12 Pregnancy Sleep Hacks

This post may contain affiliate links. Read the full disclosure here.

Last Updated on November 18, 2023 by theosteomum

Looking for some pregnancy sleep hacks to try to combat the e-x-h-a-u-s-t-i-o-n that you’re feeling? 

You’ve come to the right place!

Women are often surprised to learn that their sleep goes downhill from very early on in their pregnancies.

The irony is that pregnancy is often a time when you feel absolutely wiped out, but yet you just can’t sleep.

I can remember being shocked to find that from only 4 or 5 weeks pregnant, I was woken multiple times a night to go to the toilet.

I’d heard women complain about this in the past, but thought it would happen much later!

In this post, we’ll discuss:

Sleep during pregnancy

Fun fact- why do we sleep?

I’m going to let you in on a little secret.

I looooooove to sleep. It’s my absolute favourite thing to do in life.

I love sleep even more than I love chocolate.

And that’s A LOT!

But why do we sleep?

According to this study, humans need to sleep to clear waste products from our brains.

While we’re awake, our brains are busy doing a million different tasks.

These activities all result in residues building up in our brains. We need the time of quiet rest to clear this debris and wipe the slate clean.

This way, we can wake up feeling refreshed.

In fact- the brains of people who have been sleep deprived for a long time actually resemble those of Alzheimer’s disease sufferers. This clearly explains the brain fog that you can feel when you’re desperate for a good night’s sleep.

I’m currently raising two young girls.

I’ll never forget the brain fog of the newborn period when sleep seemed about as elusive as a rainbow unicorn. And if I’m truly being honest, I don’t think it’s ever fully lifted! 

This is in keeping with the evidence that suggests women’s sleep never returns to the way it was before pregnancy.

Another interesting fact is that the average amount of sleep per adult has decreased by 1.5-2 hours per night over the past 40 years.

Given that we now know the effect that lack of sleep can have on our brains, it’s no wonder humans are now facing so many health challenges!

Decreased adult sleep

Why you can’t sleep during pregnancy:

There are many old tales or theories about why women can’t sleep during pregnancy.

You’ve probably heard the old chestnut of “it’s your body’s way of preparing you for life with a newborn” before.

And you’ve also probably groaned about the fact that you don’t feel like you need to prepare- you’ll deal with that form of sleep deprivation when it arrives!

For the science geeks like me- there is an actual physical reason why you don’t sleep as well during pregnancy.

Your heart and lungs:

Much of the blame for poor pregnancy sleep lays with our respiratory systems.

Even when we’re not pregnant, our respiratory system is the one complex in our body that just doesn’t get a rest during sleep.

When our muscles relax while we’re sleeping, our upper airways narrow. This leads to the deep breathing that we often  see when people are sound asleep.

While we’re pregnant, there is an even greater strain on our lungs and breathing system.

Our heart needs to pump almost double the amount of blood around.

The growing baby means that our ribcage (and the lungs within it) gets more squashed with each passing day.

All of these changes mean that we’re often unable to get the restful sleep that we crave during pregnancy.

Heart and lungs

Your urinary system:

To make matters worse, the growing baby often puts pressure on our bladder- meaning we have to pee what feels like a million times a night.

You’re also pumping a lot more blood around.

All that blood needs to be filtered by your kidneys to keep your body in tip top condition.

Know what this means?

More pee.

Meaning more trips to the bathroom.

AND then there’s the tossing and turning and trying to get comfortable.

It can be a waking nightmare!

Bladder

Will poor sleep during pregnancy harm you or your baby?

Given how common it is for women to struggle to sleep during pregnancy, it’s surprising that we don’t know much about the effects that poor sleep during pregnancy can have on a mother and her unborn child.

Having said this, there have been a handful of investigations into the effects of sleep during pregnancy.

According to one study, women who slept less than 6 hours per night were more likely to have longer labours. They were also 4.5 times more likely to require a Caesarian delivery.

There is also some evidence to suggest that women who work extremely long hours (and suffer sleep deprivation as a result) are more likely to experience complications such as preterm labour and preeclampsia.

It’s important to note that these are only small studies, and that the evidence surrounding poor sleep during pregnancy and health risks still needs a lot more work.

But, it’s safe to say that you’ll feel better in almost every way if you can use these pregnancy sleep hacks actually get some decent sleep.

Pregnancy sleep hacks- the first trimester.

It doesn’t take long to start feeling the effects of your pregnancy.

I can remember being blown away by the number of times I needed to go to the toilet in the early weeks of pregnancy.

It was ridiculous!

Whilst this was annoying during the day, it was downright inconvenient at night.

I was lucky enough to largely avoid “morning” sickness, but this can be another huge factor in disturbing women’s sleep during pregnancy.

During the first trimester, many women report that they are Just. So. Tired.

The unfortunate thing is, that even though you’re exhausted, you may be finding that you simply cannot sleep like you used to.

Why your sleep changes during the first trimester:

Sleep studies have shown that by the end of the first trimester, women’s sleep characteristics change significantly.

