9 Tips for Working As A Nurse While Pregnant
February 19, 2019
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(This post about tips for working as a nurse while pregnant may contain affiliate links.  Please see disclosure page for more information. *Post updated on 7/26/19)

How am I supposed to survive pregnancy while working 12 hour shift as a nurse?

This is a question I asked myself many times during the early parts of both of my pregnancies.   In fact, at times it really stressed me out!

Was I going to be able to be on my feet all day?  What is the best way to prevent dehydration at work?

And most importantly, how am I going to keep my energy up for my entire shift?!

But by taking proper precautions and always putting safety first, working as a nurse while pregnant is possible.

Please keep in mind that these tips are not a replacement for medical care.  You should always speak with your doctor first about their recommendations.  And if you both decide that working 12 hour shifts during your pregnancy is OK, then here are some tips to help get you through!

a pregnant nurse at work

You can thrive during your pregnancy while working as a nurse when you plan ahead and take good care of yourself!

(This post contains affiliate links.  You can find my disclosure page here.)

Here are 9 helpful tips for pregnant nurses:

1.  Invest in compression stockings or socks

How compression socks help prevent varicose veins

Compression socks and stockings help nurses by preventing varicose veins due to standing for long periods of time.

During pregnancy, a mother’s blood volume increases by almost 50%!  That’s a lot of extra fluid to be circulating through your body when you are on your feet for 12 hour shifts.  This is also why many pregnant women develop varicose veins during pregnancy.  If you are a pregnant nurse and haven’t invested in compression socks yet, its time to get a couple of pairs ASAP.

Compression stockings are often overlooked as a proactive way to prevent some of the chronic issues that come from working in a profession where you are on your feet for such long hours.  Pregnant women especially benefit from wearing compression stockings or socks during a 12 hour shift for a few reasons:
  • Prevention of varicose veins
  • Improved blood flow and decreased risk of blood clots
  • Decreased swelling of ankles and feet

I was able to continue working as an emergency room nurse up until the beginning of my ninth month of pregnancy because I invested in a few quality pairs of toe to waist compression stockings.  I wouldn’t have made it past my 6th month without them!

2.  Wear good shoes

NIKE shoes for nurses

Pregnant nurses must make sure they have great shoes to support their growing belly’s.

Every nurse needs a great pair of shoes to get through a 12 hour shift.  But the benefits to wearing quality nursing shoes during pregnancy it is even more important.  You will be carrying an extra 25-35 pounds and your feet need support to carry that extra weight.  If you thought your feet hurt working as a nurse before pregnancy, wait until you are pregnant! Keep in mind that your feet will swell a little more during pregnancy.

Things to look for in a great pair of nursing shoes.

  • Comfort
  • Support and stability
  • Slip resistance
  • Work function
  • Price and warranty

You can read more about the best shoes for nurses here!


3.  Pack healthy and energizing snacks

Almonds: a healthy nurse snack!

Almonds: a healthy nurse snack!

During my first trimester I struggled quite a bit with nausea and an overwhelming feeling of hungover-ness (without any of the fun the night before).  I was also training to be an ER nurse, so it was more important than ever to be alert and focused.

By packing a lunch with nutritious snacks everyday I was able to keep myself energized as well as fend off nausea enough to get through each shift.  I just couldn’t go more than 2-3 hours without refueling myself with something healthy to eat.

Admittedly, when I forgot to bring food with me I would eat peanut butter and jelly sandwiches from the stash we gave our patients.  Although they were nothing special, for some reason they tasted amazing.  Never underestimate the hunger of a pregnant nurse!  I felt so much better and able to continue working afterwards.

Here are a few easy, fast, and high energy snacks to help your pregnant body stay energized through your 12 hour shifts:

  • Trail mix
  • Energy bars
  • Almond butter and apples
  • Peanut butter and jelly sandwiches
  • Greek yogurt
  • String cheese
  • Hard boiled eggs
  • Edamame
  • Veggies and hummus


4.  Go to bed as early as you can.

To be a healthy nurse you must get a good night's sleep.

