Progesterone, the hormone that supports pregnancy, “tends to be a ‘feel-good’ and ‘rest and relax’ hormone,” Dimitriu says. The hormonal landscape of your body undergoes dramatic changes over the course of your pregnancy. Weight gain from the growing baby and a shift in your center of gravity to accommodate all these changes may lead to more pressure on the lower back and back pain for many women. In addition, as your body readies for delivery, your hips and pelvis shift, and your posture changes. Overweight women and those who’ve had back pain during a previous pregnancy are at highest risk for developing back pain. The APA reports that 50% to 70% of pregnant women experience back pain, often a cause of pregnancy insomnia. When these individuals wake up in the middle of the night, “instead of going back to sleep, the things they tend to be anxious about tend to come out at that time." Over time, these dysfunctional sleep patterns can become a habit. This is the same for non-pregnant people who have anxiety-related insomnia. Anxiety-related pregnancy insomnia is often linked with a tendency to wake up in the middle of the night, Mindel says. Depression is also often associated with insomnia. Pregnancy can be a stressful time for many women, and we all know how being anxious can cause sleepless nights. “Being larger and trying to sleep with a big belly can be challenging.” Dimitriu says these structural changes in your body are one of the biggest reasons why pregnant women experience insomnia. This can disrupt your ability to sleep and may make it difficult to find a comfortable sleeping position. For example, if you prefer to sleep on your stomach, as your pregnancy progresses, you may not be able to assume that sleeping position. The simple logistics of growing another human inside your belly leads to a lot of structural changes in the body, which may mean your normal sleeping positions are no longer comfortable.
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