature birth and lowers newborn weight.
  • Psychological support and proper routines help maintain the health of both mother and baby.
  • Balanced nutrition and moderate exercise reduce morning sickness symptoms and improve well-being.

Conclusion

Pregnancy is a period of intense physical and emotional changes. Understanding these processes helps the expectant mother to better accept herself and prepare for motherhood. Modern medical and psychological resources, along with a healthy lifestyle, are key to navigating this important life stage successfully.

Sources

  • semashko.tomsk.ru — “Psychological Features of Women During Pregnancy and Childbirth — OGAUZ ‘N.A. Semashko Maternity Hospital’”
  • huggies.ru — “Mood During Pregnancy”
  • me.health.gov.il — “Emotional Changes During Pregnancy”
  • sapiens-med.com — “Stress and Emotions During Pregnancy — Sapiens Med”
  • fomin-clinic.ru — “Stress During Pregnancy: Impact on the Fetus and”