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Pregnancy Insomnia at 25 Weeks Pregnant | Pregnancy Power Hour
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Week 25 symptom · manageable

Pregnancy Insomnia at 25 Weeks Pregnant

At 25 weeks pregnant, even during a typically settled sleep window, managing insomnia involves understanding body changes and embracing evidence-based comfort strategies.

2 min read

Quick answer

At 25 weeks pregnant, even during a typically settled sleep window, managing insomnia involves understanding body changes and embracing evidence-based comfort strategies.

Also called: trouble sleeping in pregnancy

While the second trimester, particularly around 25 weeks, is often considered a period of more settled sleep for many, experiencing insomnia during this time is still a common and valid concern. You might find yourself waking frequently, struggling to fall asleep, or simply not feeling rested, even if your body is generally feeling more comfortable than it did in the first trimester.

As your pregnancy progresses past 20 weeks, paying attention to your sleep position becomes especially important. Evidence suggests that falling asleep on your back in the third trimester is associated with an increased risk for stillbirth. To support both your comfort and your baby's well-being, healthcare providers often recommend sleeping on your left side. This position can help optimize blood flow and reduce pressure on your internal organs. Finding a comfortable side-sleeping position can be a gentle shift, and many parents find that body pillows, wedge pillows, or pregnancy-specific pillows offer significant support, reducing physical discomfort that might otherwise disrupt your rest. Just as you might have navigated other common bodily changes earlier in pregnancy, like understanding Yeast Infection Symptoms in Pregnancy at 15 Weeks Pregnant, adapting your sleep environment is another way to support your well-being.

Beyond physical comfort, the mental landscape of pregnancy can also play a significant role in sleep quality. Underlying anxiety or depression is often a driver for sleep disturbances. It's understandable to feel a range of emotions during this time, and acknowledging these feelings is an important first step. If you're finding that worry or a persistent low mood is keeping you awake, addressing these emotional factors can often improve sleep more effectively than sleep interventions alone. This is similar to how managing any pregnancy symptom, even something like Yeast Infection Symptoms in Pregnancy at 18 Weeks Pregnant, can contribute to your overall mental load.

For those experiencing persistent insomnia, Cognitive Behavioral Therapy for Insomnia (CBT-I) is recognized as a first-line evidence-based treatment. This approach focuses on understanding and gently adjusting the thoughts and behaviors that contribute to sleep difficulties, offering practical strategies to cultivate more restful nights. It's about creating a calm, supportive routine that works for your unique body and mind at 25 weeks. As your body continues to shift and grow, similar to how you might have noticed changes around Yeast Infection Symptoms in Pregnancy at 20 Weeks Pregnant, maintaining open communication with your care provider about any sleep challenges is always a good practice. Your provider is your best resource for your specific situation and can help you explore all available options.

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Common questions

Why is side-sleeping recommended at 25 weeks?+

After 20 weeks, side-sleeping, particularly on your left, is preferred as it supports optimal blood flow and reduces pressure, unlike back sleeping which is associated with increased risk in the third trimester.

Can anxiety affect sleep in mid-pregnancy?+

Yes, underlying anxiety or depression is often a significant driver of sleep disturbance. Addressing these emotional factors can frequently 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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