Pregnant woman lying on her side in bed

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It can be exciting to be pregnant. It can affect your sleep quality.

There are lots of reasons why. One 2013 study found that close to a third of pregnant participants reported having hot flashes. Being too hot while sleeping can increase discomfort and cut your total quality sleep hours short.

On top of general discomfort, pregnancy may also cause insomnia because of:

There are still things you can do to make it easier to fall asleep, like making sure your bed is comfortable.

Instead of tossing and turning, invest in a new mattress and spend the next 9 months more comfortable.

A 2019 study suggests that sleeping on your back may increase the risk of stillbirth late in pregnancy. The study concludes by recommending a side sleeping position during pregnancy.

In terms of mattress selection, that means you’ll want to find something built for side sleepers that’s designed to keep your spine aligned.

A model that’s too soft may not provide enough shoulder and lower back support. One that’s too firm may not comfortably contour to the body.

Innerspring mattresses tend to be quite firm, while foam models are softer and have more give. Memory foam can be an excellent option for side sleepers because the foam contours to the body and provides effective pressure relief.

Side sleepers can choose hybrid mattresses since they combine the support of innersprings with the comfort of foam.

Hybrid models are also great if you tend to toss and turn throughout the night — something common in pregnancy.

We took into account what we were going to do when we chose the best mattresses for pregnant women.

  • Company policies. We only select mattresses from companies that provide in-home trial periods and solid warranties.
  • Company reputation and transparency. We choose from brands with a good reputation for creating high quality products. We also prioritize companies that strive for transparency in their business practices.
  • Safety. All the mattresses we list meet federal flammability requirements.
  • Customer reviews. We specifically looked for reviews from pregnant customers when selecting the mattresses listed below.
  • Certifications. We also prioritize mattresses with materials certifications for nontoxic materials.
  • Pregnancy-specific issues. Finally, we spoke to experts and considered the issues that might keep you wide awake while pregnant, like night sweats, acid reflux, and Back pain..

Pricing guide

The prices are based on a queen-size mattress. Taxes, bed frame or base, bedding, and setup and delivery fees are some of the extra costs.

  • $ = under $1,000
  • $$ = $1,000-$2,000
  • The total is over $2,000.

Best adjustable mattress for pregnancy

Saatva Solaire Mattress, Upper Flex

  • Price: $$$
  • Type: adjustable air
  • Height: 13 inches

This mattress is made for an easy base. You can raise and lower the side to make it easier to sit and sleep. If you are experiencing acid reflux or are finding it hard to get comfortable, this can be helpful.

The mattress has 50 firmness settings so you can adjust it throughout your pregnancies.

The Solaire Upper Flex features organic cotton, natural Talalay latex, and CertiPUR-US certified memory foam.

“If you aren’t completely satisfied, the model has a $299 return fee.”


  • It is possible to adjust the firmness.
  • organic materials
  • Delivery and setup is free.
  • 25-year warranty


  • “It’s “It’s “It’s “It’s more expensive than other options.”.”.”.”
  • Return are not free.

Buy the Saatva Solaire Mattress, Upper Flex online.

Best motion-isolating mattress for pregnancy

Helix Midnight Luxe Mattress

  • Price: $$$
  • Type: hybrid
  • Height: 12 inches

You can wake up more often during the night if you are pregnant. If you have a bladder problem or other health issues, a motion-isolating mattress like the Helix Midnight Luxe Mattress can help you get out of bed.

The memory foam of the medium-firm mattress is ideal for side sleeping. It is designed to relieve pressure on the hips and shoulders. The Tencel cover may help regulate body temperature, making this model suitable for hot sleepers.

Unlike the regular Midnight model, the Luxe version features CertiPUR-US- and OEKO-TEX Standard 100 certified materials and a comfy, breathable pillow top.


  • Well, isolates movement.
  • The temperature regulates the cover.
  • A sleep trial.


  • It is softer than expected.

Buy the Helix Midnight Luxe Mattress online.

Best luxury mattress for pregnancy

Casper Wave Hybrid Mattress

  • Price: $$$
  • Type: hybrid
  • Height: 13 inches

If you are going to upgrade your mattress to support your baby, why not choose something luxurious?

