Why Do Pregnant Women Snore?

Pregnancy comes with many  changes in the body Trusted Source Office on Women's Health (OWH) OWH coordinates women's health efforts across HHS and addresses critical women's health issues by informing and advancing policies, educating health care professionals and consumers, and supporting innovative programs. View Source , from indigestion and heartburn to fatigue and trouble sleeping. For some people, pregnancy also comes with the onset of persistent snoring. Research indicates that  14% to 53%  of pregnant people snore, which becomes more frequent as pregnancy progresses.

It is natural to wonder why snoring increases during pregnancy, and when snoring may be a sign of an underlying health problem. We discuss common questions about snoring during pregnancy, including what causes snoring and when to be concerned, as well as tips for managing snoring and whether snoring continues after giving birth.

Common Causes of Snoring During Pregnancy

Hormones as well as  physical changes Trusted Source American College of Obstetricians and Gynecologists (ACOG) ACOG is a membership organization dedicated to the advancement of women’s health care through continuing medical education, practice, and research. View Source  in the body can make it more likely for a person to snore during pregnancy. Factors that increase the chances of snoring during pregnancy—particularly in the third trimester—include weight gain, hormone changes, blood flow, and  other risk factors Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source .

Snoring results from structures in the mouth and throat  relaxing during sleep Trusted Source Medline Plus MedlinePlus is an online health information resource for patients and their families and friends. View Source . As these structures relax, they may  partially block airflow  and limit space in the throat needed to breathe. This can lead to tissues in the throat vibrating when the sleeper inhales, which creates the characteristic sound of snoring.

Weight Gain

People who are carrying extra weight are generally more likely to snore, as excess tissue around the throat can compress the airway. Weight gain during pregnancy can also contribute to snoring by causing swelling in the airway, which also leaves a smaller space in the throat for air to pass through and increases the risk of tissues fluttering or collapsing during sleep.

Hormone Changes

Hormones, such as estrogen and progesterone, have wide-reaching effects during pregnancy. Hormonal changes contribute to a buildup of fluids in the nasal passages that reduce the space needed to breathe. These changes also increase the risk of nasal congestion, which can further restrict breathing. Together, these effects can lead to snoring, particularly in the later stages of pregnancy.

Blood Flow

After a person becomes pregnant, the amount of blood in the body increases by up to 45% to support the developing fetus. This increase in blood flow can lead to reduced nasal passage space, increasing congestion and making it harder to breathe through the nose. These breathing difficulties may be further exacerbated when pregnant people lay down.

Other Risk Factors for Snoring During Pregnancy

There are several other risk factors that can raise the chances of snoring during pregnancy.

• Physiological characteristics: Some pregnant people have a higher probability of snoring due to the natural shape and size of their tongue, jaw, or tonsils.
• Demographics: The likelihood of snoring during pregnancy is higher for African American people and for older adults.
• Smoking: It is not clear exactly why  smoking can trigger snoring Trusted Source UpToDate More than 2 million healthcare providers around the world choose UpToDate to help make appropriate care decisions and drive better health outcomes. UpToDate delivers evidence-based clinical decision support that is clear, actionable, and rich with real-world insights. View Source , but researchers suspect that this link may be related to inflammation and a  buildup of fluids Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source  in the upper airway or to the effects of smoking on nasal congestion.
• Sleep loss: Sleep deprivation can cause excessive relaxation of the muscles in the throat during sleep, which can narrow the airway and increase the chances of snoring.

When Does Snoring in Pregnancy Typically Start?

Although pregnancy-related snoring can happen at any time, it tends to develop near the end of the second trimester and continues to  increase  during the third trimester. Many of the physiological changes believed to contribute to snoring while pregnant, such as narrowing of the nasal passages and upper airway, a stuffy nose, and tissue swelling, are more pronounced in later pregnancy.

Should You Be Concerned About Snoring While Pregnant?

Approximately 50% people snore regularly while they are pregnant, and researchers continue to explore whether snoring on its own carries  risks for a developing fetus .

It is sometimes difficult for researchers to determine the risks of snoring on fetal health because many studies on the effects of snoring during pregnancy do not differentiate between those who snore and those with more severe nighttime breathing issues.

Snoring has been linked with several conditions that can affect maternal health during pregnancy.

