Why do I feel so anxious in early pregnancy?

Worry this early is more common than most people realize. Where it comes from, and when it's worth mentioning to a care provider.

Prenatal

If this is where you are right now, it’s a common response and you’re not imagining it. If you’ve been feeling anxious most days for the last two weeks or longer, bring it up at your next healthcare appointment.

Anxiety in early pregnancy is more common than most people realize

Evidence suggests up to 20% of people experience anxiety symptoms significant enough to affect their daily life and wellbeing during early pregnancy. These numbers almost certainly underestimate what's really happening, as many people don't tell others how they’re feeling, and many don't realize that what they're experiencing is anxiety.

You may expect to feel only excited, joyful and grateful in early pregnancy. In reality, all kinds of emotions may be experienced, including fear, or a sense that something may go wrong. It can be deeply confusing, especially when there’s no medical indication that you should worry. Some people feel guilt for feeling this way, while others assume they're just not coping well. Neither is true.

There’s no single reason early pregnancy can feel so unsettling. Open any of the topics below that sound like you.

When anxiety is a signal worth acting on

Anxiety that comes and goes, or that softens as you get more information and support, is part of the emotional texture of early pregnancy for many people. But some things are worth sharing with your care provider.

Consider reaching out if:

Anxiety is present most days for two weeks or more
You cannot go to sleep for no other reason than your thoughts are keeping you up
Thoughts about the pregnancy are racing or hard to interrupt
You're experiencing physical symptoms like panic attacks, chest tightness or a racing heart that keep recurring, without another medical explanation
Anxiety is making it difficult to eat, relax, function or connect with people

Starting the conversation doesn't have to be complicated

Research suggests that anxiety during pregnancy that goes unaddressed can make things harder in the months after birth, which is a good reason to get support early, for now and for what's ahead.

You don't need a diagnosis to ask for help. You just need to notice that something isn't right. The hardest part is often just saying something out loud. At your next appointment with your midwife, GP or OB, you can say:

Your provider should be able to take it from there. If they do not respond in a way that feels helpful to you, there are resources available that don’t need provider referrals/diagnosis. Perinatal mood and anxiety disorders are among the most common complications of pregnancy and are highly treatable.

References

This article was developed using sourced educational content from Canadian Perinatal Mental Health Trainings (CPMHT), and informed by the collective knowledge and expertise of CPMHT professionals and Karen Clarke, BA, MSW, RSW, Doula (Open Book Doula, Counselling and Consulting Services), as well as the following cited research and clinical practice guidelines:

1
External

Bayrampour, H., et al. "Risk Factors of Transient and Persistent Anxiety during Pregnancy." Midwifery 31, no. 6 (2015): 582–89.

2
External

Shea, A., et al. "Guideline No. 454: Identification and Treatment of Perinatal Mood and Anxiety Disorders." Journal of Obstetrics and Gynaecology Canada 46, no. 10 (2024): 102696.

3
External

Vigod, S. N., et al. "Canadian Network for Mood and Anxiety Treatments 2024 Clinical Practice Guideline for the Management of Perinatal Mood, Anxiety, and Related Disorders." Canadian Journal of Psychiatry 70 (2025): 429–89.