Why sleep is hard during pregnancy

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Published 22 May 2025 | Written by Dr. Samuel Gray

Pregnancy is a beautiful journey a time of excitement, change, and anticipation. But let's be honest: it can also be uncomfortable, tiring, and, yes, incredibly sleepless. If you're pregnant and struggling to get a good night's rest, you're not alone. Sleep disturbances are common during pregnancy, and they can start as early as the first trimester.

In this article, we’ll explore why sleep becomes difficult during pregnancy, how each trimester affects rest, and most importantly, simple self-care tips to help you sleep better.


💤 Why Is Sleep Difficult During Pregnancy?

Your body is going through major changes. These transformations, both physical and hormonal, can make peaceful sleep seem like a distant dream.

Here’s why sleep is often disrupted during pregnancy:


1. Hormonal Changes

During early pregnancy, increased progesterone levels can make you feel more fatigued during the day but also cause nighttime restlessness. Hormones can disrupt your natural sleep-wake cycle, leading to frequent awakenings or vivid dreams.


2. Frequent Urination

The growing uterus puts pressure on your bladder, especially in the first and third trimesters. This means more trips to the bathroom at night, which can interrupt deep sleep.


3. Physical Discomfort

As your body grows, so do the aches and pains. Backaches, tender breasts, and the challenge of finding a comfortable sleeping position can make falling and staying asleep harder than ever.


4. Heartburn and Indigestion

Pregnancy hormones relax the valve between the stomach and esophagus, increasing the chances of acid reflux. Lying down can make it worse, disturbing your rest.


5. Anxiety and Racing Thoughts

Whether it's excitement, nervousness about childbirth, or concern about being a new parent mental stress can keep your brain active long after you’ve turned off the lights.


🧸 How Each Trimester Affects Sleep

  • First Trimester: Sleepiness during the day and disrupted sleep at night due to hormones and nausea.

  • Second Trimester: Often called the “honeymoon phase” of pregnancy; sleep may improve slightly but still be affected by leg cramps or vivid dreams.

  • Third Trimester: Sleep becomes most challenging due to increased body size, fetal movement, heartburn, and anxiety about labor.


🌿 Self-Care Tips to Improve Sleep During Pregnancy

While you can’t avoid every discomfort, you can take steps to improve your rest. Try these sleep-friendly habits:


🛏️ 1. Create a Nighttime Routine

Wind down with calming rituals like reading, light stretching, or a warm (not hot) bath. Consistency trains your body to prepare for sleep.


🍵 2. Watch Your Diet

Avoid caffeine after noon and eat smaller, more frequent meals to prevent heartburn. A light snack before bed, like a banana or crackers, can stabilize blood sugar and reduce nighttime wake-ups.


🧘‍♀️ 3. Try Prenatal Yoga or Meditation

Gentle yoga or guided meditation can help release tension and calm your mind. Even 10 minutes a day can make a difference.


🛌 4. Use Pillows for Support

A body pillow or a wedge can help support your belly and back. Sleeping on your left side improves circulation and may help reduce swelling.


🚰 5. Hydrate Smartly

Drink plenty of water during the day but reduce fluid intake a few hours before bed to minimize nighttime bathroom visits.


📵 6. Limit Screen Time Before Bed

Blue light from phones and tablets interferes with melatonin (the sleep hormone). Disconnect at least 30–60 minutes before bedtime.


💖 Final Thoughts: Be Kind to Yourself

If you're struggling with sleep during pregnancy, know that you're not failing you're simply experiencing one of the many normal challenges of this life-changing phase. Rest when you can, even if that means daytime naps or just quiet time with your feet up.

Sleep may be elusive now, but you’re nurturing new life and that’s the most important work of all.