Sleeping Tips for a Comfortable Pregnancy
Sarah Johnson, MD
Pregnancy can make sleep elusive for a lot of women. Numerous sleep issues are caused by physical pain, hormonal changes, and the thrill and nervousness of being a new mother. In fact, sleeplessness is thought to affect at least 50% of expectant mothers.
A crucial component of prenatal care is sleep. You’re not the only pregnant woman who finds it difficult to get a good night’s sleep.
Why Does Sleep Change During Pregnancy?
There are several different causes of sleeplessness during pregnancy. Hormone fluctuations that start in the first trimester can lead to nonspecific pain and other issues that can make it hard to get to sleep and stay asleep. These could consist of:
- Nausea
- Vomiting
- Breast tenderness
- Increased heart rate
- Shortness of breath
- Higher body temperature
- Frequent nighttime urination
- Leg cramps
As the pregnancy progresses, expectant moms may also get back pain and find it difficult to find a comfortable position for their expanding baby bump—especially if the baby begins to kick at night. Your thoughts could race at night with anxiety about the impending labor, becoming a new mother, managing job and household obligations, or other concerns. Many pregnant women have vivid, unsettling dreams throughout the third trimester, which can worsen their sleep.
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While experiencing some of the aforementioned symptoms is usual for most pregnant women, in certain cases they may also be associated with a sleep disturbance. It is crucial to consult your doctor if you experience any symptoms of a sleep disorder because they may be associated with additional issues for both the mother and the unborn child in the future.
Common Sleep Disorders and Problems During Pregnancy
The three sleep problems that are most likely to arise during pregnancy are gastric reflux disease, restless legs syndrome, and obstructive sleep apnea.
- Obstructive Sleep Apnea: Many pregnant women begin to snore due to weight increase and nasal congestion, which may be a risk factor for high blood pressure. A disease known as obstructive sleep apnea (OSA), which is characterized by frequent breathing pauses, gasping, and snoring that impairs the quality of sleep, may occur in some women. In addition to raising the risk of preeclampsia, gestational diabetes, and cesarean sections, OSA may obstruct the fetus's oxygen supply. It is estimated that up to 1 in 5 pregnant women may experience it.
- Restless Legs Syndrome: People with restless legs syndrome (RLS) feel crawling, tickling, or itching sensations that create an urge to move the legs. It worsens at rest and affects up to one-third of women in the third trimester. Helpful insights can be found in resources focused on restless leg syndrome in pregnancy.
- Gastroesophageal Reflux Disorder: GERD causes a burning sensation in the esophagus, especially when lying down, and contributes to insomnia. It affects one-quarter of pregnant women in the first trimester and up to half in the third.
Why Is Sleep so Important During Pregnancy?
Getting quality sleep during pregnancy is important for both mother and baby. For the mother, those sleepless nights end up leading to fatigue and daytime sleepiness. Sleep also plays a major role in memory, learning, appetite, mood, and decision-making – all important when preparing to welcome a newborn baby into your home.
Chronic sleep deprivation affects the immune system, and some studies link poor sleep to gestational diabetes. According to research, women who sleep too much or too little during the first trimester are at a higher risk of high blood pressure in the third trimester. Severe sleep deprivation early in pregnancy may also increase the chance of preeclampsia.
Poor sleep has been associated with a higher likelihood of preterm birth, low birth weight, difficult labor, cesarean delivery, and depression. Research also suggests that inadequate sleep during pregnancy may relate to postpartum sleep disturbances and increased crying in newborns.
Treatment for Sleep Problems During Pregnancy
There are several strategies to lessen pregnancy-related sleep issues. The main tactics are to modify your sleeping posture and practice good sleep hygiene. Supportive movement practices, such as gentle stretching or prenatal yoga, can also contribute to more restful nights.
A continuous positive airway pressure (CPAP) machine for OSA, antacids for GERD, or vitamin and mineral supplements for RLS and other illnesses are just a few of the medicines that have been shown to be successful. Massage, heat therapy, and select supplements are also commonly discussed approaches.
As certain substances may pose a risk to the developing fetus, pregnant women should always consult with their doctor before taking any medication or herbal remedies to help with sleep.
Many expectant mothers also rely on lifestyle adjustments — from easing back tension with strategies similar to those used for pregnancy back discomfort to managing emotional overload with grounding techniques. Gentle regulation practices, such as those used for stress-related sleep issues, may support overall rest.
And for those who seek an additional layer of calm, some find that thoughtful digital tools designed for emotional balance — including resources rooted in female-centered mental health AI — help them navigate nighttime worries more peacefully.