Why You May Suddenly Start Snoring in Pregnancy: Sleep Apnea or Something Else?

Snoring that begins for the first time during pregnancy can feel confusing, embarrassing, or even worrying. Many women assume it is simply nasal congestion or weight gain, but snoring can also signal changes in your airway, sleep patterns, or, in some cases, the early signs of pregnancy-related sleep apnea. These shifts happen because your body is working differently, not because you are doing anything wrong. Knowing what causes snoring and how to recognise red flags helps you stay comfortable and protect your sleep throughout pregnancy.

Pregatips.com
Snoring during pregnancy is far more common than most women realise. Even if you never snored before, the combination of hormonal changes, fluid retention, nasal swelling, and airway pressure can make sleeping noisier. Some women experience occasional soft snoring, while others notice loud, persistent sounds that even wake them up. Your partner may point it out first, or you may realise it yourself when you wake with a dry mouth or throat discomfort.
While most pregnancy-related snoring is temporary and harmless, some patterns can indicate obstructive sleep apnoea. Sleep apnoea is a condition in which your breathing repeatedly stops for brief periods during sleep. It is more likely to appear in pregnancy because your airway becomes narrower and your body’s oxygen demands increase. Early recognition matters because untreated sleep apnea has been linked to high blood pressure and gestational diabetes in research studies. These risks vary and do not apply to everyone, but staying aware helps you make informed decisions.
Understanding why pregnancy changes your breathing patterns is the first step toward feeling calmer and more supported.

How Pregnancy Changes Your Airway and Breathing

Even though you breathe the same way you always have, pregnancy shifts the structure and behaviour of your airway. These changes can make snoring completely new for you.
  • Hormonal swelling of the nasal passages: Higher levels of oestrogen increase blood flow to mucous membranes. This causes the tissue inside your nose to swell, narrowing your airway and making airflow noisier. NHS guidelines note that pregnancy rhinitis affects many women and can trigger nighttime congestion.
  • Fluid retention in the throat and neck: Your body holds more fluid during pregnancy. This can accumulate around the throat, making the airway softer and more collapsible. When you lie down, this tissue shifts backwards, causing vibrations that sound like snoring.
  • Increased body weight: Even healthy, recommended weight gain increases pressure on the airway. This does not mean you are “overweight”; it is simply a natural part of pregnancy. Any added tissue around the neck or chest alters airflow.
  • Changes in breathing patterns: As your uterus grows, your diaphragm rises slightly. This may make breathing feel shallower. When your breathing becomes lighter, mild airway obstruction becomes more noticeable.
  • Sleeping position: Sleeping on your back later in pregnancy can worsen snoring because gravity pushes the tongue and soft palate backwards. Many Indian households encourage side sleeping in the second and third trimesters for this reason.
These changes are expected and reversible, but understanding them helps you see why snoring can start even if you have never experienced it before.

Why Snoring Matters in Pregnancy

Snoring is not only a noise issue. It offers clues about how freely air moves through your body during sleep. Here is why noticing it is important.
1. It can affect sleep quality: Loud snoring may cause brief awakenings or leave you feeling tired despite a full night’s rest.
2. Your oxygen needs increase: NHS and WHO guidelines note that pregnant women require more oxygen. Anything that reduces airflow, even mildly, affects how rested you feel.
3. Snoring can be linked to other symptoms: Persistent snoring, especially with choking or gasping, may point to sleep apnea.
4. It can signal underlying conditions: Studies have shown associations between untreated sleep apnea and pregnancy-related hypertension. This does not mean snoring causes complications, but it can be an early marker worth checking.
5. It affects your partner and home environment: Many women feel embarrassed when snoring becomes loud. Understanding why it happens reduces shame and encourages open communication.
These considerations do not imply danger. They simply highlight why snoring should not be dismissed as a minor inconvenience if it disrupts your rest.

Common Causes of Snoring in Pregnancy

Snoring usually develops from more than one factor. Here are the most common triggers.
  • Hormonal nasal congestion: Oestrogen-driven swelling of nasal tissues creates blockage, especially at night. This is often called pregnancy rhinitis
  • Allergies or seasonal changes: Mumbai, Delhi, Bengaluru, and other major cities have high seasonal pollen levels or pollution spikes. These irritate the nose and can worsen swelling.
  • Sleep posture: Back sleeping reduces airway space. Many women naturally shift to this position due to discomfort or habit.
  • Weight gain around the neck: Even small changes can reduce airway diameter.
  • Acid reflux: Very common in pregnancy. Reflux irritates the throat, causing swelling that narrows the airway.
  • Enlarged tonsils or adenoids: If you already had mild airway narrowing before pregnancy, the added swelling can make snoring more noticeable.
  • Short nasal passages or a deviated septum: Structural differences become amplified by pregnancy swelling. Many women discover nasal issues only after snoring begins.
Most causes are harmless and temporary. The goal is simply to identify what is contributing to your symptoms.

Is It Sleep Apnoea? How Pregnancy Changes the Risk

While snoring alone does not mean sleep apnoea, certain patterns suggest you should check in with your doctor. Sleep apnoea involves repeated pauses in breathing due to airway obstruction. Pregnancy makes this more likely because:
1. Airway softening increases: Research shows that hormonal shifts soften connective tissue in the nose and throat.
2. Oxygen demand rises: Your body works harder to supply oxygen to both you and your baby.
3. Fluid retention worsens airway collapse: Especially in the last trimester.
4. Certain conditions increase susceptibility: These include:
  • PCOS
  • gestational diabetes
  • thyroid disorders
  • high BMI before pregnancy
  • pre-existing snoring
Red flags for sleep apnea
  • loud snoring every night
  • gasping or choking awake
  • morning headaches
  • severe daytime fatigue
  • waking with a dry mouth
  • high blood pressure during pregnancy
Snoring during pregnancy is common, understandable, and usually temporary. Your airway is changing, your oxygen needs are rising, and your sleep patterns shift naturally as your body nurtures your baby. While most snoring is harmless, staying aware of red flags helps you protect your energy and well-being. With early recognition and simple support measures, you can sleep more comfortably and confidently throughout your pregnancy.
Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.

FAQs on Why You May Suddenly Start Snoring in Pregnancy: Sleep Apnea or Something Else?


  1. Does snoring harm my baby?
    Mild snoring by itself does not harm your baby. If sleep apnea is present, your doctor will monitor you more closely to ensure safe oxygen delivery.
  2. Will snoring go away after delivery?
    Most women see a complete reduction in snoring once swelling, fluid retention, and hormonal levels normalise.
  3. Should I worry if I snore every night?
    Nightly snoring deserves a discussion with your doctor, especially if it comes with choking, gasping, or severe fatigue.
Medically Reviewed By:
Dr. Gorav Gupta, Senior Psychiatrist & CEO- Tulasi Healthcare & New Delhi