Most women will find themselves sleeping for a longer time overall, but waking feeling less refreshed.

This is because your sleep isn’t as deep, and you’ll most likely be waking more frequently.

If you tune in to your body though (and if your schedule permits), you’ll probably find that you want to go to bed earlier than usual.

This is nature’s way of trying to make up for these sleep changes.

In fact, it’s extremely common for women to go to bed earlier than they did before they were pregnant during their first and second trimesters of pregnancy.

You could also learn to love a nap.

I’ve never needed any encouragement to take a nap- it has always seemed like a good idea! Even when I’m not pregnant!

The trouble is- these days I have two busy girls who think the idea of sleeping during the day is ridiculous, which usually means no naps for me.

Boo.

But, especially if you don’t already have children, take any opportunity you can to have a daytime snooze.

According to this study, keeping the nap to less than 90 minutes in duration should not have any further negative effects on your night time sleep during pregnancy.

Why is first trimester sleep so important?

According to this study, women who weren’t able to get “good quality” sleep during the first trimester were more likely to develop high blood pressure later in pregnancy.

All the more reason to try to catch some zzz’s where you can.

What is the best first trimester of pregnancy sleep position?

In terms of sleeping position during the first trimester of pregnancy- you’re still free to sleep in whichever position you feel most comfortable.

Your uterus, and the growing baby within it, are still tucked down deep into your pelvis.

So, if your breasts aren’t too tender, you’re still OK to sleep on your belly if that’s your thing.

It’s also still safe to sleep on your back, or on either your left or right side.

First trimester sleep positions

Pregnancy sleep hacks- the second and third trimesters.

Many women look forward to reaching the so-called “safety” of the second trimester.

We yearn for that 12-week point which marks relative reduction in risk of miscarriage.

Women who’ve suffered from morning sickness also hope to see this wrap up once the second trimester rolls around.

Unfortunately, the positives of reaching the second trimester can be outweighed by an increase in sleeping difficulties.

As the second (and third) trimesters progress, the rate of women having trouble sleeping during pregnancies increases.

In fact, frequent trips to the bathroom, a baby who likes to practice Karate at 3am, restless legs and back or pelvic girdle pain mean that 75% of women report either insomnia or non-refreshing sleep.

If possible, you could try to continue to take naps, and go to bed earlier than usual.

When I was learning about pregnancy during my University days, we were taught that pregnant women should avoid sleeping on their backs from 20 weeks. So roughly 5 months pregnant or halfway(ish) through the second trimester.

This is because the weight of the uterus can put pressure on the main blood supply back to the heart.

This can cause complications for both you and your baby.

The most serious and tragic issue that has been associated with sleeping in this position is stillbirth.

So this is one to take seriously.

More recent evidence, however, seems to suggest that the risk of complications from sleeping on your back during pregnancy increases during the third trimester.

So it would seem that from some point between 20-28 weeks, it’s best not to sleep on your back.

Second & Third Trimester Sleep positions

What are the best second and third trimester of pregnancy sleep positions?

Your left side is the safest position to sleep in during late pregnancy.

This will promote ideal blood flow for you and your baby, and take the most amount of pressure possible off your vital organs.

However, those of us who’ve had a baby or two will realise that it’s down right impractical to think that you can spend 3-5 months sleeping in only one position.

The good news is, that whilst the left side *seems* to be the best, the risk of complications does not seem to be increased in women who sleep on their right side.

So it *seems* to be safe to sleep on either side whilst pregnant.

And so begins the ordeal of a heavily pregnant lady rolling over a million times a night. The joy (insert eye roll emoji here).

It's safest to avoid sleeping on your back during late pregnancy
It’s safest to avoid sleeping on your back during late pregnancy.

What can make sleeping on your side more comfortable?

A pregnancy pillow will be your new best friend.

Seriously.

If you’re sick of aches and pains, or the rigmarole of arranging a mountain of separate pillows every time you roll over, you need to read this post.

I’ve detailed the 5 main pregnancy pillow types, and how you can choose the best one for your needs.

Check it out.

You can thank me later.

If you’re also suffering from pain in your hips or lower back from sleeping on your sides, you should read this post.

It outlines 5 ways to help this problem at home.

Using some of these strategies before bed can help make your sleep more comfortable.

3 other problems that affect sleep during pregnancy:

There are a range of common problems that affect women’s sleep during pregnancy.

Some of the more common ones I’ve written helpful posts about include:

If any (or all) of these conditions are stopping you from having a decent night’s sleep during pregnancy, check out the links above for some helpful tips.

 

12 pregnancy sleep hacks:

1. Take your pregnancy vitamins, plus a Magnesium supplement:

Things like leg cramps and restless legs can be a literal pain that can also interefere with your sleep while pregnant.

Taking a magnesium supplement can help minimise both conditions.

As a bonus, supplements such as this one which come in the form of magnesium citrate can have a mild laxative effect. This can be really helpful if you’re also suffering from another common pregnancy complaint- constipation.

