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What are the hormonal changes that can affect sleep during pregnancy?
What are the hormonal changes that can affect sleep during pregnancy?-February 2024
Feb 15, 2026 12:22 AM

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What are the hormonal changes that can affect sleep during pregnancy?

During pregnancy, a woman’s body undergoes numerous hormonal changes that can significantly impact her sleep patterns. These hormonal fluctuations are essential for supporting the growth and development of the baby, but they can also lead to various sleep disturbances for the expectant mother.

1. Progesterone: Progesterone levels rise significantly during pregnancy to support the growth of the uterus and maintain a healthy pregnancy. While progesterone is crucial for the baby’s development, it can also cause drowsiness and fatigue, making it easier for pregnant women to fall asleep during the day. However, this can disrupt their nighttime sleep, leading to frequent awakenings and difficulty in achieving a restful sleep.

2. Estrogen: Estrogen levels also increase during pregnancy and can affect sleep in different ways. In the first trimester, elevated estrogen levels can cause nausea and frequent urination, leading to disturbed sleep. Additionally, estrogen can impact the production of serotonin, a neurotransmitter that regulates mood and sleep. Fluctuations in serotonin levels can contribute to mood swings and insomnia during pregnancy.

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3. Human Chorionic Gonadotropin (hCG): hCG is a hormone produced by the placenta during pregnancy. While its primary role is to support the production of other hormones, it can also affect sleep. Some women experience vivid dreams or nightmares during pregnancy, which can disrupt their sleep and leave them feeling tired upon waking.

4. Prolactin: Prolactin is a hormone responsible for milk production and breastfeeding. During pregnancy, prolactin levels increase, preparing the body for lactation. Elevated prolactin levels can cause breast tenderness and discomfort, making it challenging for pregnant women to find a comfortable sleeping position. This discomfort can lead to frequent awakenings and difficulty in falling back asleep.

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5. Cortisol: Cortisol, often referred to as the stress hormone, can also impact sleep during pregnancy. The physical and emotional stress associated with pregnancy can lead to increased cortisol levels, which can disrupt the sleep-wake cycle. Pregnant women may experience difficulty falling asleep, staying asleep, or have restless sleep due to heightened cortisol levels.

It is important for pregnant women to prioritize sleep and establish healthy sleep habits to mitigate the effects of these hormonal changes. Creating a relaxing bedtime routine, maintaining a comfortable sleep environment, and practicing relaxation techniques can help promote better sleep during pregnancy. Additionally, consulting with a healthcare provider can provide further guidance and support in managing sleep disturbances during this transformative period.

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Keywords: during, pregnancy, levels, hormonal, pregnant, asleep, estrogen, prolactin, cortisol

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