
Sleep issues are common during pregnancy, with insomnia affecting up to 38% of women in early pregnancy and up to 60% in late pregnancy. While some pregnant people may have a condition that requires medical treatment, such as sleep apnea or restless leg syndrome, the decision to take sleeping pills during pregnancy is complex due to potential risks to the fetus. Most medications cross the placenta and reach the baby, and certain sleeping pills may cause withdrawal symptoms or other issues in newborns. While limited research exists on the safety of sleeping pills during pregnancy, some over-the-counter options like Unisom and Benadryl are generally considered safe, while prescription medications like Valium and Ambien are often cautioned against.
| Characteristics | Values |
|---|---|
| Prevalence of insomnia in early pregnancy | 5% to 38% of women |
| Prevalence of insomnia in late pregnancy | Up to 60% |
| Risk factors of insomnia during pregnancy | Hormonal fluctuations, physical discomfort, frequent urination, stress |
| Consequences of sleep deprivation during pregnancy | Higher risk of preeclampsia, gestational diabetes, increased rates of C-sections |
| Recommended sleep aids during pregnancy | Melatonin supplements, antihistamines (e.g. Benadryl), Unisom |
| Sleep aids to avoid during pregnancy | Herbal remedies, prescription medications (e.g. Valium, Ambien/Zolpidem), Zopiclone |
| Non-pharmacological interventions for insomnia during pregnancy | Lifestyle modifications, yoga, massage, improved sleep hygiene, pressure-relieving mattress, regular bedtime routine, leg cramp medication |
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What You'll Learn
- Safe over-the-counter sleep aids during pregnancy include Unisom and Benadryl
- Prescription medications such as Valium and Ambien are generally cautioned against
- Insomnia is common during pregnancy, affecting 5-38% of women in early pregnancy and up to 60% in late pregnancy
- Sleep deprivation during pregnancy can increase the risk of preeclampsia, gestational diabetes, and C-sections
- Alternative treatments for insomnia during pregnancy include yoga, massage, and improving sleep hygiene

Safe over-the-counter sleep aids during pregnancy include Unisom and Benadryl
Sleep issues are common during pregnancy, affecting 77% of pregnant individuals, with issues peaking in the third trimester due to bodily discomforts such as frequent urination, nausea, and heartburn. While the research on sleeping pills during pregnancy is limited, there are safer options for treating insomnia during pregnancy.
Benadryl (diphenhydramine) is another antihistamine that may be taken during pregnancy. Antihistamines are not specifically meant to treat sleep issues, but they can make you drowsy, so many people use them for insomnia. Most antihistamines are thought to be safe during pregnancy, and most studies have not found a link between taking antihistamines during pregnancy and birth defects. However, it is important to consult a healthcare provider before using any sleep aid, as they may recommend trying alternative methods to get a better night's sleep before turning to sleeping pills.
If you are having trouble sleeping during pregnancy, it is best to first try a natural alternative like yoga, massage, and improving your sleep hygiene. This includes avoiding caffeine, having a consistent bedtime, and avoiding screens before bed.
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Prescription medications such as Valium and Ambien are generally cautioned against
Sleep issues are common during pregnancy, with insomnia affecting one in four women in the first trimester, increasing to over two-thirds by the end of the third trimester. While the research on sleeping pills during pregnancy is limited, prescription medications such as Valium and Ambien (Zolpidem) are generally cautioned against.
Valium is a brand name for the drug diazepam, which is a benzodiazepine. Benzodiazepines can be addictive and lead to substance use disorder. They are therefore usually only prescribed for short-term use. Moreover, any medication taken while pregnant passes to the foetus. Prescription medications like Valium are therefore generally not recommended during pregnancy.
Ambien (Zolpidem) is a sedative-hypnotic medication that has been used to treat insomnia. It is not known whether taking Zolpidem increases the risk of miscarriage, which occurs in about one in every five pregnancies. However, studies have shown that using Zolpidem during pregnancy does not increase the chance of birth defects beyond the usual 3-5% background risk. It also does not significantly increase the chance of other pregnancy-related problems, such as preterm delivery or low birth weight. Nonetheless, sedative medications like Zolpidem can cause short-term withdrawal symptoms in newborns, including difficulty breathing, muscle weakness, irritability, crying, and tremors. For this reason, babies may need to be monitored for some time after birth. Additionally, a study found small effects on gross motor skills and communication skills in children at age five when Zolpidem or other HBRA medications were used during late pregnancy.
Given the limited research on the safety of sleeping pills for pregnant people and foetuses, healthcare providers may opt not to recommend any sleep aids during pregnancy. Instead, they may suggest non-pharmacological treatments, such as lifestyle modifications or supplements, before resorting to medications. Some safer options for treating pregnancy insomnia include melatonin supplements, antihistamines, yoga, massage, and improving sleep hygiene.
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Insomnia is common during pregnancy, affecting 5-38% of women in early pregnancy and up to 60% in late pregnancy
Sleep disturbances are common during pregnancy, with insomnia affecting 5-38% of women in their first trimester and up to 60% in late pregnancy. This increase in insomnia is often attributed to hormonal fluctuations, physical discomfort, frequent urination, and stress. The risk of insomnia also increases with pregnancy progression, with the third trimester being the most challenging for sleep.
Pregnancy insomnia can have negative consequences for both mother and child. Studies have shown that women who don't get enough sleep during pregnancy have a higher risk of developing preeclampsia and gestational diabetes, as well as increased rates of C-sections. Insomnia can also negatively impact the mother's mental health, contributing to depression and anxiety during late pregnancy and after birth. Additionally, sleep disturbances in the third trimester are associated with increased labour pain and longer labour durations.
