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Excessive Sleep in Pregnancy: Good or Bad

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Research has proven that taking naps more than required during pregnancy negatively affects the unborn child. Continue reading to know more.

Medically reviewed by

Dr. Sangeeta Milap

Published At April 30, 2024
Reviewed AtApril 30, 2024

Introduction

During pregnancy, it is common to experience significant changes in sleep patterns and feel exhausted as the body works hard to grow a new life. Feeling tired and needing more sleep is typical due to the emotional and hormonal upheavals occurring during this time. However, there is also a concern that too much sleep could potentially impact the health of the developing child. While adequate rest is essential, a balance must be maintained, and it is important to determine the right amount of sleep needed to support maternal and child health. Questions about whether one is getting too much sleep or concerns about not feeling well-rested are common and valid during pregnancy.

What Are the Causes of Excessive Sleep in Pregnancy?

Excessive sleepiness during pregnancy is influenced by several factors that range from hormonal changes to physical discomforts and psychological states. During the early stages of pregnancy, increased blood volume and progesterone levels can induce significant fatigue, making sleep an attractive respite. As pregnancy progresses to the third trimester, the additional weight and emotional anticipation of labor further contribute to the desire for more sleep.

The hormonal upsurge, particularly in progesterone and estrogen, affects mood and energy levels and can lead to physiological changes such as lower blood pressure and blood sugar levels, thereby increasing fatigue. These hormonal adjustments are crucial for supporting pregnancy but have the side effect of increased sleepiness.

Physical discomforts also play a substantial role in disrupting sleep patterns. Leg cramps, which become more common as levels of calcium, iron, and folic acid fluctuate, can make it challenging to maintain restful sleep. Gastroesophageal reflux disease (GERD), prevalent in pregnancy due to the relaxation of the esophageal sphincter, can cause significant discomfort and disrupt sleep.

Additionally, frequent urination, particularly in the third trimester, due to increased bladder and vaginal pressure, forces many pregnant individuals to wake multiple times during the night, potentially leading to an increased need for sleep during the day.

Psychological factors such as stress and anxiety, especially concerning the upcoming labor and changes in life roles, can also induce insomnia. This lack of nighttime rest can, in turn, drive a greater need for daytime sleep.

Is Sleeping Too Much Bad for Pregnancy?

Excessive sleep during the third trimester of pregnancy may be associated with increased risks, according to some research. A specific study highlighted that women who consistently slept more than nine hours without disturbance during the last month of their pregnancy had a higher incidence of stillbirth. However, this finding is controversial; some scientists argue that the observed increase in sleep could be a result of decreased fetal movement rather than the cause of stillbirths.

Thus, it is essential to approach the matter of sleep duration with a balance. Ensuring sufficient sleep is beneficial, especially since achieving at least eight hours of sleep per night can have potential advantages during the later stages of pregnancy. Conversely, while day-time napping can be beneficial, long naps may disrupt nighttime sleep patterns, so keeping naps short is advisable.

Additionally, it is important to be aware of sleep disorders such as sleep apnea during pregnancy, which is more common due to physiological changes like increased estrogen levels. This condition can lead to complications, including high blood pressure, preeclampsia, and gestational diabetes, and requires immediate medical attention.

How Much Sleep Is Needed in Pregnancy?

The recommended amount of sleep for pregnant women generally falls between seven to nine hours per night, according to guidelines such as those from the National Sleep Foundation. This range is considered optimal for supporting the health and well-being of both the mother and the developing fetus during pregnancy.

Pregnancy introduces various physiological and hormonal changes that can significantly impact sleep patterns and needs. For instance, increased progesterone levels in the first trimester and the physical demands of carrying extra weight in the later stages can lead to greater feelings of fatigue and a heightened need for sleep.

Despite these increased demands for rest, sleeping for extended periods of over nine to ten hours continuously might pose risks. Research has indicated a potential association between prolonged, undisturbed sleep and adverse outcomes such as stillbirth. This is possibly linked to prolonged periods of low blood pressure during extended sleep, which might affect fetal health.

Furthermore, during the third trimester, physical discomforts such as increased bladder pressure and general discomfort from carrying additional weight can make continuous, restful sleep challenging. This may necessitate more frequent periods of rest throughout the day to compensate for disturbed nighttime sleep.

Therefore, while seven to nine hours of sleep is typically recommended, individual needs may vary based on factors such as overall health, quality of sleep, and specific pregnancy-related discomforts. Adjusting sleep duration and habits to ensure both adequate rest and avoidance of overly prolonged sleep without interruptions is crucial for maintaining optimal health during pregnancy.

How to Get Proper Sleep in Pregnancy?

Improving sleep quality during pregnancy is crucial for both the health of the mother and the developing fetus. Here are several strategies that can help achieve better sleep during this important time:

  • Utilize a Pregnancy Pillow: For those who struggle to find a comfortable sleeping position, especially if typically a back sleeper, a pregnancy pillow can provide the necessary support to maintain comfort throughout the night.

  • Address Mental Health: Stress or anxiety about childbirth and other related concerns can significantly impair sleep quality. It is important to address any emotional or psychological issues. Consulting a mental health professional or discussing these anxieties with a doctor can be beneficial.

  • Maintain Regular Exercise: Engaging in daily physical activity, as long as it is approved by a healthcare provider, can improve overall fatigue levels, enhance blood circulation, and reduce the risk of complications such as gestational diabetes and hypertension. Exercise can also help in regulating sleep patterns.

  • Get Massages: Receiving massages can relieve pregnancy-related aches and pains, reduce stress, and subsequently improve sleep quality.

  • Establish a Sleep Routine: Consistency in sleep habits can be very effective. Going to bed and waking up at the same time every day, even on weekends, can help regulate the body's sleep-wake cycle.

  • Optimize the Sleep Environment: Creating a conducive sleeping environment is essential. This includes keeping electronics out of the bedroom, investing in a comfortable mattress, ensuring the room is uncluttered, and setting the thermostat to a comfortable temperature.

  • Manage Nighttime Disruptions: Frequent urination can disrupt sleep, so reducing liquid intake before bedtime might help minimize sleep interruptions, though it is important to stay hydrated throughout the day.

  • Limit Screen Time: To improve sleep quality, avoid screens and bright lights at least 30 minutes before bedtime, as these can interfere with the natural production of melatonin, the hormone responsible for regulating sleep.

  • Nap Strategically: While naps can be helpful, especially when night sleep is disturbed, they should be kept short and not too close to bedtime to avoid disrupting nighttime sleep.

Conclusion

In conclusion, if sleep issues persist or if there is continual fatigue that affects daily activities, it may be important to consult a healthcare provider to rule out underlying medical conditions. Implementing these strategies can greatly enhance sleep quality during pregnancy, contributing to the overall health and well-being of both mother and baby.

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Dr. Sangeeta Milap
Dr. Sangeeta Milap

Obstetrics and Gynecology

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