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Sleep for Moms: 6 Realistic Ways to Get More Restorative Sleep (From an OT and Mom of Two)

Mothers Don’t Need More “Self-Care.” We may be overlooking one of our most basic needs.

Lena Comprés, OTD, OTR/L

By Lena Comprés, OTD, OTR/L — Occupational Therapist & Certified Parent Coach

Published: TODO: publication date

Educational content - not a substitute for individual medical advice.

Lena Comprés, OTD, OTR/L, is an occupational therapist, Certified Parent Coach, educator, and mother of two. With a clinical background in hand therapy, she now mentors occupational therapists and creates evidence-informed content on pregnancy, postpartum, parenting, and intentional low-tox living. Through an occupational therapy lens, she focuses on how everyday routines, environments, and choices can support health, function, and quality of life. Her philosophy, both professionally and at home, is simple: quality over quantity.

The short version

Sleep is not a luxury or a reward for finishing everything else. It’s imperative. It supports attention, mood, physical health, and our ability to respond with intention rather than simply react. But pregnancy, babies, children, work, and the mental load all interrupt it. The goal is not a perfect score. It is to protect the sleep opportunity you can control, improve the conditions around it, and know when persistent sleep trouble deserves professional help.

How Much Sleep Do Moms Need?

Adults are generally advised to sleep at least seven hours a night on a regular basis, although individual needs vary.[1] Consistently short or poor-quality sleep is associated with worse health outcomes,[1,2] and even a few nights of short sleep can affect attention, patience, and decision-making.[3]

How much sleep

seven

at least

hours

on a regular basis

Adults are generally advised to sleep at least seven hours a night on a regular basis, although individual needs vary.

Motherhood adds a specific problem: sleep can be fragmented even when total time in bed seems reasonable, interrupted by pregnancy discomfort, feedings, children’s wakings, and worry. Reviews of sleep around pregnancy and childbirth find that sleep problems are common,[4] and a large study that followed parents for years found that mothers’ sleep satisfaction and duration had not fully recovered to pre-pregnancy levels up to six years after the birth of their first child.[5]

After a first birth

Pre-pregnancy levels

had not fully recovered

Up to six years after the birth of their first child

A large study that followed parents for years found that mothers’ sleep satisfaction and duration had not fully recovered to pre-pregnancy levels up to six years after the birth of their first child. No recovery percentage is stated.

This is not evidence that a tired mother is failing. It is evidence that her circumstances may be asking more of her than she has adequate opportunity to recover from overnight.

How Sleep Deprivation Affects Moms’ Mood and Focus

The relationship runs in both directions. Stress can make it harder to fall asleep or settle after waking;[6] poor sleep can then make ordinary stress feel harder to manage. Research has linked mothers’ sleep disruption with greater parenting stress and less consistent responses, though family context matters,[7] and sleep deficits can affect mothers’ attention and executive function, especially under stress.[8] Protecting sleep can make regulation easier — for the parent and, indirectly, for the family. Time management can become especially difficult when the hours after our children fall asleep feel like our only chance to catch up on everything we didn’t get to during the day.

I see this tension in other mothers, and I experience it myself. Once my son is asleep and my infant daughter is with me, I often find myself staying up late to finish little things around the house, catch up on work, or simply spend time with my husband. Then I go to sleep late and wake up early — already thinking about everything I wish I had finished or organized better. It can become a vicious cycle: after too little sleep and caring for my baby throughout the night, I have less capacity to regulate my own responses the next day. When my toddler wakes me up full of excitement and ready to start his day, meeting that energy with the patience and presence I want to give him requires more effort when I am already depleted.

When the quantity of sleep is partly outside of my control — as it often is with an infant and a young child — I try to pay more attention to the quality of the sleep opportunity I do have. For me, that means creating conditions that support winding down: dimming the lights, keeping our bedroom cool and dark, eating a lighter, earlier dinner, and maintaining a calming, predictable routine when possible. I also personally use mouth and nose tape as part of my nighttime routine to encourage nasal breathing and awareness of my oral posture, which I feel has supported the quality of my own sleep.