Given the potential risks associated with sleep disturbances during pregnancy, it is essential to address them promptly. While sleeping pills may be an option, it is crucial to exercise caution. The use of prescription medications such as Valium and Ambien during pregnancy is generally cautioned against by healthcare providers. Instead, they may recommend non-pharmacological interventions such as yoga, massage, improving sleep hygiene, behavioural therapies, or cognitive behavioural therapy (CBT-I). These non-medicinal approaches are often preferred by experts to minimise any potential risks to the fetus.
If non-pharmacological interventions are ineffective, healthcare providers may suggest certain over-the-counter sleep aids, such as Unisom and Benadryl, which are generally considered safe during pregnancy. However, it is always advisable to consult with a healthcare professional before taking any sleeping pills or supplements to weigh the risks and benefits for your specific situation.
In summary, insomnia is a common issue during pregnancy, affecting a significant number of women, especially in late pregnancy. Addressing sleep disturbances is crucial to mitigate potential risks to both mother and child. While sleeping pills may be an option, prioritising non-pharmacological interventions and consulting with healthcare professionals are essential steps in managing insomnia during pregnancy.
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Sleep deprivation during pregnancy can increase the risk of preeclampsia, gestational diabetes, and C-sections
Sleep is essential for the body to function properly, and sleep deprivation can have several adverse effects on overall health. Pregnant women often experience insomnia due to hormonal fluctuations, physical discomfort, and stress, among other factors. Sleep disturbance and insomnia tend to increase during pregnancy, affecting two-thirds of women by the end of the third trimester.
Sleep deprivation during pregnancy has been linked to various risks, including preeclampsia, gestational diabetes, and higher rates of C-sections. Preeclampsia is a pregnancy complication characterized by high blood pressure and damage to other organs, and it can be dangerous for both mother and child. Sleep apnea, a common condition during pregnancy, is a risk factor for preeclampsia, as it can lead to chronic hypertension and oxygen deprivation in the placenta.
Gestational diabetes is another concern for pregnant women who are sleep-deprived. Sleep affects the body's ability to regulate glucose and insulin levels, and insufficient sleep can contribute to insulin resistance and higher blood sugar levels. This imbalance can increase the risk of developing gestational diabetes, which can cause complications during pregnancy and delivery.
Furthermore, sleep deprivation during pregnancy has been associated with an increased risk of C-sections. While the exact reasons for this correlation are not yet fully understood, it is speculated that sleep deprivation may impact the overall health and well-being of the mother and fetus, leading to a higher likelihood of interventions during childbirth.
While sleep deprivation during pregnancy can have serious consequences, it is important to approach the issue cautiously. Pregnant women should consult their healthcare providers before taking any sleeping pills or sleep aids. Lifestyle modifications, supplements, and natural alternatives like yoga and massage are often recommended as the first line of treatment for pregnancy insomnia. Certain over-the-counter sleep aids, such as Unisom and Benadryl, are generally considered safe during pregnancy, but prescription medications like Valium and Ambien are typically cautioned against.
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Alternative treatments for insomnia during pregnancy include yoga, massage, and improving sleep hygiene
Sleep disturbances and insomnia are common during pregnancy, affecting one in four women in the first trimester and over two-thirds by the end of the third trimester. While sleeping pills are an option, they are not without risks. The research on the topic is limited, and it's difficult to determine the safety of sleep medications during pregnancy. Therefore, it's recommended to first try alternative treatments, such as yoga, massage, and improving sleep hygiene.
Yoga can be an effective way to manage insomnia during pregnancy. Specialized yoga routines for insomnia can help you relax and prepare your body for birth. For example, you can try tensing and then relaxing different muscle groups, starting with your hand and forearm muscles and moving down to your feet. This can help release tight muscles and improve sleep.
Massage is another drug-free option to manage insomnia and discomfort during pregnancy. Prenatal massage, for instance, can address insomnia by reducing physical discomfort, easing sore spots, and improving lymphatic circulation. Swedish massage, a common method in prenatal massage, is known for its soothing effect on the nervous system, helping to control blood pressure. Regular prenatal massages can provide comfort and support during this special time.
Improving sleep hygiene is another important aspect of treating insomnia during pregnancy. This includes establishing a regular bedtime and wake-up time, avoiding device exposure 30-60 minutes before bedtime, creating a relaxing wind-down routine, and maintaining a cool, comfortable bedroom temperature. Reducing caffeine intake, especially in the afternoon and evening, can also help decrease middle-of-the-night bathroom breaks. Additionally, napping for 30 to 60 minutes during the day can reduce fatigue without interfering with nighttime sleep.
In summary, while sleeping pills may be an option for pregnancy insomnia, it's advisable to prioritize alternative treatments like yoga, massage, and improving sleep hygiene. These approaches can effectively address insomnia and its underlying causes during pregnancy, promoting better sleep and overall well-being.
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Frequently asked questions
The safety of many sleep aids for pregnant people and their foetuses has yet to be verified, as studies used to assess the safety of medications often exclude pregnant people. However, certain over-the-counter sleep aids, such as Unisom and Benadryl, are generally considered safe for pregnancy. Prescription medications such as Valium and Ambien are usually cautioned against.
Non-pharmacological measures such as yoga, massage, improving sleep hygiene, and keeping a sleep diary are recommended before trying sleeping pills.
Zolpidem, a sedative-hypnotic medication, has been found to have small effects on gross motor skills and communication skills in children at age 5 when used during late pregnancy. Zopiclone can also cause short-term withdrawal symptoms in newborn babies if taken in the weeks before delivery.
Women who don’t get enough sleep while pregnant have higher risks of developing preeclampsia and gestational diabetes, as well as increased rates of C-sections.
It may be more comfortable to use a pressure-relieving mattress topper and place pillows beneath the lower back, between the legs, or under the midsection. Keeping the bedroom dark and quiet can also help.











































