# Pregnancy Insomnia at 38 Weeks Pregnant

Source: https://www.pregnancypowerhour.com/pregnancy/symptoms/sleep-issues-week-38
Last updated: 2026-07-01

> At 38 weeks, pregnancy insomnia often compounds due to late-pregnancy discomfort, frequent night waking, heightened anxiety, and restless legs, making restful sleep a challenge.

At 38 weeks pregnant, the challenge of achieving restful sleep often intensifies, as your body navigates the final stretch before your baby's arrival, bringing with it a unique blend of physical and emotional shifts. It's common to experience sleep disturbance in the third trimester, with evidence suggesting it affects 75–80% of pregnancies by this stage. You might find yourself tossing and turning, not just from the physical presence of your baby, but also from frequent trips to the bathroom, the sensation of restless legs, and the natural anticipation that comes with nearing your due date. These compounding factors can make what was once a simple nightly routine feel quite complex.

One important consideration at this stage is sleep position. After 20 weeks, research indicates that sleeping on your left side is preferred. A 2019 meta-analysis found an association between falling asleep on the back in the third trimester and an increased risk, so adjusting your position can be a simple, evidence-based step for peace of mind. Supporting your body with pillows can make a significant difference in finding a comfortable side-sleeping position, helping to ease some of the physical discomfort that often contributes to wakefulness. Just as your body is adapting in many ways, sometimes leading to [increased vaginal discharge at 18 weeks pregnant](/pregnancy/symptoms/increased-discharge-week-18) or later, your sleep patterns are also shifting, and acknowledging these changes can be the first step toward finding calm.

Beyond physical discomfort, underlying anxiety or even mild depression can often be a significant driver of sleep difficulties. It's a natural response to feel a range of emotions as you approach birth, and these feelings can certainly impact your ability to settle down at night. For some, exploring approaches like Cognitive Behavioral Therapy for Insomnia (CBT-I) is a first-line, evidence-based treatment option, and it's something you might discuss with your provider. Addressing these deeper emotional currents can sometimes improve sleep more effectively than focusing solely on sleep interventions. Understanding these connections can bring clarity and help you make informed decisions about your well-being.

Remember, your experience is unique, and there are many paths to finding more comfort in these final weeks. Whether it's adjusting your sleep environment, exploring gentle movement, or simply acknowledging the emotional landscape of late pregnancy, you get to decide what feels right for you. If you're also noticing other bodily changes, such as [increased vaginal discharge at 19 weeks pregnant](/pregnancy/symptoms/increased-discharge-week-19) or [increased vaginal discharge at 20 weeks pregnant](/pregnancy/symptoms/increased-discharge-week-20), it's all part of your body's incredible process. Your care provider is your best resource for your specific situation and any concerns you may have about your sleep or overall health.