How to Manage Shortness of Breath In Late Pregnancy

Reviewed by: Dr Fatimah Khan

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5 min read

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Mar 28, 2025

Experiencing shortness of breath during the later stages of pregnancy is a common concern for many expectant mothers. As your body adapts to accommodate your growing baby, you might find yourself feeling breathless during routine activities. Understanding why this happens and how to manage it can help you navigate this phase with greater ease.

Why Does Shortness of Breath Occur in Late Pregnancy?

As your pregnancy progresses, your uterus expands upward, exerting pressure on your diaphragm—the muscle that aids in breathing. This shift can limit the diaphragm's range of motion, making it feel as though you can't take a full breath. Additionally, hormonal changes, particularly increased progesterone levels, can stimulate your respiratory center, leading to a sensation of breathlessness. While this can be unsettling, it's typically a normal part of pregnancy. ​

Practical Tips to Manage Shortness of Breath

While shortness of breath can be uncomfortable, several strategies can help alleviate this symptom:

  1. Maintain Good Posture: Standing or sitting up straight can provide your lungs with more space to expand. Visualize a string pulling the top of your head upward to align your spine and open your chest.
  2. Adjust Your Sleeping Position: Sleeping propped up on your left side with pillows can improve circulation and make breathing easier. This position reduces pressure on your diaphragm and optimizes blood flow to your baby.
  3. Pace Yourself: Engage in activities at a comfortable pace. If you feel breathless, take a moment to rest and breathe deeply. Listening to your body's signals is crucial during this time.
  4. Practice Breathing Exercises: Incorporate prenatal yoga or deep breathing techniques into your routine. These practices can enhance respiratory efficiency and provide relaxation benefits.
  5. Modify Your Environment: Ensure your living space is well-ventilated and free from irritants like smoke or strong odors, which can exacerbate breathlessness.

When to Seek Medical Attention

While shortness of breath is often a normal aspect of pregnancy, certain symptoms warrant prompt medical evaluation:​

  • Severe or sudden shortness of breath.​
  • Chest pain or a rapid heartbeat.​
  • Bluish lips, fingers, or toes.​
  • Wheezing or persistent coughing.​

These signs could indicate underlying conditions such as anemia, asthma, or cardiovascular issues that require immediate attention.

Final Thoughts

Experiencing shortness of breath during late pregnancy is a common and usually manageable symptom. By adopting strategies like maintaining proper posture, adjusting your sleeping position, pacing your activities, practicing breathing exercises, and creating a comfortable environment, you can alleviate discomfort and breathe more easily. Always stay attuned to your body's signals and consult your healthcare provider if you have any concerns. Remember, this phase is temporary, and soon you'll be holding your little one in your arms.​

References:

  1. Medical News Today. "Shortness of breath during pregnancy: Causes and management." https://www.medicalnewstoday.com/articles/322316
  2. The Bump. "Shortness of Breath in Pregnancy: Causes and Relief." https://www.thebump.com/a/shortness-of-breath-during-pregnancy
  3. "The Third Trimester of Pregnancy: Shortness of Breath and Edema." https://www.healthline.com/health/pregnancy/third-trimester-shortness-breath-edema