When you have difficulty falling or staying asleep, it’s called insomnia. While insomnia can strike at any time, pregnant individuals may be particularly susceptible. Insomnia during pregnancy can start as early as conception and continue into the postpartum period.
There can be many causes of insomnia during this time, often related to emotional, physical, behavioral, or hormonal changes that are normal parts of pregnancy. However, insomnia during pregnancy could also indicate a medical problem.
Whatever the reason, not getting a good night’s sleep during pregnancy can be physically and emotionally exhausting. Let’s take a closer look at pregnancy insomnia, including why it may happen and what you can do about it.
Is insomnia an early sign of pregnancy?
Insomnia in early pregnancy can be somewhat common, with around 13% of expectant parents having difficulty sleeping during the first trimester. Even the American Pregnancy Association calls it normal to experience insomnia during pregnancy.
However, lying awake at night isn’t a reliable sign of pregnancy if you’re trying to conceive. If you’re experiencing insomnia before your period, pregnancy isn’t assured; you may just be nervous or excited about the possibility of conceiving or feeling the effects of hormonal changes consistent with your menstrual cycle.
What causes insomnia during early pregnancy?
When it comes to confirmed early pregnancy insomnia, progesterone and estrogen — the most well-known pregnancy hormones — may be to blame. These hormonal changes can trigger insomnia in very early pregnancy and continue to cause difficulties as the pregnancy progresses.
As your baby develops, your hormones will continue to cause changes in your body. You might find yourself going to the bathroom more often or experiencing nausea and vomiting, both of which can keep you from catching precious Zs.
Sometimes, you may experience behavioral and emotional side effects of pregnancy that can throw off your sleep. You might be excited and anxious, which can affect your sleeping habits. Your normal routine will probably also change during pregnancy as you start avoiding your nightly glass of wine or cutting back on caffeine. Either of these adjustments has the potential to alter your sleep habits.
…hormonal changes can trigger insomnia in very early pregnancy and continue to cause difficulties as the pregnancy progresses.
Can pregnancy cause insomnia in the second trimester and beyond?
Unfortunately, as you enter the second and third trimesters, your insomnia may not ease up and could actually get worse as the physical discomfort and emotional fluctuations of pregnancy increase.
One study found that over 60% of pregnant patients reported insomnia in their third trimester. Likely because a slew of pregnancy symptoms can accompany the frequent urination and upset stomach felt in the first trimester. Such as:
Leg cramps
Changes in sleeping position
Back pain
Fetal movement
Shortness of breath while lying down
What else can cause insomnia during pregnancy?
If you’re pregnant and can’t sleep, it also could be the result of a medical condition related to or made worse by being pregnant.
Restless leg syndrome
While it may sound like a made-up condition, restless leg syndrome (RLS) is very real and can be very frustrating.
With RLS, you’ll experience tingling, crawling, or creeping sensations in your legs, making you feel like you have to move your legs. About 15% of Americans experience RLS during pregnancy.
Gastroesophageal reflux disease
Pregnancy can also trigger or exacerbate gastroesophageal reflux disease (GERD). This condition is characterized by chest pain, nausea, heartburn, and hoarseness as stomach acid rises into your esophagus.
Various pregnancy changes, like an expanding fetus pressing on your organs, low muscle tone affecting the sphincters that keep digestive acid in your stomach, and diet changes, make GERD a relatively common pregnancy side effect.
Nightmares
While not technically a medical condition, pregnancy can result in increased frequency and intensity of nightmares. Researchers found that intense and disturbing nightmares may increase in frequency during the third trimester, affecting as many as 50% of pregnant people.
The increased stress and anxiety of your pregnancy, upcoming delivery, and life as a new parent can trigger nightmares and poor sleep quality.
Is insomnia in late pregnancy a sign of labor?
Speaking of delivery, those nearing their due date may wonder if their inability to sleep is a sign that labor is impending. Sleep problems before labor can actually be quite common, but it isn’t a definitive sign that your little one is about to make their debut. Instead, all the hormonal fluctuations and physical discomforts you’ve been experiencing are likely peaking, leading to trouble sleeping.
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Is too little sleep while pregnant bad?
