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Because the uterus can enlarge dramatically in women carrying multiple babies, the discomfort can be greater. Most women pregnant with more than one baby can only sleep on their sides. They can’t sleep at all on their stomachs, and sleeping on their How Pregnancy Affects Sleep 39 backs can result in breathing difficulties. The nutritional demands of the developing babies make iron or vitamin deficiency more likely. In multiplebirth pregnancies, it is much more likely that the mother might have to be brought to the hospital early and perhaps placed on bed rest to prevent giving birth prematurely.

Giving birth to several babies has become more common due to advances in fertility treatments. Because the uterus can enlarge dramatically in women carrying multiple babies, the discomfort can be greater. Most women pregnant with more than one baby can only sleep on their sides. They can’t sleep at all on their stomachs, and sleeping on their How Pregnancy Affects Sleep 39 backs can result in breathing difficulties. The nutritional demands of the developing babies make iron or vitamin deficiency more likely.

These pills control the menstrual cycle. The main How the Menstrual Cycle Affects Sleep 29 effect of the pills is to prevent ovulation, so women who use birth control pills may not experience the mild effects on sleep related to ovulation. These women may still have symptoms related to menstruation, but in some women the symptoms might be less severe than they were before they began using the pill. Premenstrual Syndrome (PMS) Women with PMS have a variety of symptoms (for example, trouble sleeping, irritability, mood changes, and bloating) before menstruation.

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