The Problem with “Just Prioritize Sleep”

We focus so much on our children’s sleep health, yet mothers’ sleep can easily become an afterthought. The advice fails when it treats sleep as one more task a woman should optimize alone.

This is where I find an occupational therapy lens especially helpful. Rather than asking, “How can I get more sleep?” I look at the routines, responsibilities, and environment surrounding sleep:

  • What is repeatedly taking time or attention away from sleep?
  • Which evening tasks truly need to happen tonight, and which ones can wait?
  • Can another adult take ownership of a task rather than simply “help” with it?
  • Does the bedroom support sleep, or is it also functioning as an office, nursery, laundry station, and scrolling zone?

Sometimes the most supportive change is not adding another form of “self-care” at all. It is removing something from her plate.

I still feel the pull to stay awake because those late-night hours can feel like my only opportunity for uninterrupted time or personal space. But I have started reframing sleep itself as one way I care for myself. Balance does not have to mean reaching the end of the day with every box checked. Sometimes the most restorative thing I can do is leave the unfinished task where it is, go to sleep, and begin again in the morning with a new day and more capacity.

6 Realistic Sleep Tips for Moms

From an occupational therapy perspective, sleep is an occupation shaped by everything around it — routines, roles, environment, and the demands of the day — so these tips focus on what gets in the way of rest.

  1. Protect a repeatable sleep window. A consistent sleep and wake time helps the body’s internal timing.[2,9] It does not need to be perfect, but it should be visible to the household, with explicit handoffs: who covers which wake-up, morning, or evening task? I also look at what is consuming the time before that window. Can children help in developmentally appropriate ways — putting toys away, bringing clothes to the hamper, or choosing between two outfits for the next day? Doing more while my children are awake, rather than saving everything for after they are asleep, helps prevent bedtime from becoming the beginning of a second shift.
  2. Build a short runway, not a spa routine. A ten- to twenty-minute wind-down can be enough. Lower the lights, stop the most activating work, and choose a cue that is easy to repeat: washing up, a short stretch, reading, or diaphragmatic breathing. A routine that requires an hour, several products, and perfect circumstances becomes another demand; the test is whether it holds up on a hard day. The value is predictability, not performance.
  3. Move the mental load out of your head. Write tomorrow’s essentials down before bed. This does not solve unequal labor, but it can reduce the need to rehearse tasks while trying to sleep. I keep a small notepad beside my bed for exactly this reason. If I suddenly remember something I need to do, I write it down; putting the thought onto paper gives me permission to stop mentally rehearsing it.
  4. Use light and stimulation deliberately. Morning daylight helps anchor the sleep-wake cycle, which is why we like to have breakfast outside or in our sunroom. At night, dimmer light and fewer screens can ease the transition, and an earlier caffeine cutoff may help if falling asleep is a problem.[2,9] In my own routine, when possible, I avoid my phone for about an hour before bed and keep it outside the bedroom overnight. I also skip bright overhead lights and use the dim, warm glow of a salt lamp when I need light. In the morning, we use a sunrise alarm clock as another gentle light cue.
  5. Make the bedroom do fewer jobs. A cool, dark, quiet room supports sleep for many people.[2,9] In a family home, “quiet” may simply mean a fan or white noise. I personally find it harder to settle when I am surrounded by clutter or reminders of unfinished work, so I regularly donate or give away things we no longer need and try to focus on quality over quantity. Having less creates a calmer space, and it also means fewer things to organize, clean, and put away. Whenever possible, I keep the bedroom associated with rest and quieter activities, such as sleeping and reading, rather than allowing it to become another workspace.
  6. Plan for interrupted nights without pretending they will disappear. If a baby or child still wakes, improve the parts around the waking: keep needed items within easy reach, prepare what can safely be prepared ahead of time, use the lowest practical light, skip the phone, and decide how adults will share coverage. When possible, protect one uninterrupted block rather than splitting every waking evenly.
Protect a repeatable sleep window
  • A consistent sleep and wake time

