# Pregnancy Insomnia at 23 Weeks Pregnant

Source: https://www.pregnancypowerhour.com/pregnancy/symptoms/sleep-issues-week-23
Last updated: 2026-07-01

> Even though mid-pregnancy often offers a more settled sleep window, experiencing insomnia at 23 weeks pregnant is still a common concern for many.

At 23 weeks pregnant, while many individuals find mid-pregnancy to be a period of more settled sleep, experiencing insomnia or general sleep disturbance can still be a very real concern. It's helpful to know that sleep disturbance is a common thread throughout pregnancy, affecting a significant number of pregnancies, with research indicating that 75–80% experience it by the third trimester. This means that even in the second trimester, your body is undergoing profound changes that can influence your rest, making clarity and practical strategies particularly valuable.

One of the most important considerations as you move past 20 weeks is your sleeping position. Evidence from sources like Tommy's and the NHS consistently recommends favoring sleeping on your left side. This guidance is particularly salient because falling asleep on your back in the third trimester has been associated with an increased stillbirth risk, approximately 2.3 times higher according to a 2019 BMJ meta-analysis. While you're at 23 weeks, establishing this practice now can build a helpful habit for the coming months. Physical comfort is also a significant factor in sleep quality. As your body shifts and grows, you might find that the right support can make a substantial difference. Many parents find relief and better alignment by using body pillows, wedge pillows, or other pregnancy-specific pillows to support their belly and hips, helping to alleviate discomfort that might otherwise keep them awake. Just as managing other physical discomforts, such as those discussed in [Yeast Infection Symptoms in Pregnancy at 17 Weeks Pregnant](/pregnancy/symptoms/yeast-infection-symptoms-week-17) or [Yeast Infection Symptoms in Pregnancy at 18 Weeks Pregnant](/pregnancy/symptoms/yeast-infection-symptoms-week-18), can contribute to your overall well-being, addressing your physical comfort in bed is key to fostering restful sleep.

Beyond physical adjustments, it's valuable to consider the mental and emotional landscape that can influence your sleep at 23 weeks. Underlying anxiety or depression is often a significant driver of sleep difficulties during pregnancy. Addressing these mood conditions with your care provider often leads to more substantial improvements in sleep than focusing solely on sleep interventions. This holistic perspective is central to understanding your experience. For managing insomnia directly, Cognitive Behavioral Therapy for Insomnia (CBT-I) stands out as a first-line, evidence-based treatment, as noted by NICE and AASM. CBT-I focuses on identifying and changing thoughts and behaviors that interfere with sleep, offering practical strategies that can be incredibly effective. Remember, your care provider is your best resource for your specific situation, and they can help you explore these options. Sometimes, even seemingly minor discomforts like those discussed in [Yeast Infection Symptoms in Pregnancy at 16 Weeks Pregnant](/pregnancy/symptoms/yeast-infection-symptoms-week-16) can add to overall stress and impact sleep quality, so a comprehensive approach to your comfort and health is always beneficial.