The fourth month of pregnancy is a milestone for every expecting mother. By this time, many early pregnancy symptoms such as nausea and fatigue start to fade, making way for new changes in the body. This month is often considered the most enjoyable phase of pregnancy, as energy levels improve, and the risk of miscarriage drops significantly. Many women feel ready to disclose their pregnancy to the world at this stage!
According to the Indian Journal of Obstetrics and Gynecology, nearly 80% of women start feeling more comfortable in their second trimester, making it the best time to focus on nutrition, exercise, and bonding with the baby. However, new symptoms appear as the baby grows, and being aware of these changes will help mothers adapt smoothly.
If you are in your fourth month of pregnancy, here’s what you can expect in terms of symptoms and body changes.
Common Symptoms in the 4th Month of Pregnancy
1. Increased Energy Levels
With the first trimester behind you, the constant fatigue and drowsiness start improving as your body adjusts to pregnancy hormones. Many women find this month to be the best time to resume daily activities, light exercise, and social outings. Eating a well-balanced diet, staying hydrated, and incorporating mild prenatal yoga can help maintain energy levels.
2. Reduction in Nausea and Morning Sickness
For most women, nausea and vomiting decrease significantly by the fourth month. However, some may still experience occasional morning sickness, especially in response to strong smells. Eating smaller, frequent meals and keeping snacks like dry fruits or plain crackers handy can help if nausea persists.
3. Visible Baby Bump
By the fourth month, the uterus expands significantly, and many women start showing a noticeable baby bump. This is the time when maternity clothing becomes more comfortable. Wearing cotton or breathable fabrics can help in staying comfortable as your body grows.
4. Increased Appetite and Food Cravings
As nausea subsides, appetite increases, and food cravings become stronger. Many women experience cravings for spicy, tangy, or sweet foods, which is completely normal. However, it is important to maintain a balanced diet by including iron-rich foods like spinach, lentils, and nuts, along with calcium-rich dairy products.
5. Weight Gain Begins
A healthy weight gain of around 1-2 kg per month is expected in the second trimester. While some women may gain more or less depending on their metabolism, it is essential to focus on nutritious foods rather than overeating. Including whole grains, fresh fruits, and protein-rich foods can help ensure a steady and healthy weight gain.
6. Breast Enlargement and Tenderness
Breasts continue to grow as they prepare for lactation, and some women may notice a slight leakage of colostrum, the first form of breast milk. Wearing a well-fitted maternity bra can provide better support and reduce discomfort.
7. Darkening of the Skin (Hyperpigmentation)
Many women develop dark patches on the face, known as the "pregnancy mask" or melasma, as well as a dark line running down the belly called linea nigra. This happens due to increased melanin production. Applying sunscreen, staying hydrated, and including vitamin C-rich foods in the diet can help manage skin changes.
8. Increased Vaginal Discharge
A thin, white discharge (leukorrhea) is common and helps prevent infections. However, if the discharge is greenish, yellow, or has a strong odor, consult a doctor immediately. Maintaining proper hygiene and wearing breathable cotton underwear can help in preventing infections.
9. Mild Abdominal Pain or Stretching Sensation
As the uterus expands, some women may feel mild stretching pain in the lower abdomen or sides, known as round ligament pain. This is completely normal and occurs as the ligaments stretch to support the growing baby. Taking adequate rest, avoiding sudden movements, and sleeping on the side can help relieve discomfort.
10. Nasal Congestion and Breathlessness
Increased blood flow during pregnancy can lead to nasal congestion, mild breathlessness, or even snoring at night. Using a humidifier in the room and drinking warm turmeric milk before bed can help with nasal congestion.
11. Feeling the Baby Move (Quickening)
One of the most exciting moments in pregnancy happens around the fourth or fifth month—feeling the baby’s first movements, known as quickening. These movements may feel like flutters, bubbles, or light taps inside the belly. If you don’t feel movements yet, don’t worry, as many first-time mothers experience them a little later.
12. Back Pain and Leg Cramps
As the belly grows, the spine and back muscles bear more weight, leading to occasional back pain. Some women also experience leg cramps, especially at night. Practicing mild stretching exercises and keeping legs elevated while resting can help relieve cramps. Drinking enough water and including magnesium-rich foods like bananas, almonds, and whole grains can also reduce muscle cramps.
What Should You Do in the 4th Month?
With the second trimester underway, it is the perfect time to:
- Schedule the second prenatal check-up and ultrasound to monitor fetal growth.
- Start iron and calcium supplements as prescribed by the doctor.
- Continue eating a balanced diet with plenty of fresh fruits, vegetables, and dairy.
- Wear comfortable footwear to support your body as it adapts to weight gain.
- Practice prenatal exercises like walking, light stretching, and breathing techniques.
- Avoid junk food, excess sugar, and heavily processed foods to maintain healthy weight gain.
- Stay hydrated and get enough sleep to keep energy levels up.
Final Thoughts:
The fourth month is an exciting time when many of the discomforts of early pregnancy start to fade, and the body begins to show visible signs of pregnancy. It is also a great time to start preparing for the months ahead by focusing on nutrition, exercise, and self-care. If you haven’t booked your second prenatal check-up, now is the right time to do so. Consulting a gynecologist will help ensure a healthy pregnancy journey.
If you found this guide helpful, share it with other expecting mothers! Let us know in the comments which trimester you are in & how you are feeling!