 [ Symptoms ] how can i manage fatigue during pregnancy [ Disease ] your growing baby requires extra energy which may make you feel tired sometimes feeling tired may be a sign of anemia low iron in the blood which is common during pregnancy recommendations get plenty of rest go to bed early at night and try taking naps during the day maintain a regular schedule when possible but pace your activities balance activity with rest when needed exercise daily to increase your energy level if you think anemia may be a concern ask your health care provider to test your blood