Sleep Apnea

Snoring during pregnancy is sometimes a  sign of sleep apnea Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source , a condition in which a sleeper’s  breathing is reduced or stops Trusted Source National Institute of Neurological Disorders and Stroke (NINDS) NINDS aims to seek fundamental knowledge about the brain and nervous system and to use that knowledge to reduce the burden of neurological disease. View Source  momentarily multiple times during the night. Bed partners may notice that a person with sleep apnea visibly stops breathing for up to  a minute at a time Trusted Source Merck Manual First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. View Source , and then gasps or chokes as breathing starts again.

Pregnancy increases the risk of the  most common type Trusted Source UpToDate More than 2 million healthcare providers around the world choose UpToDate to help make appropriate care decisions and drive better health outcomes. UpToDate delivers evidence-based clinical decision support that is clear, actionable, and rich with real-world insights. View Source  of sleep apnea, called obstructive sleep apnea (OSA). Although more research is needed, studies indicate between 3% and 27% of pregnant people develop OSA, compared to only 0.7% to 6.5% of non-pregnant females. The risk of developing OSA is higher in the later stages of pregnancy and for those who are  overweight or obese Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source .

High Blood Pressure and Preeclampsia

Frequent snoring is linked to both an  increase in blood pressure Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source  during pregnancy and preeclampsia.  Preeclampsia  is a condition in which high blood pressure begins during pregnancy and leads to health complications. Snoring may also contribute to spikes in blood pressure at night for people with preeclampsia.

Gestational Diabetes

Snoring appears to be linked with a higher risk of gestational diabetes, a condition involving  high blood sugar Trusted Source Medline Plus MedlinePlus is an online health information resource for patients and their families and friends. View Source  that begins during pregnancy. Additionally, people who have obstructive sleep apnea during pregnancy are nearly twice as likely to develop gestational diabetes when compared to pregnant people who experience no sleep problems.

Nighttime breathing issues like snoring and OSA  interfere with airflow Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source  and disrupt sleep, both of which are thought to cause stress to the body and impact blood sugar levels.

Prenatal Depression

Developing research suggests people who develop persistent snoring during pregnancy may face an  increased risk Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source  of prenatal depression. Prenatal depression describes  symptoms of depression Trusted Source National Institute of Mental Health (NIMH) The NIMH is the lead federal agency for research on mental disorders. View Source  that begin during pregnancy, including persistent feelings of sadness, anxiety, or hopelessness.

Will Snoring Continue Postpartum?

For some,  snoring may continue Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source  during the postpartum period after they give birth. Emerging research shows that approximately half of people who give birth stop snoring postpartum. Those who continue to snore often see an improvement in their symptoms over time.

Ways to Manage Snoring During Pregnancy

If pregnancy-related snoring is affecting you or a bed partner, there are several strategies to reduce snoring while pregnant.

• Sleep on your side: Snoring is often worse when a person lies on their back to sleep, particularly in later stages of pregnancy. Experts usually recommend sleeping on the left side during pregnancy to  improve blood flow Trusted Source Medline Plus MedlinePlus is an online health information resource for patients and their families and friends. View Source  and reduce pressure on organs.
• Elevate your upper body: While it is best to avoid raising just your head, elevating the top of your bed by a few inches or propping your torso up on an elevated pillow can help keep your airway open during sleep.
• Try nasal strips: Nasal strips, saline washes, and nasal dilators are designed to facilitate breathing through the nose and may help to reduce snoring.
• Keep a healthy weight: While weight gain is normal during pregnancy, keeping within the range recommended by your health care provider can reduce your risk of breathing problems during sleep.
• Follow sleep hygiene recommendations: Getting adequate sleep can prevent overtiredness, which is a risk factor for snoring and obstructive sleep apnea. Try various sleep hygiene strategies such as napping earlier in the day, limiting naps to a maximum of 30 minutes, and avoiding caffeine and rich meals before bedtime.

Experts also recommend avoiding alcohol and certain medications that cause sleepiness in the lead-up to bedtime, as these can  exacerbate snoring Trusted Source Merck Manual First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. View Source . Additionally, smoking and exposure to secondhand smoke increase the risk for snoring and obstructive sleep apnea in pregnant people.

For people who experience loud, habitual snoring or other symptoms of sleep apnea during pregnancy, talking to a doctor or sleep specialist is an important step in protecting the wellbeing of both parent and baby.