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    The Ultimate Guide to 4th Month Pregnancy Symptoms

    Second Trimester

    The Ultimate Guide to 4th Month Pregnancy Symptoms

    Updated on 21 September 2023

    Are you four months pregnant and wondering what to expect? Well, look no further! In this ultimate guide, we will walk you through the common 4th month pregnancy symptoms experienced by most women. From those visible baby bump and growing breasts to spider veins and stretch marks, we've got you covered. These symptoms are all part of the amazing journey your body is going through as it nurtures and grows your little one.

    Most Common Fourth Month Pregnancy Symptoms

    Let us now take a look at 10 of the most common four months pregnancy symptoms that expecting mothers usually experience:

    1. Visible baby bump

    The fourth month of pregnancy is an exciting time for expectant mothers as it marks the beginning of a visible baby bump. As the baby grows, the uterus expands, and the belly starts to protrude.

    This physical change is not only a milestone in the pregnancy journey but also a visible reminder of the new life growing within. Many women embrace this stage with joy and pride, as they can finally show off their baby bump to the world.

    You may also like: Baby Girl Belly vs Baby Boy Belly: Demystifying The Great Gender Mystery

    2. High energy levels

    One of the most welcome changes during the fourth month of pregnancy is the increase in energy levels. The fatigue and exhaustion that often accompany the first trimester start to fade away, and women begin to regain their energy.

    This surge in energy can be attributed to the stabilization of hormone levels and the body's adjustment to pregnancy. Expectant mothers often find themselves more motivated and capable of engaging in daily activities and chores that were once overwhelming.

    3. Relief from morning sickness

    By the fourth month of pregnancy, many women experience a significant reduction in morning sickness symptoms. Nausea and vomiting, which are common during the first trimester, tend to subside or disappear altogether.

    This relief can be attributed to the stabilization of hormone levels and the body's adjustment to pregnancy. It is important to note that not all women experience morning sickness, and for those who do, the severity and duration can vary.

    4. Growing breast size

    Among the common signs of pregnancy at 4 months is the increase in breast size. As the body prepares for breastfeeding, the breasts undergo changes to accommodate the milk ducts and increased blood flow.

    Many women find that their breasts become fuller, firmer, and more sensitive. It is important to wear comfortable and supportive bras during this time to alleviate any discomfort and provide proper support.

    You may also like: Which Month Breast Milk Start During Pregnancy?

    4. Decreased urinary frequency

    During the fourth month of pregnancy, women often experience a decrease in urinary frequency. This is a relief for many expectant mothers who may have been frequenting the bathroom more often during the first trimester.

    As the uterus expands and moves higher in the abdomen, it puts less pressure on the bladder, resulting in fewer trips to the bathroom. However, it is still important to stay hydrated and listen to the body's signals to avoid any urinary tract infections.

    5. Skin changes

    Pregnancy hormones can have a significant impact on the skin, and the fourth month is no exception. Many women notice changes such as a healthy pregnancy glow, increased oiliness, or the appearance of dark patches on the skin (known as melasma or the "mask of pregnancy").

    Additionally, some women may experience changes in skin texture or the development of stretch marks. It is important to take care of the skin during this time by using gentle cleansers, moisturizers, and practicing sun protection.

    6. Heartburn

    Heartburn is a common symptom experienced by many women during the fourth month of pregnancy. As the uterus expands, it puts pressure on the stomach, causing stomach acids to flow back into the esophagus. This can result in a burning sensation in the chest or throat.

    To manage heartburn, it is important to eat smaller, more frequent meals, avoid spicy or greasy foods, and elevate the upper body during sleep.

    7. Round ligament pain

    As the uterus grows during the fourth month of pregnancy, the round ligaments that support it stretch and lengthen. This stretching can cause mild to moderate pain or discomfort on one or both sides of the lower abdomen.

    Round ligament pain is often described as a sharp or stabbing sensation and can be alleviated by resting, changing positions slowly, and using warm compresses.