The gels for support are in the Casper Wave hybrid. It has a cooling gel layer to help prevent overheating.

The mattress has a 10-year warranty and a risk-free trial.


  • Very supportive.
  • cooling gel
  • Customers say it is quite comfortable.


  • lacks edge support
  • There is a waiting list for returns.
  • “It’s “It’s “It’s “It’s more expensive than other options.”.”.”.”

Buy the Casper Wave Hybrid Mattress online.

Best cooling mattress for pregnancy

Cocoon by Sealy Chill Mattress

  • Price: $$
  • Type: foam
  • Height: 10 inches

The 10-year warranty on the Cocoon is included. CertiPUR-US certified foams are free from certain chemicals and toxins.

The all-foam mattress has multiple layers of memory foam designed for comfort and support, and a cooling cover made of stretch knit. The cover material is designed to absorb heat and help with night sweats.

Several reviewers agree that the mattress has helped keep them comfortable at night, and even helps with pregnancy-related Back pain..


  • It is comfortable memory foam that does not heat up.
  • More affordable than other options.
  • includes free accessories


  • Not ideal for side sleepers.
  • Some reviewers have issues with shipping.

Buy the Cocoon by Sealy Mattress online.

Best budget mattress for pregnancy

Tuft & Needle Original Mattress

  • Price: $
  • Type: foam
  • Height: 10 inches

The Tuft & Needle Original Mattress is a low cost foam option that’s well liked by pregnant reviewers. The mattress features the Parent Tested Parent Approved Seal of Approval and is both CertiPUR-US and Greenguard Gold certified for low volatile organic compound (VOC) emissions.

It may keep hot sleepers cool by using its components that direct heat away from the body. Reviewers like the feel of the mattress. Some reviewers found it too firm, but keep in mind that any mattress will change over time.


  • budget friendly
  • cooling materials
  • Adding antimicrobial protection is an option.


  • There are some complaints about theDurability
  • If you want a softer feel, it is not a good choice.

Buy the Tuft & Needle Original Mattress online.

Best organic mattress for pregnancy

PlushBeds Botanical Bliss Organic Latex Mattress

  • Price: $$$
  • Type: latex
  • Height: 12 inches (cheaper models available in 9 or 10 inches)

An organic mattress might be the right choice if you’re concerned about exposing yourself and your baby to harsh chemicals. The PlushBeds organic mattress features Global Organic Textile Standard (GOTS) certified wood, cotton, and latex.

The mattress comes with a 25-year warranty and is available in two firmness levels. The mattress is “For side sleeping, it’s comfortable.”and helps support the growing baby.

Most reviewers have no regrets about their investment in the mattress, which is one of the more expensive organic mattresses on the market.


  • organic materials
  • The 25-year warranty is generous.
  • “For side sleeping, it’s comfortable.”


  • “It’s “It’s “It’s “It’s more expensive than other options.”.”.”.”

Buy the PlushBeds Botanical Bliss Organic Latex Mattress online.

Best high tech mattress for pregnancy

Eight Sleep Pod Pro Mattress

  • Price: $$$
  • Type: air and foam
  • Height: 12 inches

The Eight Sleep Pod Pro has high tech features that will help you track your sleep metrics.

The mattress is made with five layers of foam and has smart tech to help you sleep better. Sleep and health tracking are included as well as built-in sensors that respond to ambient room conditions.

You can choose the temperature of the mattress. The wake-up feature gently vibrates and cools the bed to wake you up.


  • There are features for sleep tracking.
  • It is possible to make sleep more comfortable.
  • temperature control


  • “It’s “It’s “It’s “It’s more expensive than other options.”.”.”.”
  • Only comes with a 2-year warranty.

Buy the Eight Sleep Pod Pro Mattress online.

