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Pregnancy Insomnia: Causes, Sleep Changes, Diagnosis & Treatment

CK Birla Hospital
Category:
Gynaecology
July 16, 2025Author:
Dr Keerti Khetan
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  • The first trimester can lead to insomnia during pregnancy 
  • You can expect improved sleeping during the second trimester of pregnancy
  • Sleep problems during pregnancy are highly common

Pregnancy & sleep cycle

Hormonal changes in pregnancy affect various aspects of your body including your mood, metabolism and sleep cycle. The increase in progesterone levels leads to increased urination, heartburn and nasal congestion leading to disruptive sleep. Simultaneously, estrogen hormone can cause swelling in the feet or legs, nasal congestion and cause breathing difficulties during sleep (sleep apnea)

However, the overall pattern of the sleep cycle changes dramatically throughout the pregnancy.

Also Read: Morning Sickness – Symptoms, Causes, Prevention & Treatment

Sleep during pregnancy: trimester-wise changes

Here is how your sleep cycle during pregnancy changes as your pregnancy progress.

1st trimester – Longer periods of sleeping, frequent daytime napping, poor quality sleep

2nd trimester (what to expect in 2nd trimester of pregnancy) – better sleep efficiency, better quality sleep

3rd trimester – increased nighttime awakenings, more frequent naps during the day

Common sleep problems during pregnancy

Here are the most common sleep problems and disorders that occur during pregnancy:

Best sleeping position during pregnancy

The best sleeping position during pregnancy is sleeping on your side with legs slightly curved. This position is considered the best because it improves the flow of blood to the heart, kidneys and uterus. It also improves the delivery of oxygen and other necessary nutrients to the baby.

You can support your body in this position by using several pillows. As your pregnancy progresses, you should avoid sleeping on your back as it can put a large amount of pressure on your back.

Also Read: Prenatal Screenings & Tests

Sleep hygiene for pregnant women

You can maintain healthy and peaceful sleep during pregnancy by practising safe hygiene habits. These include:

  • Keeping the bedroom dark and cool
  • Sticking to a consistent bedtime
  • Indulging in a calming activity prior to bed
  • Avoiding caffeine and spicy foods that may disrupt sleep
  • Exercising regularly
  • Drinking plenty of water throughout the day

Read More: Placenta Previa – Symptoms, Causes & Treatment

FAQs

How many hours should I sleep?

During pregnancy, you should get plenty of rest and sleep for nearly 7-9 hours every day.

Which sleep problems are common during pregnancy?

Common sleep problems during pregnancy include insomnia, frequent awakening in the night and daytime sleepiness.

Can changing position in bed hurt the bed?

Pregnant women should sleep in a comfortable position. It is advised that women in later stages of pregnancy should sleep at their side and avoid laying on their back to prevent increased pressure.