    8. Varicose veins

    Varicose veins are another common symptom that may appear during the fourth month of pregnancy. Increased blood volume and hormonal changes can cause the veins in the legs to become swollen and visible.

    Expectant mothers can manage varicose veins by avoiding prolonged standing or sitting, elevating the legs when possible, wearing compression stockings, and engaging in regular exercise.

    9. Emotional changes

    The fourth month of pregnancy can bring about a rollercoaster of emotions for expectant mothers. Hormonal changes, coupled with the anticipation and excitement of becoming a parent, can lead to mood swings, heightened emotions, and increased sensitivity.

    It is important for pregnant women to prioritize self-care during this time, seek support from loved ones, and communicate openly with their healthcare provider about any concerns or emotional challenges they may be experiencing.

    You may also like: Experiencing Body Changes During Pregnancy: Know What to Expect?

    Tips to Manage 4th Month Pregnancy Symptoms

    As you experience a range of signs of pregnancy at 4 months, here are some tips and tricks that may help you navigate these fourth month pregnancy symptoms:

    1. Stay active

    Engaging in regular exercise can help alleviate pregnancy symptoms and boost overall well-being. Consult with your healthcare provider to determine safe and appropriate activities for your stage of pregnancy.

    2. Eat a balanced diet

    Proper nutrition is essential during pregnancy. Focus on consuming a variety of nutrient-rich foods to support the growth and development of your baby.

    You may also like: 4th Month Pregnancy Diet Chart

    3. Stay hydrated

    Drinking an adequate amount of water can help prevent constipation and urinary tract infections. Aim to drink at least eight glasses of water per day.

    4. Get enough rest

    Pregnancy can be physically demanding, so it is important to prioritize rest and sleep. Listen to your body's signals and allow yourself to rest when needed.

    5. Practice stress management techniques

    Pregnancy can be a time of heightened stress and anxiety. Engage in activities that help you relax and unwind, such as meditation, deep breathing exercises, or prenatal yoga.

    You may also like: How To Maintain Your Mental Health During Pregnancy

    6. Wear comfortable clothing and shoes

    As your body changes, it is important to wear comfortable and supportive clothing and footwear. Opt for loose-fitting clothes and shoes that provide proper support for your growing body.

    You may also like:Maternity Leggings: Choosing Comfort in Pregnancy and How!

    7. Communicate with your healthcare provider

    Regular prenatal check-ups are crucial during pregnancy. Be open and honest with your healthcare provider about any four months pregnancy symptoms or concerns you may have.

    8. Practice self-care

    Taking care of yourself is essential during pregnancy. Make time for activities that bring you joy and relaxation, whether it's reading a book, taking a warm bath, or indulging in a prenatal massage.

    Remember, every pregnancy is unique, and it isn’t necessary for you to experience all of these signs of pregnancy at 4 months. It is important to consult with your healthcare provider for personalized advice and guidance throughout your pregnancy journey.

    Final Thoughts

    In conclusion, the fourth month of pregnancy is an exciting time for expectant mothers. While experiencing common 4th month pregnancy symptoms such as increased energy levels, weight gain, and skin changes, it is important to be aware of any unusual symptoms and to speak with a healthcare provider if necessary. By taking care of oneself through healthy eating habits, regular exercise, and prenatal care, expectant mothers can ensure a healthy pregnancy and set the foundation for a healthy baby.


    1. Soma-Pillay P, Nelson-Piercy C, Tolppanen H, Mebazaa A. (2016). Physiological changes in pregnancy. Cardiovasc J Afr.

    2. Vora RV, Gupta R, Mehta MJ, Chaudhari AH, Pilani AP, Patel N. (2014). Pregnancy and skin. J Family Med Prim Care.

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    Written by

    Anupama Chadha

    Anupama Chadha, born and raised in Delhi is a content writer who has written extensively for industries such as HR, Healthcare, Finance, Retail and Tech.

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