How Are Second Pregnancy Symptoms Different From First?

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The symptoms you experience during the second pregnancy are not completely different from the first one, but you may notice a few differences in how the pregnancy progresses.

Read this MomJunction post to understand the second pregnancy symptoms, and how you might cope with them through the pregnancy.

How Are Second Pregnancy Symptoms Different From First?

According to the books ‘Your Second Pregnancy,’ by Katie Tamony and ‘Obstetrics by Ten Teachers, 19th Edition’ by Philip N. Baker and Louise Kenny, here are some of the ways a second pregnancy can probably differ from the first. However, it may or may not be true in individual cases.

  1. Bump gets bigger sooner: The stomach muscles are weaker than the first time. As they have already been stretched once before, the abdominal muscles are less resistant to stretching the second time, and the belly is likely to show soon as the baby starts to grow.
  1. Breast changes: Change in breasts is common during pregnancy, but the breasts might become more tender and painful during the second pregnancy. They may become more sensitive when you are breastfeeding, and the nipples may also hurt more. The pigmented area around the nipple, called the areola, gets darker.
  1. Early fetal movements: In the second pregnancy, you may feel the baby kicks and movements sooner because you might identify the sensations sooner.
  1. Braxton-Hicks contractions are different: You may feel contractions earlier in a second pregnancy than you did in the first pregnancy. These false contractions are a body’s way of preparing for labor. You might also experience post-birth contractions.
  1. Labor is shorter: Since your body has already gone through the process of childbirth once, it could take less time for cervical dilation and effacement (thining) the second time. First-time labor lasts for an average of eight hours, whereas the delivery after second pregnancy has an average of five hours.
  1. Fatigue: You might feel more tired in second or subsequent pregnancies than in your first one. It could be because you are already a mom trying to meet the demands of your older child while dealing with pregnancy fatigue. You may have less time to rest and less pampering from your partner that may all add up to your fatigue.
  1. Carrying low: Your uterine muscles may lose their firmness, and might not be the same as they were in the first pregnancy. They may not support the baby as they did before, and the baby might drop lower in the abdomen.
  1. Afterbirth pains: You might have intense afterbirth pains and contractions, which are the body’s way of shrinking back the uterus to its pre-pregnancy state. Since the uterus is bigger with the second pregnancy, it could be more painful as it gets contracted.
  1. Back pain: Back pain may increase with the subsequent pregnancy. It might develop due to the shifting of the center of gravity to accommodate the growing uterus. The pain could be intense since the bump shows up earlier in the second pregnancy.
  1. Breastfeeding becomes easier: You have already done it before, and you may have a better idea of what to do next. Milk might come in easier in the second pregnancy.

Do You Experience Any Symptoms That You Did The First Time?

Some of the usual pregnancy symptoms you noticed in your first pregnancy may recur. They include:

Some other experiences may also recur the second time.

[ Read: Symptoms Of Miscarriage And Ways To Prevent It ]

Do Your Pregnancy Complications Reappear This Time?

The complications you had in the previous pregnancy are likely to occur in the successive pregnancy as well.

Complications such as high blood pressure, premature labor, gestational diabetes, preeclampsia, or postpartum depression might also occur in the subsequent pregnancy, especially in the case of more than one fetus (1). However, there is no definite evidence to back this.

If you are apprehensive of any possible complications the second time, talk to your doctor about it, and see if they can be avoided.

Can You Test Earlier With The Second Pregnancy?

You may not even require a pregnancy test to confirm your second pregnancy, as you are likely to show the symptoms sooner than you did before, and you’ll know it. However, it is best to wait until a week after you have missed your period to get an accurate and a meaningful pregnancy test result.

Is The Second Baby Easier To Deliver?

Second babies are usually easier and faster to deliver. Since the muscles, bones, and tissues have undergone stretching previously, it becomes easier for the baby to move through the birth canal in the successive delivery and also the womb contracts more strongly during labor. It usually takes less than an hour of pushing (2)

Second Pregnancy After Cesarean

An immediate pregnancy after a cesarean delivery might leave you exhausted. So it is advisable to wait for at least six months for second pregnancy after your first cesarean section. Waiting for 18 months between delivery and conception may give enough time for the body to heal completely especially the caesarean section scar on the womb and replenish the lost nutrients (3).

A smaller gap might lead to an increased risk of complications such as premature birth, low birth weight of the baby, or a ruptured uterus.

Coping With Your Older Child During The Second Pregnancy

The idea of managing pregnancy while taking care of an older child can be overwhelming. While there are several things to consider before having a second child, talking to your older child and helping them understand what to expect and how to prepare for it could make matters simple (4).

