Updated May 2026

    Best Mattresses for Pregnancy

    Pregnancy changes everything about how you sleep. You need extra hip and shoulder cushioning for side sleeping, cooling for hormonal temperature spikes, and enough support to ease lower back strain.

    Key Lab Findings

    20 weeks
    Gestational age after which left-side sleeping is recommended
    Source: ACOG patient guidance, 2024
    5–6
    Optimal firmness range for prenatal side-sleeper support
    Source: Sleep Sage prenatal panel testing, 2025
    78%
    Of pregnant women report sleep disturbances by the third trimester
    Source: National Sleep Foundation pregnancy survey, 2023
    9.4/10
    Top hip-cradling score in our 2026 prenatal category
    Source: XSensor mapping at greater trochanter, 2025

    What Pregnant Women Need in a Mattress

    Side Sleep Support

    Doctors recommend sleeping on your left side during pregnancy. Deep cushioning prevents hip pain.

    Firmness 4–6 ideal

    Cooling

    Pregnancy raises basal body temperature. A cooling mattress helps prevent night sweats.

    Cooling 9+ recommended

    Low Chemical Off-Gas

    CertiPUR-US or organic certifications ensure low VOC emissions — important for developing babies.

    Check certifications

    Easy Repositioning

    Frequent position changes are common. Responsive surfaces (hybrid/latex) make movement easier.

    Avoid deep memory foam

    Pregnancy Sleep Tips by Trimester

    First Trimester (Weeks 1–12)

    Sleep position is less critical — any comfortable position works. Focus on managing nausea and fatigue. Consider a mattress with good motion isolation if nausea causes frequent position changes.

    Second Trimester (Weeks 13–26)

    Begin training yourself to sleep on your left side. A medium-soft mattress (4–5.5 firmness) helps cushion your growing belly. A pregnancy pillow combined with a good mattress provides optimal support.

    Third Trimester (Weeks 27–40)

    Left-side sleeping is most important now. You'll need maximum hip and shoulder pressure relief, strong cooling (body temperature peaks), and a responsive surface for frequent repositioning. This is when mattress quality matters most.

    Keep exploring

    More from our independent testing lab

    Frequently Asked

    Questions readers ask