Insomnia is a frequent complaint of pregnant mothers. Rapidly changing hormone levels, increased size, heartburn, and anxiety over the future are all culprits. The FDA rates sleeping pills such as Ambien (also known by the generic name zolpidem) or Lunesta (also known by the generic name eszopiclone) category C, meaning they may or may not be safe for pregnancy. Plenty of other safe treatments exist for pregnant women, however. Women should discuss their symptoms as well as possible treatments with their doctor or midwife.
Yoga
Yoga has long been regarded as a safe, natural way to combat insomnia. Not only does yoga help work out the aches and pains associated with pregnancy, it helps clear the mind. Yoga Journal's "Poses for Insomnia" recommends Uttanasana (Standing Forward Bend), Prasarita Padottanasana (Wide-Legged Standing Forward Bend), Adho Mukha Svanasana (Downward-Facing Dog Pose), Janu Sirsasana (Head-to-Knee Pose), and Paschimottanasana (Seated Forward Bend) for insomnia. Pregnant women may have to use props and/or modify as needed. As with any exercise, women who have not done yoga prior to pregnancy should proceed with extra caution.
Acupuncture
Several studies published in The Journal of Chinese Medicine report that patients who receive acupuncture experience significant improvement in symptoms of insomnia. Acupuncture works by clearing blocked energy (or qi) channels. Insomnia is generally attributed to blocked the heart and liver qi, so needles are inserted in their corresponding acupressure points. Relief may be instant, but usually takes several treatments for several weeks.
CranioSacral Therapy
Craniosacral Therapy (CST) is based on the theory that a very light touch can release restrictions in the cerebrospinal fluid and thereby improve the nervous system's ability to function. According to studies conducted by John E. Upledger, the osteopathic physician who developed CST, when the nervous system is operating at full capacity, it can fight a variety of maladies---including insomnia---on its own.
Antihistamines
Unisom (also known by the generic name doxylamine) and Benadryl (also known by the generic name diphenhydramine) are two over-the-counter remedies that may be used for insomnia. Both are rated class B by the FDA, meaning they are safe for use during pregnancy. Obstetricians and midwives usually have different protocols regarding use of antihistamines for insomnia, so pregnant women should be sure to discuss this option with them first.
