Insomnia may present as a primary disorder or as a symptom of other medical conditions particular to pregnancy including acid reflux, nocturia, anxiety, depression, obstructive sleep apnea, and restless legs syndrome. The criteria for diagnosis are difficulty falling asleep, difficulty staying asleep, or early awakening despite the opportunity for sleep. These symptoms must be associated with impaired daytime functioning and occur at least three times per week for at least 1 month (Am Fam Physician, 92(12):1058–1064, 2015). Identifying the predisposing, precipitating, and perpetuating factors will facilitate treatment. Developing the skills for managing insomnia in pregnancy with non-pharmacologic interventions is highly recommended, as medication safety is not well-established.
- Insomnia in pregnancy
- Treatment of insomnia in pregnancy
- Sleep hygiene in pregnancy