In This article
- Sleep quality can worsen across pregnancy and early postpartum.
- Persistent sleep problems have been associated with worse pregnancy outcomes and increased vulnerability to postpartum depression.
- For people with bipolar disorder, significant sleep disruption can increase the risk of postpartum psychosis.
- Screening for mood and anxiety disorders is recommended for women who present with significant sleep problems.
- Cognitive-behavioral therapy for insomnia (CBT-I) is recommended as a first-line treatment for insomnia.
- Some people may require pharmacologic treatment, with careful discussion of risks and benefits.
Want to learn more?
Explore our sleep-related blog posts!
Increased Risk and Screening
- Sleep Problems During Pregnancy: Screening and Opportunities for Intervention
- Sleep Disturbance and Suicidal Ideation in Pregnant and Postpartum Women
- Sleep Disturbance During Pregnancy and Risk for Perinatal Depression
- Poor Sleep Quality During Pregnancy Increases Risk for Perinatal Depression
For Women with Bipolar Disorder
- For Women with Bipolar Disorder: Sleep Disruption May Increase Risk of Postpartum Psychosis
- In Women with Bipolar Disorder, Loss of Sleep Related to Childbirth Increases Risk for Postpartum Psychosis
Treatment
- Online CBT for Insomnia in Pregnancy: Accessible and Effective
- Essential Reads: Cognitive Behavioral Therapy for Insomnia During Pregnancy
- Sleep Interventions During Pregnancy Reduce the Risk of Postpartum Depression
- Clinical Update 2026: Z-Drugs and Pregnancy
- Treating Insomnia During Pregnancy: Is Trazodone Safe?