Pregnant nurses need their sleep!

You simply cannot sleep too much when you are pregnant.  This is a fact.

Here is a sleep secret that got my through 12 hour shifts during my pregnancy.  I would go down to the hospital meditation room during my lunch break, find a comfortable chair and literally pass out for 45 minutes.  I set my phone alarm to make sure I was back to work on time.  When it when it went off I was so deep in REM sleep that sometimes I didn’t even know where I was when I woke up.

The only way you are going to have the energy to make it through your pregnancy while working 12 hour shifts is to make sure you get as much sleep as you possibly can every night.  8 hours would be ideal.

5.  Aim for 30 minutes of exercise everyday

women practicing yoga

Prenatal yoga can help nurses deal with stress during pregnancy.

It seams counter intuitive, but exercising while pregnant will actually give you more energy to get through a 12 hour shift. In addition, exercise during pregnancy prevents gestational diabetes and hypertension.

(It is important to talk to your doctor about starting any exercise routine during pregnancy.  There are rare circumstances when your doctor may not want you to exercise while pregnant.)

Non-impact exercises for pregnant nurses include:

  • Walking
  • Swimming
  • Prenatal yoga
  • Hand weights
  • Low impact aerobics


6.  Reconsider working the night shift

Nurse playing with daughter and examining eyes

Working the night shift can be especially challenging during pregnancy. Consider switching to day shift.

The rigorousness of working 12 hour shifts as a nurse is exhausting as it is.  Add pregnancy into the mix and you might find that you are even more tired than ever.

Some pregnant nurses who have already been working night shift continue with that schedule and do just  fine.  However, those who have rotating day and night schedules might find it especially hard to switch back to the night shift once they become pregnant.

Talk to your doctor about whether it is safe for you to continue working night shifts.  Communicate with your manager about your specific health needs during your pregnancy. You may want to switch to a day shift only schedule for the duration of your pregnancy.

7.  Talk to your manager about modified duty

Pregnant Nurse at work

Many facilities are able to offer modified duty for nurses who can’t be on their feet all day.

As a pregnant nurse it may be necessary to have a modified work assignment.  Especially for nurses who work in rigorous units such as the emergency department.  The physical demands of pregnancy might be too much for pregnant nurses already struggling with fatigue, nausea or having to carry so much extra weight.

Talk to your manager to see if there are alternative assignments you can have such as working at the monitor, organizing paperwork or auditing patient charts.  If these options are not available consider the possibility of working shorter shifts or working two days a week instead of three.

Remember, always ask for help if you need it!

8.  Communicate with management about your intended time to go on maternity leave

It is important to keep open communication with administration about when you intend to go on maternity leave.  As a pregnant nurse, you cannot predict the future.

When I was pregnant with my daughter, I had every intention of working up until my 38th week.  But when I had my appointment at 31 weeks my doctor thought it was best that I didn’t work on my feet for more 6 hours a day.  While 6 hours seems like a lot in most professions,  it’s not much for a hospital nurse.    Sometimes we are on our feet for 10-12 hours a shift!

Yet, I still didn’t want to go off work because for some reason I felt like I was taking advantage of the system.  I thought I had the grit to work all the way through.  So, I waited for two weeks before I finally presented my doctors note to my manager.  When I finally did, I gave it to him with tears in my eyes because I knew he would have to put me on disability at that time.  My maternity leave started at that moment.

It was a good thing in the long run because I suffered a placental abruption and had an emergency c-section 7 weeks before my due date.  It is wise to listen to your doctor’s advice!

9.  Enjoy your pregnancy

pregnant women's belly

Enjoy your pregnancy, nurse!

Pregnancy can and should be a beautiful experience, even when you are a nurse working 12 hour shifts.  Far too often many pregnant nurses focus on the inconveniences and difficulties they face at work during their pregnancies  But with proper precautions it can – and should – be a time filled with good health, gratitude, abundance and most of all, joy.

Recommended reading for the nurse mom:

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