  • Tell the child about a new one growing inside your womb, and encourage them to pat your bump, talk or sing to the baby.
  • Take them to prenatal check-ups, and let them also listen to the fetal heartbeat sometimes.
  • Mention about the baby frequently, but be careful not to go overboard lest they get jealous.
  • Involve them in shopping for the baby. Let them choose simpler things like clothes and toys for the little one.
  • While you do sensitize the older kid about the baby, make sure you spend some time with them. Go to a library or a park with them, or read some stories during bedtime.
  • Give them responsibility and tell them about the things to do when the newborn arrives. Explain how to comfort the baby while crying, helping with diaper changes, giving attention and more.
  • Tell the child that he or she will be a big brother/sister, and explain their role and importance in the family.

The idea is to make the older sibling feel loved and involved in important matters such as the arrival of the new baby.

[ Read: What To Do After A Miscarriage ]

Should You Stop Breastfeeding During Pregnancy?

There is no reason to stop breastfeeding while you are pregnant. Your body is capable of producing enough breast milk for the nursing infant as well as nourish the baby growing within. However, the breasts and nipples may become tender for some time. According to a systematic review of certain studies, breastfeeding is not likely to affect pregnancies and birth weight (5).

Also, the breasts start producing colostrum (thick milk that is produced towards the end of pregnancy), and your toddler may not like the taste of the milk. At this time, you might notice a drop in the milk intake by your older baby.

How Might Your Postpartum Recovery Differ During Second-time Pregnancy?

You will already know what to expect, and the ways to cope with the changes. Things that happened with your first delivery may not occur with the second birth. The labor also progresses faster, but it might take longer to get your normal body back after childbirth. In general, things might go smoother the second time since you will be aware of how to deal with them.

How To Prepare For Your Next Baby?

Here are some practical tips you may try for the transition from being a mother of one to a mother of two.

  • Arrange a family member or a babysitter to take care of your older child
  • Keep everything ready in the storage (such as old clothes, car seat, jumpers, bibs, burp rags) for the new arrival
  • Get the diaper bag ready before delivery
  • Pack a bag for your older child so that it is easy to carry when you go to the hospital
  • Check for the insurance policies
  • Stock up the household and personal essentials
  • Sterilize pacifiers and feeding bottles

Next, we answer a few common queries about second pregnancy symptoms.

Frequently Asked Questions

1. Is leaking milk an early sign of second pregnancy?

Breast milk could leak early during the second pregnancy. The possibilities are likely to be high if you are still nursing the older baby.

2. How much weight should you gain with your second pregnancy?

According to the US Institute of Medicine (IOM), women of average weight before pregnancy should be gaining around 11.5 to 16kg during pregnancy (6). The ideal weight gain remains the same irrespective of which pregnancy it is. The weight gain during the second pregnancy could be more than that of the first pregnancy. But if you are already overweight, let the weight gain be modest to minimize the risk of developing other pregnancy-related complications like pre-eclampsia and gestational diabetes.

[ Read: Why Is Weight Gain During Your Second Pregnancy Different From The First? ]

3. Is it easier to predict your labor the second time?

There is no scientific validation to it. However, as you have already gone through labor before, you might be able to recognize the signals earlier than before.

Although the second pregnancy is not entirely different from the first one, it is exciting to experience the beautiful journey all over again. You will also find it is a new learning experience with new symptoms, while the familiar experiences make it easier to handle.


MomJunction's articles are written after analyzing the research works of expert authors and institutions. Our references consist of resources established by authorities in their respective fields. You can learn more about the authenticity of the information we present in our editorial policy.
1. Robyn Horsager-Boehrer; Pregnancy complications: What are the chances that they’ll happen again? The University of Texas Southwestern Medical Center (2019)
2. Labour and Delivery Care Module: 5. Conducting a Normal Delivery; The Open University (2020)
3. Lisa Keder; How much time should women take between pregnancies? The Ohio State University Wexner Medical Center (2019)
4. Kyla Boyse; Preparing Children for a New Baby; University of Michigan Health System
5. López-Fernández G et al.; Breastfeeding during pregnancy: A systematic review; Women Birth (2017)
6. Pregnancy and birth: Weight gain in pregnancy; Institute for Quality and Efficiency in Health Care (IQWiG) (2018)

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Dr Sachchidananda Maiti

Dr Sachchidananda Maiti is a practising Consultant Gynaecologist & Obstetrician in Manchester, UK both in the National Health Service (NHS) and in private care at Pall Mall Medical. He has had decades of clinical experience in the UK and abroad. He specializes in managing high risk early pregnancy complications and a variety of gynaecological conditions using ultrasound scan, colposcopy, laparoscope... more

Rebecca Malachi

Rebecca is a pregnancy writer and editor with a passion for delivering research-based and engaging content in areas of fertility, pregnancy, birth, and post-pregnancy. She has been into health and wellness writing since 2010. She received her graduate degree in Biotechnology and Genetics from Loyola Academy, Osmania University and obtained a certification in ‘Nutrition and Lifestyle in Pregnancy’ from Ludwig... more