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Back pain and sleepiness are both common symptoms during pregnancy, especially as your body adjusts to support the growing baby. Here's a breakdown of why they occur and what you can do: Back Pain in Pregnancy Causes: Hormonal changes: Relaxin loosens ligaments and joints, which can strain your back. Weight gain: Extra weight puts stress on the spine. Posture changes: The center of gravity shifts forward, affecting alignment. Muscle separation: The abdominal muscles may separate, affecting back support. Relief Tips: Maintain good posture (use chairs with good lumbar support). Sleep on your side with a pillow between your knees. Wear low-heeled, supportive shoes. Use heat pads or warm baths. Gentle prenatal yoga or stretching. See a physical therapist if pain is severe. Sleepiness in Pregnancy Causes: Hormonal shifts (especially increased progesterone). Increased energy demands from growing baby. Poor sleep quality due to discomfort or frequent urination. Anemia or low iron levels (common in pregnancy). Relief Tips: Nap when possible. Maintain a consistent sleep schedule. Stay hydrated and eat balanced meals. Get light exercise like walking. Check iron levels with your doctor if fatigue is extreme.