  • visible to the household

  • wake-up, morning, or evening task

A consistent sleep and wake time helps the body’s internal timing. It should be visible to the household, with explicit handoffs: who covers which wake-up, morning, or evening task? No clock time is given.
Build a short runway, not a spa routine
ten minutestwenty minutes
  • washing up
  • a short stretch
  • reading
  • diaphragmatic breathing
A ten- to twenty-minute wind-down can be enough. The value is predictability, not performance.
Plan for interrupted nights
  • lowest practical light
  • items within easy reach
  • prepare what can safely be prepared ahead of time
  • skip the phone
  • how adults will share coverage
  • one uninterrupted block
If a baby or child still wakes, improve the parts around the waking. When possible, protect one uninterrupted block rather than splitting every waking evenly.

In this season with an infant whom I breastfeed during the night, I know uninterrupted sleep is not always realistic. Instead of expecting those wakings to become less frequent, I focus on making them as low-effort and low-stimulation as possible and protecting rest where I can. That shift — adapting our routines to the season we are in rather than expecting this season to fit an ideal sleep routine, or even the routine we had before — has made rest feel much more realistic.

Should You Sleep When the Baby Sleeps?

A short nap can improve alertness after a poor night, but late or long naps may make it harder to sleep at bedtime for some people.[6,9] Use naps as recovery, not as a replacement for nighttime sleep. Weekend catch-up can help with sleepiness, but it does not fully erase an ongoing pattern of short, fragmented sleep.[9,10]

If sleep opportunity is scarce because of care responsibilities, the real fix may be support rather than another sleep hack: a protected nap, a later morning, a night of shared coverage, or help with meals and household tasks.

Postpartum Sleep: When Exhaustion Is a Sign of Something More

Exhaustion is common after delivery, but it should not be used to dismiss every symptom. Postpartum depression and anxiety can include difficulty sleeping even when the baby is asleep, persistent sadness or worry, loss of interest, guilt, or difficulty functioning.[11,12] Urgent help is needed for thoughts of self-harm or harming the baby, severe confusion, hallucinations, or other signs of postpartum psychosis.[12] If you are struggling, you can call or text the National Maternal Mental Health Hotline at 1-833-852-6262 (1-833-TLC-MAMA), free and available 24/7, or call or text 988, the Suicide & Crisis Lifeline.[12,13] In a life-threatening emergency, call 911.

Persistent loud snoring, gasping, witnessed pauses in breathing, restless legs, severe insomnia, or daytime sleepiness that creates a safety risk also deserves medical evaluation.[2,14,15] Sleep advice cannot treat an underlying sleep disorder, thyroid problem, anemia, medication effect, mood disorder, or other medical cause.[12,16,17]

What Restorative Self-Care Can Look Like

Restorative self-care is often ordinary and unphotogenic:

  • going to bed while the kitchen is still imperfect;
  • asking for a full shift off rather than vague help;
  • letting a routine be simple enough to repeat;
  • choosing an environment that reduces stimulation;
  • getting professional help when sleep or mood does not improve.

A manicure can be enjoyable. It is simply not a substitute for enough opportunity to recover.

The Bottom Line

Better sleep for mothers is not mainly about discipline. It is about sleep opportunity, environment, shared responsibility, and realistic routines. Start with the change that gives the largest return: one protected block, one task fully handed off, one source of evening stimulation removed, or one conversation with a professional. Rest is not what happens after the important work. It is part of what makes the important work possible.

Rest is not what happens after the important work. It is part of what makes the important work possible.

Frequently Asked Questions

How much sleep do mothers need?

Most healthy adults should get at least seven hours regularly, but needs vary.[1] New parents may also want to track their longest uninterrupted block. Persistent exhaustion despite enough time in bed is worth discussing with a clinician.

Is it normal to be unable to sleep when the baby sleeps?

It is common, but persistent inability to sleep even when there is an opportunity can be a sign of insomnia, anxiety, depression, or another health issue.[12,18] Bring it up with an obstetric, primary-care, or mental-health professional rather than assuming it is something to push through.

Does mouth taping improve sleep?

