How Does Your Immune System Change During Pregnancy And How To Protect Yourself?

Reviewed by: Dr. Preet Pal SB
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3 min read
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Apr 16, 2025
During early pregnancy, your immune system begins to shift in subtle but important ways. These changes help protect the growing baby while keeping you safe from infections. Understanding this balance can help you stay healthy during weeks 1 to 20—and beyond.
Your immune system doesn’t weaken. It adjusts.
That’s a key difference. Many people believe that pregnancy lowers your immune defenses. But what really happens is more complex.
Your Body Learns to Tolerate the Baby
Your baby is genetically unique—half from you, half from your partner. In theory, your immune system should see the baby as foreign. But that doesn’t happen.
Why? Because your immune cells adapt early in pregnancy. Special cells in the uterus help create a peaceful environment where the baby can grow without being attacked. At the same time, your immune system remains alert to real threats, like viruses and bacteria.
This balance is delicate. In some pregnancies, it can be disrupted, leading to complications. But in most cases, the shift is smooth and silent.
You won’t feel these immune changes. But they’re working behind the scenes from as early as implantation.
You May Be More Sensitive to Infections
Even though your body is still defending you, it may react differently to certain infections.
For example, the flu can hit harder during pregnancy. Respiratory viruses might last longer. Your body sometimes responds with more inflammation than usual. That’s part of the immune rewiring.
You might also notice that colds linger, or you feel more wiped out from mild illnesses. This doesn’t mean you’re unwell all the time—it just means your immune system is balancing two jobs: protecting you and not overreacting to your baby.
That’s why extra care in the early weeks is important.
How to Protect Yourself During Weeks 1 to 20
Start with the basics: handwashing, staying away from people who are visibly sick, and avoiding raw or undercooked foods that carry bacteria. If you haven’t yet gotten vaccines recommended during pregnancy—like the flu shot or COVID booster—talk to your provider.
Sleep plays a big role. Deep sleep helps regulate immune responses. Aim for regular sleep, even if it’s broken by nausea or discomfort.
Eating a wide variety of nutrients—especially vitamin C, zinc, and iron—can support both your immune system and your baby’s development. You don’t need supplements unless your doctor recommends them. A balanced diet is usually enough in early pregnancy.
Gentle movement, like walking or stretching, also helps your immune system stay active without adding stress.
And finally, stress itself matters. Chronic stress can lower your immune strength. It also affects sleep and digestion. Try to create pockets of rest during your day, even if they’re short. A quiet moment can help more than you think.
The Immune System Is on Your Side
In early pregnancy, your immune system is doing something remarkable. It’s changing just enough to accept a new life inside you—without leaving you defenseless.
You don’t need to panic about getting sick. With some attention to your daily habits, you can support your immunity and feel more confident through the first half of pregnancy.
Your body knows what it’s doing. With a little help, it will keep you and your baby safe.