Gparents Day

by Serena Tidwell, MD

I'm pregnant and tired all the time. I know I need extra sleep, but how much is enough? Is it possible to get too much sleep?

First of all, as an obstetrician and mother of a 6-year-old, I will say, there is no such thing as “too much” sleep!!

I hear from almost 100 percent of my OB patients that they are tired. While the actual sleep requirements do not increase during pregnancy, it becomes more difficult to get comfortable or get uninterrupted sleep during pregnancy. Pregnant women (and all women) require approximately 8 hours of sleep per night.

Many pregnant women will find during the first trimester that they are very tired, and they may actually get 8 hours of sleep for the first time in a while (since most of us function on far less). Usually, the fatigue lessens as you enter the second trimester (after 12 weeks), and you may have several months where fatigue is not as big a factor.

However, usually as you approach your due date, you will find the fatigue returns. Often this is due to waking up frequently to urinate, difficulty finding a comfortable position for sleep and anxiety or worry about your approaching birth. All of these are completely normal. I often joke with my patients as they approach their due date that the interrupted sleep is preparing them for the newborn soon to arrive in their home.

I hear concerns from a lot of pregnant women about safe sleeping positions. Whatever is comfortable to you is safe! If you are a back sleeper, tuck a small pillow under one hip. If you are a belly sleeper, pad for comfort with pillows, but you will not hurt the baby sleeping on your belly. If you are a side sleeper, you may find putting a pillow under your belly and another between your legs will increase your comfort level. Remember that our bodies are smart, and your body will not do anything during sleep to hurt the baby.

One final thing I have noticed over the years of delivering babies—my patients all tell me they are more tired with their second pregnancy than they were with their first, more tired with their third than their second, etc. This has nothing to do with pregnancy and everything to do with having small children at home that you care for—since the only thing more exhausting than pregnancy is motherhood!

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