From grimoire
Delivers evidence-based pregnancy sleep protocol including SOS position after 28 weeks, RLS management, and insomnia techniques. Activates on sleep-related pregnancy queries.
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Address pregnancy-specific sleep challenges with positioning, environment, and evidence-based interventions.
Address pregnancy-specific sleep challenges with positioning, environment, and evidence-based interventions.
Adopted by: ACOG, NHS, RCOG — all publish sleep positioning guidance after 28 weeks. Impact: Going to sleep in the supine position after 28 weeks associated with 2.54× increased stillbirth risk (Gordon et al., BJOG 2015; n=1,000 cases). Side-sleeping (SOS — Sleep On Side) adopted in NHS and ACOG recommendations as a result. Treating insomnia in pregnancy reduces postpartum depression risk by 40% (Bei et al., BMC Med 2018). Why best: Sleep changes in all three trimesters require different interventions. Blanket "try to sleep more" advice misses treatable causes.
Setup: Firm mattress + C-shaped pillow behind back + pillow between knees + head elevated 2–3 inches. RLS management: Check ferritin at 28-week visit; if <50 mcg/L, discuss iron supplementation increase with OB.
Health Disclaimer: Sleep disorders in pregnancy may indicate underlying conditions (anemia, obstructive sleep apnea, depression). Persistent insomnia or RLS warrants evaluation by your OB-GYN or a sleep medicine specialist.
npx claudepluginhub jeffreytse/grimoire --plugin grimoireGenerates evidence-based sleep hygiene recommendations including sleep schedule design, environment optimization, light exposure, and behavioral modifications drawn from AASM and CDC guidelines.
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