There is a theory that restless leg syndrome may be minimised by continuing to take prenatal vitamins throughout your pregnancy.

2. Get back to basics:

Don’t forget about basic sleep hygiene now that you’re pregnant.

Things like:

  • Avoiding screens before bed
  • Sticking to a regular sleep routine
  • Use the hour before bed to truly relax. Reading a book or writing in a gratitude journal can help you drift off feeling content and relaxed.

3. Keep meals light and avoid aggravating foods:

Minimise large meals before bed.

Avoid potentially aggravating foods such as chilli, or overly salty foods that make you thirsty.

Reflux and indigestion are common pregnancy complaints, but these can be minimised by careful food choices close to bed time.

4. Improve your sleep environment:

Ensure your bed is cool and comfortable. You’re likely feeling a little warmer than usual, so taking a blanket or two off may help you get the best sleep possible.

Your senses may also be heightened during pregnancy. Sounds and smells can seem stronger than at other times. Make sure the room is dark and quiet. Keep your sheets clean and use an odorless washing detergent.

5. Get some exercise:

Try to maintain regular gentle exercise, such as walking or swimming.

If you’re not quite sure of the safest and best ways to exercise while pregnant, read this post.

Getting 30 minutes of exercise per day while pregnant can improve your sleep quality, as well as:

  • Increase your chance of achieving a vaginal birth
  • Decrease your risk of:
    • Requiring a Caeasarian birth
    • Developing Gestational Diabetes
    • Excessive pregnancy weight gain
    • Preterm birth
    • Having a baby with a low birth weight
    • Postnatal depression

Moderate intensity exercises that are considered safe during pregnancy include:

  • Walking
  • Stationary cycling (using an exercise bike)
  • Yoga
  • Swimming
  • Resistance training
  • Pilates
  • Dancing
  • Aerobics

Just avoid exercise within two hours of going to bed, or it may have the opposite effect.

6. Meditation:

You could also try techniques such as meditation to help you relax and mentally prepare for sleep.

My favourite recommendation for those new to the world of meditation is the Smiling Mind app.

This app is completely free, and available for download on both Apple and Android devices.

7. Sip some herbal tea:

Pregnancy-friendly, herbal teas such as T2 Sleep Tight can be a delicious way to help you wind down and prepare for sleep.

There are so many options to choose from when it comes to sleep-friendly teas.

Another great option is the Hottea Mam.

Both are delicious blends that can help calm and relax you, ready for a great night’s sleep.

8. Use a pregnancy pillow:

A pregnancy pillow really will be your new BFF.

Your partner may even be jealous of how much you love this thing.

And no, I’m not kidding.

I’ve written a full review of the Top 5 Pregnancy Pillows and how to choose one here.

Short on time?

My all-time favourite would have to be the Victostar pregnancy pillow.

This thing feels like a hug from your grandmother.

You can thank me later.

9. Take a warm bath:

Many women are afraid to take baths during pregnancy, for fear of overheating.

But a warm bath can really help you relax, as well as soothing any aches or pains you may have.

Is a warm bath safe during pregnancy?

Yes, but… the key word here is warm.

As tempting as a hot bath is, it’s safest not to have the bath much higher that your body temperature.

This way you’ll avoid overheating and potentially doing your baby any harm.

10. Turn your alarm clock to face the wall:

Watching the hours tick by as you battle sleep is actually counter productive.

Instead of getting angry at the clock during the wee hours, try one of the other pregnancy sleep hacks already listed.

11. Put down your phone:

Laying in bed scrolling your phone is one of the worst things you can do when you can’t sleep.

Not only does your mind not rest when you’re scrolling (social media is a hot bed of thoughts like “why don’t I look like that when I’m pregnant”), but the blue light emitted from your phone significantly interferes with your body’s ability to produce the hormones that make you sleep.

Even if you’re reading this post on your phone at 3am- please. Put. Down. Your. Phone.

Now.

12. Take “smart” naps:

Naps can be a lifesaver while pregnant.

The problem is, if they’re too long or taken at the wrong time of the day, they can really mess with your nighttime sleep.

“Smart” naps are:

  • less than 30-90 minutes in duration
  • taken in the morning or early afternoon

12. Get professional help with your aches and pains:

Pregnancy is a time of great physical changes.

Whilst some women’s bodies seem to be able to make these transitions easily, many women struggle with things like hip pain and pelvic girdle pain.

Getting professional help from an Osteopath or Physical Therapist who is familiar with pregnancy can really help.

Pregnancy sleep hacks- summing up:

Pregnancy sleep certainly has its challenges.

Thankfully there are a number of sleep hacks for you to try to get some z’s.

Have you tried any of the above tips with some success?

Let me know in the comments- I’d love to hear from you!

And don’t forget to share this post with anyone else who’d benefit from some pregnancy sleep hacks!

Lauren signature

I am an Osteopath, wife and Mum living in Melbourne, Australia. Here to help you and your family live happier, healthier lives.