Quality, regular sleep is vital for your body to be able to function properly. An adult needs seven to eight hours of sleep per night, and that is even more important during pregnancy! Perinatal insomnia that isn’t well controlled does come with risks.
During pregnancy, you may have a higher chance of sleep disorders like obstructive sleep apnea, when a person stops breathing, gasps for air, or snores loudly and frequently at night. Sleep-related breathing issues like this can decrease the amount of oxygen and blood flow reaching your baby, putting them at risk.
Insomnia may also increase your risk for preeclampsia or high blood pressure (gestational hypertension). Untreated preeclampsia can be life-threatening to both parent and child.
Poor sleep is also linked to gestational diabetes mellitus (GDM). One study found that those with insomnia during their first trimester had a higher likelihood of GDM developing between 24-28 weeks.
Pregnancy insomnia can also produce negative side effects during childbirth and after your baby is born. Those with sleep issues while pregnant may have more painful and longer labor. They may also need a C-section or have a premature or low-birth-weight baby.
In the postpartum period, those with uncontrolled pregnancy insomnia may experience increased mood swings, depression, and parent-child bonding troubles. Sleep deprivation may also make your recovery slower. Sometimes, postpartum insomnia is a warning sign of postpartum depression (PPD).
When should you be concerned about insomnia in pregnancy?
Of course, not all insomnia in pregnant women is cause for concern. However, if your insomnia is frequent or interfering with your life, such as relentless sleepiness even after naps, let your provider know. You should also contact your healthcare provider if you notice any of the following sleep-related symptoms.
Night wakings
Loud snoring
Mental health changes such as irritability or depression
Falling asleep during the day
Inability to complete daily routine or tasks
Not feeling rested when you rise in the morning
Frequent issues falling asleep
Waking up not being able to breathe or gasping for air
How to help pregnancy insomnia
For those who have pregnancy and insomnia, it can be a terrible experience. Lying there night after night awake while your household is happily dreaming can leave you searching for pregnancy insomnia remedies. The National Sleep Foundation advises paying attention to your sleep hygiene as the first proactive step and then tailoring routines and habits to your needs.
Home remedies for lack of sleep during pregnancy can include:
A warm bath
Creating a consistent bedtime routine and regular wake-up time
Decreasing screen time before bed
Getting regular exercise
Relaxation techniques
Keeping your room dim and cool
Use of a pregnancy pillow
If lifestyle changes and natural interventions aren’t working, you may want to contact our OB/GYN to discuss your sleep patterns and troubling sleep disturbances.
While you may be tempted to turn to melatonin supplements or over-the-counter sleep aids right away, call our office first. Some medications and supplements aren’t recommended during pregnancy, so it’s important to discuss the possible side effects and benefits before adding any new medications.
Have more questions about pregnancy and insomnia? Talk to Dr. Rad
Perinatologist Dr. Rad and his world-class team at Los Angeles Fetal and Maternal Care Center understand your pregnancy — before, during, and after birth.
A master of obstetrics, gynecology, maternal-fetal medicine (perinatology), and high-risk pregnancies, Dr. Rad and his team provide compassionate care to help you understand your pregnancy. Our team is available 24/7 to answer your questions and provide the emotional support needed to safely navigate your pregnancy.
We are conveniently located for patients throughout Southern California and the Los Angeles area at locations in or near Beverly Hills, Santa Monica, West Los Angeles, West Hollywood, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, Newport Beach, Irvine, and Downtown Los Angeles. We also offer in-home prenatal care and a fly-in program for out-of-town and international patients. Dr. Rad even travels to patients who need him throughout the U.S. and around the world.
If you can’t make it to Dr. Rad, he also offers virtual consultations worldwide.
Call (844) 473-6100 or click here to schedule online
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Stress can exacerbate late pregnancy insomnia due to hormonal changes, discomfort, and anxiety. The physical and emotional strain during late pregnancy can intensify insomnia, making it harder to fall and stay asleep. Stress management techniques and seeking medical advice can help alleviate late pregnancy insomnia.
Do herbal teas reduce early gestational sleeplessness?
Herbal teas may help reduce early gestational sleeplessness, such as chamomile or lavender. However, it's essential to consult with a healthcare provider before using herbal remedies during pregnancy to ensure safety and avoid potential complications.
