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Pregnancy Insomnia at 24 Weeks Pregnant | Pregnancy Power Hour
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Pregnancy Insomnia at 24 Weeks Pregnant

At 24 weeks, while many find sleep settles, some still experience insomnia due to physical changes and the need for new sleep positions.

2 min read

Quick answer

At 24 weeks, while many find sleep settles, some still experience insomnia due to physical changes and the need for new sleep positions.

Also called: trouble sleeping in pregnancy

While the second trimester, including your 24th week, is often considered a period of more settled sleep for many, it's not uncommon to still experience 'pregnancy insomnia' as your body continues its remarkable changes. You might find yourself waking more frequently or struggling to fall asleep, even when you feel tired. This can be a gentle reminder that your body is working hard, and sometimes, the physical shifts can impact your rest.

Around 24 weeks, your growing belly might make your usual sleeping positions less comfortable. It's a good time to be mindful of sleep posture, as research, including a 2019 BMJ meta-analysis, suggests that falling asleep on your back after 20 weeks can be associated with increased risk. Organizations like Tommy's and NHS recommend left-side sleeping after 20 weeks to support optimal blood flow for both you and your baby. This adjustment alone can sometimes disrupt established sleep patterns, leading to periods of wakefulness or difficulty initiating sleep. Exploring different ways to support your body in these new positions can make a significant difference in your comfort and ability to rest.

Beyond physical discomfort, the mind can also play a role in sleep disturbances. The anticipation and excitement of pregnancy, coupled with the natural anxieties that can arise, might keep your thoughts active when you're trying to unwind. Evidence suggests that underlying anxiety or depression can often drive sleep issues, and addressing these mood conditions can improve sleep more effectively than focusing solely on sleep interventions. If you're noticing persistent worries or a shift in your overall mood, it's always valuable to have a conversation with your care provider. Just as you might be noticing other subtle changes in your body, like shifts in vaginal discharge that you might explore on pages like Yeast Infection Symptoms in Pregnancy at 17 Weeks Pregnant, a change in sleep patterns is another aspect of your well-being to observe.

Remember, sleep disturbance affects a significant number of pregnancies, with 75–80% experiencing it by the third trimester. You are certainly not alone in navigating these changes. Approaching sleep with curiosity and a willingness to adapt can be helpful. For instance, creating a calm evening routine can signal to your body that it's time to wind down. If you're finding that physical discomfort is a primary driver, supportive pillows can be a game-changer. Taking a collaborative approach with your body and your care team allows you to make informed decisions about what feels right for you. If you're also experiencing other common second-trimester shifts, such as those discussed on pages like Yeast Infection Symptoms in Pregnancy at 18 Weeks Pregnant or Yeast Infection Symptoms in Pregnancy at 19 Weeks Pregnant, remember to bring any concerns to your provider.

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Common questions

Why is side-sleeping recommended after 20 weeks?+

After 20 weeks, organizations like Tommy's and NHS recommend left-side sleeping to support optimal blood flow, as research suggests a link between back-sleeping and increased risk.

Can anxiety impact sleep during pregnancy?+

Yes, underlying anxiety or depression is often a driver of sleep issues, and addressing these mood conditions can improve sleep more effectively than sleep interventions alone.

Brittany Nance

“Pregnancy is under-supported at every week. This is the kind of clear, calm guidance I give my one-on-one clients — and the questions worth taking back to your provider.”

Brittany Nance · Pregnancy Wellness Consultant · full-spectrum doula

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Written by Brittany Nance, Pregnancy Wellness Consultant· BADT Full Spectrum Doula · Founder, Pregnancy Power Hour
Last reviewed July 1, 2026

This is evidence-informed education from a birth-doula perspective, not medical advice. Always discuss your individual situation with your prenatal care provider.

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