Saatva Solaire Helix Midnight Luxe Casper Wave Hybrid Cocoon by Sealy Chill Tuft & Needle PlushBeds Botanical Bliss Eight Sleep Pod
Price $$$ $$$ $$$ $$ $ $$$ $$$
Type adjustable airbed hybrid hybrid foam foam latex air and foam
Height 13 in. 12 in. 13 in. 10 in. 10 in. 12 in. (also 9- or 10-in. models) 12 in.
Features 50 firmness settings, CertiPUR-US certified foam targeted pressure relief, Tencel cover gel pods to support and prevent overheating multiple layers of foam, cooling cover graphite materials help regulate body temperature organic materials, firm or medium firmness options smart mattress with sleep tracking and customizable settings
Pros and cons contains organic materials and natural latex but returns aren’t free excellent motion isolation, good for hot sleepers, but it’s pricey Very supportive. but lacks edge support comfortable but some side sleepers had issues budget-friendly, but potential durability issues 25-year warranty but high price tag great for hot sleepers but Only comes with a 2-year warranty.

How can you find a mattress that will support you during your pregnancies? It is easier when you know what to look for. Here is where to start.

  • In-home trial periods. You can’t know whether a mattress is comfortable without giving it a try, so don’t worry about being picky. Buy your mattress from a company that offers an extended trial period with — ideally — free and easy returns.
  • Size. If you sleep with a partner or pet and have the budget, splurge on a king-size mattress. You’ll be thankful for the additional legroom later in your pregnancy.
  • Support and feel. You can play around with the feel of your mattress (e.g., soft vs. firm), but support isn’t something to skimp on. A mattress that supports your spine and curves may give you the best night’s sleep. If you’re not sure about your preferences, try out a medium-firm memory foam or hybrid mattress to start.
  • Temperature control. Hormonal changes during pregnancy can change your body’s ability to regulate itself temperature-wise. Opt for a mattress made from breathable materials to prevent overheating while you sleep.
  • Adjustability. An adjustable mattress is a worthy investment, especially during pregnancy, when symptoms like acid reflux and Back pain. can mess with the quality of your sleep. Depending on the model, you may be able to raise or lower the head of the mattress, adjust its temperature, or change its firmness level.

“Don’t sleep on your back in the late second and all of the third trimester, because the weight of the baby and the uterus can put pressure on the large vein that returns blood to the heart,” Dr. Kim Langdon, an OB-GYN, tells Healthline.

Putting pressure on this vein can tank blood pressure and reduce blood flow to baby.

Sleeping on your side is safer and might be more comfortable, so long as your mattress is supportive and not sagging.

If you fall asleep easily, nighttime bathroom visits might still get in the way of quality deep sleep. To lower your chances of a full bladder waking you up, don’t drink too much liquid close to bedtime.

If you struggle to fall asleep, focus on comfort. Make sure your thermostat is set to a comfortable temperature, and use pillows to help support your belly.

Not everyone has the money to upgrade their mattress. There are a few things you can do to make your sleeping environment more snooze-worthy without spending a ton.

Pregnancy pillows can help you sleep more comfortably, especially as your belly grows. If your mattress doesn’t feel supportive enough, pillows can help with some of the heavy lifting.

You can also try a mattress topper. You may be able to find one that’s cooling, or you can opt for something soft if your mattress feels too firm while sleeping on your side.

What’s the best mattress firmness for pregnancy?

A medium-firm mattress is a good choice because side sleeping is recommended during pregnancy. Pressure point pain can be alleviated by using medium-firm beds.

The best mattress firmness is subjective, so whatever feels most comfortable to you is not the best mattress firmness.

What’s the best mattress topper for pregnancy?

If you don’t have the budget to upgrade your mattress during pregnancy, consider adding a mattress topper to the mix. A topper can help soften up a too-hard mattress or firm up one that’s too soft and lacks support.

The best choice depends on the state of your mattress and what you want.

Is a spring mattress good for pregnancy?

Pressure point discomfort may occur when sleeping on your side, because Innerspring mattresses are typically firmer than other models. A hybrid or foam mattress has a balance of comfort and support.

The perfect time to buy a new mattress is during your pregnancy. A comfortable sleep surface can help you get some shut-eye during a time when sleep may be hard.

All quality models should have a long trial period, positive customer reviews, and a warranty that will last you through your pregnancies.

A writer with chronic migraines, Steph Coelho is interested in health and well being. She is probably nose-deep in a good book when she is not on her keyboard.