Are sleep routines effective for prenatal restlessness?
Establishing consistent sleep routines can be effective for managing prenatal restlessness. Techniques like creating a bedtime routine, maintaining a regular sleep schedule, and using relaxation methods can help improve sleep quality during pregnancy and alleviate symptoms of insomnia.
Does relaxation therapy ease third-trimester wakefulness?
Relaxation therapy can help ease third-trimester wakefulness by promoting calmness and reducing stress, potentially improving sleep quality. Techniques like deep breathing, meditation, and gentle exercises may aid in relaxation, supporting better rest during this critical stage of pregnancy.
Can dietary changes improve gestational sleep quality?
Dietary changes, like avoiding large meals close to bedtime and staying hydrated, may help improve gestational sleep quality. including foods with tryptophan, like turkey, or foods containing magnesium, can be beneficial. Consuming a balanced diet rich in whole grains, fruits, and vegetables can support better sleep during pregnancy.
Are body pillows helpful for maternal sleep?
Body pillows can provide support for pregnant women, helping with comfort and spinal alignment during sleep. They can alleviate pressure on the hips and lower back, potentially improving sleep quality. It's important to discuss pillow options with a healthcare provider to ensure safe and effective use during pregnancy.
Do warm baths alleviate pre-labor restlessness?
Warm baths can provide a calming effect but don't guarantee relief from pre-labor restlessness. Heat can help relax muscles, easing discomfort, but restlessness may persist due to hormonal changes and physical discomfort typical during the late stages of pregnancy. Consider various relaxation techniques for additional support.
Can acupuncture treat prenatal nighttime wakefulness?
Acupuncture is a non-invasive treatment that may help alleviate prenatal nighttime wakefulness by promoting relaxation and balancing the body's energy. Many pregnant women find acupuncture beneficial for improving sleep quality and reducing insomnia symptoms during pregnancy. It is important to consult with a qualified acupuncturist experienced in treating pregnant women to ensure safety and effectiveness.
Are prenatal yoga practices sleep-inducing?
Prenatal yoga practices can be sleep-inducing due to relaxation techniques and gentle movements, promoting better sleep during pregnancy. The calming nature of yoga may help alleviate pregnancy-related stress and discomfort, possibly aiding in improving overall sleep quality for expecting mothers.
Does white noise benefit maternal sleep patterns?
White noise can benefit maternal sleep patterns by creating a consistent ambient sound that can help mask other noises and create a soothing environment for sleep. It can help drown out disruptions and create a calming atmosphere conducive to better sleep, especially during pregnancy when insomnia may be a concern.
Can meditation improve gestational sleep duration?
Meditation may improve gestational sleep duration by reducing stress and promoting relaxation, potentially helping pregnant individuals find better sleep.
Do breathing exercises affect pregnancy sleep?
Breathing exercises can positively impact pregnancy sleep by promoting relaxation and reducing stress levels. Incorporating deep breathing techniques before bedtime may help improve sleep quality by calming the mind and body, potentially aiding in managing insomnia during pregnancy.
Is lavender oil safe for pregnancy-induced insomnia?
Lavender oil is generally considered safe for use during pregnancy and has been used to help with relaxation and sleep. However, it's important to consult with your healthcare provider before using any essential oils during pregnancy to ensure safety and suitability for your individual situation.
Can journaling minimize pre-delivery sleep issues?
Journaling can be a beneficial practice to minimize pre-delivery sleep issues. Writing down thoughts and worries can help clear the mind, promoting relaxation and improving sleep quality. Expressing emotions on paper may reduce anxiety and stress, contributing to better rest before childbirth.
Are sleep apps effective for gestational restlessness?
Sleep apps can be a helpful tool for alleviating gestational restlessness by offering relaxation techniques and sleep aid programs. However, individual effectiveness may vary, and it's crucial to consult with a healthcare provider before relying solely on these apps for managing pregnancy insomnia.
Does consistent bedtime impact prenatal sleep?
Consistent bedtime routines can positively impact prenatal sleep by promoting relaxation and creating a familiar sleep environment.
Can hypnosis assist with gestational nocturnal wakefulness?