Mouth taping is not a general solution for maternal sleep deprivation and is not appropriate for everyone. The research so far is small and mixed, and reviewers have raised safety concerns for people with nasal obstruction.[19] Persistent mouth breathing, snoring, gasping, nasal obstruction, or suspected sleep apnea should be evaluated before anyone tries to force the mouth closed during sleep.[14,19]

References

  1. Watson NF, Badr MS, Belenky G, et al. Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep. 2015;38(6):843–844. https://aasm.org/resources/pdf/adultsleepdurationconsensus.pdf
  2. Centers for Disease Control and Prevention. About Sleep. https://www.cdc.gov/sleep/about/index.html
  3. National Heart, Lung, and Blood Institute (NIH). Sleep Deprivation and Deficiency: How Sleep Affects Your Health. https://www.nhlbi.nih.gov/health/sleep-deprivation/health-effects
  4. Silva-Perez LJ, et al. Maternal Sleeping Problems Before and After Childbirth — A Systematic Review. https://pmc.ncbi.nlm.nih.gov/articles/PMC10918694/
  5. Richter D, Krämer MD, Tang NKY, Montgomery-Downs HE, Lemola S. Long-term effects of pregnancy and childbirth on sleep satisfaction and duration of first-time and experienced mothers and fathers. Sleep. 2019;42(4):zsz015. https://doi.org/10.1093/sleep/zsz015
  6. National Heart, Lung, and Blood Institute (NIH). Insomnia: Causes and Risk Factors. https://www.nhlbi.nih.gov/health/insomnia/causes
  7. McQuillan ME, et al. Maternal Stress, Sleep, and Parenting. https://pmc.ncbi.nlm.nih.gov/articles/PMC6582939/
  8. McBean AL, et al. Mothers' Sleep Deficits and Cognitive Performance: Moderation by Stress and Age. PLOS ONE. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0241188
  9. National Heart, Lung, and Blood Institute (NIH). Sleep Deprivation and Deficiency: Healthy Sleep Habits. https://www.nhlbi.nih.gov/health/sleep-deprivation/healthy-sleep-habits
  10. Depner CM, Melanson EL, Eckel RH, et al. Ad libitum Weekend Recovery Sleep Fails to Prevent Metabolic Dysregulation during a Repeating Pattern of Insufficient Sleep and Weekend Recovery Sleep. Current Biology. 2019;29(6):957–967. https://doi.org/10.1016/j.cub.2019.01.069
  11. American College of Obstetricians and Gynecologists. Postpartum Depression. https://www.acog.org/womens-health/faqs/postpartum-depression
  12. National Institute of Mental Health (NIH). Perinatal Depression. https://www.nimh.nih.gov/health/publications/perinatal-depression
  13. Health Resources and Services Administration. National Maternal Mental Health Hotline. https://mchb.hrsa.gov/programs-impact/national-maternal-mental-health-hotline
  14. National Heart, Lung, and Blood Institute (NIH). Sleep Apnea: Symptoms. https://www.nhlbi.nih.gov/health/sleep-apnea/symptoms
  15. National Institute of Neurological Disorders and Stroke (NIH). Restless Legs Syndrome. https://www.ninds.nih.gov/health-information/disorders/restless-legs-syndrome
  16. National Institute of Diabetes and Digestive and Kidney Diseases (NIH). Thyroid Disease & Pregnancy (including postpartum thyroiditis). https://www.niddk.nih.gov/health-information/endocrine-diseases/pregnancy-thyroid-disease
  17. National Heart, Lung, and Blood Institute (NIH). Anemia: Symptoms. https://www.nhlbi.nih.gov/health/anemia/symptoms
  18. National Heart, Lung, and Blood Institute (NIH). What Is Insomnia? https://www.nhlbi.nih.gov/health/insomnia
  19. Rhee J, Iansavitchene A, Mannala S, Graham ME, Rotenberg B. Breaking social media fads and uncovering the safety and efficacy of mouth taping in patients with mouth breathing, sleep disordered breathing, or obstructive sleep apnea: A systematic review. PLOS ONE. 2025;20(5):e0323643. https://pmc.ncbi.nlm.nih.gov/articles/PMC12094774/

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