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Pregnancy can be an exciting time. It can also have a real impact on your quality of sleep.

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:

But there are still things you can do to make it easier to fall and stay asleep, like making sure your bed is comfy and cozy.

Instead of tossing and turning every night, upgrade your mattress and spend the next 9 months a little more comfortably.

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.

Hybrid mattresses are also a reliable option for side sleepers 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.

Here’s what we took into consideration when choosing the best mattresses for pregnancy:

  • 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

These prices are based on a queen-size mattress. Remember that extra costs may include taxes, bed frame or base, bedding, and setup and delivery fees:

  • $ = under $1,000
  • $$ = $1,000–$1,499
  • $$$ = over $1,500

Best adjustable mattress for pregnancy

Saatva Solaire Mattress, Upper Flex

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

This mattress is made especially for an adjustable base and is adjustable itself. You can raise and lower each side to accommodate multiple sitting and sleeping positions. This can be helpful if you’re finding it hard to get comfy or are experiencing acid reflux.

The mattress also features 50 firmness settings, so you can adjust the feel throughout your pregnancy and beyond.

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

The biggest downside to this model is the $99 return fee if you aren’t totally satisfied.

Buy the Saatva Solaire Mattress, Upper Flex online.

Best motion-isolating mattress for pregnancy

Helix Midnight Luxe Mattress

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

Pregnancy can cause you to wake up more often during the night. Whether it’s your bladder or aches and pains that get you out of bed, a motion-isolating mattress like the Helix Midnight Luxe Mattress can prevent you from waking up your slumbering partner and vice versa.

The medium-firm mattress’s memory foam may be ideal for side sleepers. It’s designed to target pressure relief for the hips and shoulders. Also, 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.

Buy the Helix Midnight Luxe Mattress online.

Best luxury mattress for pregnancy

Casper Wave Hybrid Mattress

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

If you’re upgrading your mattress to support your pregnancy, why not choose something luxurious?

The Casper Wave Hybrid features gels pods for support. It’s also made with a cooling gel layer to promote breathability, which may help prevent overheating.

The mattress includes a 10-year warranty and a 100-night risk-free trial.

Buy the Casper Wave Hybrid Mattress online.

Best cooling mattress for pregnancy

Cocoon by Sealy Chill Mattress

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

The Cocoon comes with a 10-year warranty. Its foams are CertiPUR-US certified, meaning they’re free from certain chemicals and toxins.

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

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

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.

Its graphite components are designed to direct heat away from the body, so it may keep hot sleepers cool. Pregnant reviewers like the firm yet cushy feel of the mattress. A few reviewers did find it too firm, but keep in mind that any mattress will soften some over time.

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 is available in both medium and firm options and comes with a 25-year warranty. Pregnant reviewers like that the mattress is comfortable for side sleeping and helps support their growing belly.

It’s one of the more expensive organic mattresses on the market, but most reviewers have no regrets about their investment.

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

If you track your sleep metrics, you’ll enjoy the high-tech features of the Eight Sleep Pod Pro.

The mattress is made with five layers of foam and is packed with smart tech to help you optimize your sleep. Features include sleep and health tracking as well as built-in sensors that respond to ambient room conditions.

You can select the temperature of the mattress (hot or cold, depending on your preference). There’s also a GentleRise wake-up feature that gently vibrates and cools or warms the bed to wake you up.

Buy the Eight Sleep Pod Pro Mattress online.

How can you find a comfortable mattress to support you throughout your pregnancy? It’s easier than you might think when you know what to look for. Here’s 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 room in their budget to upgrade their mattress. Thankfully, there are a few other 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.

Your pregnancy is the perfect time for a mattress upgrade. A comfortable sleep surface can help you grab fleeting moments of shut-eye during a time when sleep may be elusive.

Choosing a mattress is personal, but all quality models you consider should feature a long trial period, positive customer reviews, and a warranty that will outlast your pregnancy.


Steph Coelho is a freelance writer with chronic migraine who has a particular interest in health and wellness. When she’s not click-clacking away on her keyboard, she’s probably nose-deep in a good book.