Hypnosis can be a helpful tool for managing gestational nocturnal wakefulness by promoting relaxation and alleviating stress. It may aid in improving sleep quality and reducing nighttime awakenings during pregnancy, offering a natural approach to addressing insomnia. Consulting with a healthcare provider is recommended for personalized guidance.
Does magnesium supplementation improve maternal sleep?
Magnesium supplementation can improve maternal sleep during pregnancy by promoting relaxation and reducing stress. Some studies suggest that magnesium can help regulate neurotransmitters that impact sleep quality, potentially alleviating insomnia. Always consult with your healthcare provider before starting any supplements.
Are leg massages safe for late pregnancy insomnia?
Leg massages are generally safe for late pregnancy insomnia. However, always consult with your OB/GYN before trying any new treatments. Communication with your healthcare provider is essential during pregnancy to ensure the safety and well-being of both you and your baby.
Do darkened rooms help with gestational sleep?
Darkened rooms can help improve gestational sleep by promoting a calming environment that signals to the body it's time to rest. This can help regulate melatonin production and create a more conducive space for falling asleep, especially during pregnancy when hormonal changes can disrupt sleep patterns.
Does a cooler room temperature aid prenatal sleep?
A cooler room temperature can aid prenatal sleep by promoting comfort and relaxation. Cooling down the room helps regulate body temperature, which can improve sleep quality and reduce insomnia. Adjusting the room temperature may provide a more conducive environment for pregnant individuals to rest and sleep better during pregnancy.
Are there sleep clinics for pregnancy-related insomnia?
Yes, sleep clinics specializing in pregnancy-related insomnia provide consultations and treatments tailored to pregnant individuals. These clinics offer support for managing sleep disturbances during pregnancy, addressing factors such as hormonal changes, physical discomfort, and anxiety that can contribute to insomnia. If lifestyle changes and home remedies aren't effective, consulting with a sleep clinic may be beneficial in addressing pregnancy-related sleep issues.
Can iron deficiency influence maternal sleep quality?
Iron deficiency can contribute to poor maternal sleep quality due to its impact on restless leg syndrome, which can disrupt sleep patterns. Low iron levels may lead to symptoms like leg discomfort, affecting the ability to fall and stay asleep during pregnancy.
Do pregnancy pillows assist with restful sleep?
Pregnancy pillows can improve comfort, supporting the body to alleviate aches and promote better sleep positions, potentially aiding in restful sleep during pregnancy. They help reduce pressure on the hips, back, and joints, which can improve overall comfort and sleep quality.
Is a light evening meal better for maternal insomnia?
A light evening meal can improve maternal insomnia. Eating heavy or spicy foods close to bedtime may lead to discomfort, indigestion, or heartburn, disrupting sleep. Opt for a balanced meal with whole grains, lean proteins, fruits, and vegetables to support better sleep during pregnancy.
Can napping exacerbate late gestation sleeplessness?
Napping during the day can exacerbate late gestation sleeplessness by making it harder to fall asleep at night. In some cases, daytime naps can disrupt your circadian rhythm, leading to difficulty in getting quality sleep during the night, especially as your pregnancy progresses.
Do ambient sound machines improve maternal sleep?
Ambient sound machines could improve maternal sleep by masking disruptive noises and promoting relaxation. However, results may vary, with some finding them beneficial while others see no difference in sleep quality. It's worth trying to see if they enhance your rest.
Are chiropractic adjustments useful for gestational sleep?
Chiropractic adjustments can be helpful for improving gestational sleep by reducing discomfort that may be contributing to insomnia. Consult with a chiropractor experienced in treating pregnant patients for personalized recommendations.
Can fluid intake timing affect nocturnal wakefulness?
Timing of fluid intake can impact nocturnal wakefulness, as consuming liquids close to bedtime may lead to increased nighttime awakenings for bathroom trips. To improve sleep quality, consider limiting fluids in the evening to reduce disruptions during the night.
Is foot elevation effective for prenatal sleep?
Elevating your feet can help reduce swelling and discomfort during pregnancy, potentially aiding in better sleep quality. It may also improve circulation, reducing the likelihood of leg cramps. Experiment with different positions to find what works best for you in promoting restful sleep.
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