Best Mattress for Pregnancy (2025): Contouring, Supportive, and Cooling

During pregnancy, you may find yourself experiencing more frequent insomnia. According to Sleepopolis Medical Advisor Dr. Shelby Harris, “Hormonal fluctuations, as well as growing a baby, more anxiety about a baby, and discomfort from the baby are all reasons why sleep can be disrupted.” To help you get more comfortable at night, I recommend the Helix Midnight Luxe. With a plush pillow top that relieves tension, a pressure relief rating of 4.3 stars when side sleeping, and an overall cooling score of 4 stars, this bed is equipped to promote better sleep.

For pregnant sleepers struggling to settle in at night, our Chief Medical Advisor, Dr. Raj Dasgupta, recommends a medium to medium-firm mattress. This firmness can be ideal because it balances pressure relief and support. When expert tester Cait Giddings lay down on the Midnight Luxe, she rated it a 6.5 out of 10 on the firmness scale, which is the industry standard for a true medium-firm bed. Upon lying down, she said, “The marshmallowy pillow top cushioned my shoulder and hip when I lay in a side-sleeping position,” she said. “It filled in the gap at my hip and contoured me in a way that was really comfortable.” 

Keep in mind, side sleeping is the most recommended position by doctors to relieve tension from the spine and increase blood flow to the baby. Regardless of their body type, each of our three testers felt great pressure relief in this position, experiencing contouring from the memory foam layers around their hips and shoulders. Overall, they gave the Midnight Luxe an average pressure relief score of 4.3 stars for side sleeping. 

In addition to soothing pressure relief at the body’s sensitive joints, this hybrid mattress provides plenty of support to keep the spine in a neutral position. When we asked our Chief Medical Product Tester Dr. Joe Tedesco to evaluate the Helix Midnight Luxe for side sleeping, he said, “This could be great for side sleepers with back pain. My pelvis is very supported in this position, and my feet are falling into the mattress easily. This lifts my knees a little higher and creates a weightless feeling.” He ended up rating the mattress 4.5 stars for side sleepers.

During these anticipatory months, you may find yourself more prone to overheating throughout the night. Luckily, the Midnight Luxe comes with a breathable Tencel cover, which you can upgrade for an even cooler GlacioTex cover. When Cait evaluated the bed’s cooling abilities, she rated it 4 stars. “The mattress surface is cool to the touch,” she said. “I didn’t notice it heating beneath me while I lay there — the Tencel kept it feeling cool and crisp. I don’t think sleeping hot would be an issue on this bed.” 

Just note that this luxury hybrid mattress is not considered a budget buy. A queen size currently costs $2,389 at full retail, but you’re likely to find it at a discounted price due to Helix’s frequent sales. You can also check out our Helix coupon page for more deals.

For a closer look at how we tested this bed, read my full Helix Midnight Luxe mattress review. If you’re seeking a cheaper option, try the standard Helix Midnight mattress.

If you’re seeking an all-natural, hypoallergenic sleeping environment throughout your pregnancy, you may want to consider an organic mattress. These beds are typically made from high-quality materials that have received third-party certifications verifying the absence of harmful chemicals and ozone depleters. Additionally, these certifications can ensure proper indoor air quality. For the best organic mattress for pregnancy, I recommend the Leesa Natural. Not only does this bed provide the necessities for pregnancy — a medium-firm feel, 5-star pressure relief when side sleeping, and 4-star cooling abilities — but it’s received multiple certifications for the quality of its materials.

As its name suggests, the Leesa Natural Hybrid mattress contains eco-friendly and organic materials free from fiberglass and other heavy metals. The bed starts with an organic cotton cover quilted with New Zealand wool, which is Global Organic Textile Standard (GOTS) certified. This mattress also includes breathable latex foam that’s Global Organic Latex Standard (GOLS) certified. These certifications mean the materials are in compliance with strict ethical and sustainability standards. All other polyfoams are GREENGUARD Gold certified, which indicates they’re free from harmful chemicals and meet strict safety standards.

As a latex hybrid mattress, the Leesa Natural combines a quilted cover with a layer of latex foam, polyfoam, and individually wrapped coils. This combination of materials creates a plush yet supportive medium-firm bed that should provide balanced comfort for bodies undergoing pregnancy changes. 

I personally evaluated this mattress for pressure relief in the side-sleeping position, with help from my colleague Sosha Lewis. We were both pleased with the plushness the quilted cover offered, which immediately helped relieve tensions at our hips and shoulders. In this position, Sosha said, “The foam contours around my hips and ribs, while the coils keep me elevated. The spinal alignment, like ‘The Force,’ is strong. I would have liked this bed a lot when I was pregnant.”  For those who are currently pregnant, you’ll be able to find excellent body contouring without sacrificing support, so we rated the side-sleeping pressure relief 5 stars.

In addition to high-quality materials and pressure-relieving construction, this organic mattress showed up to play when I put it through our cooling test. Since organic cotton and latex are two naturally breathable materials, and coils promote airflow, I wasn’t surprised by this bed’s ability to effectively regulate body temperature and prevent overheating. According to our thermal gun, the Leesa only heated up by 7.7 degrees after I lay on it for five minutes, which earned it 4 stars overall for cooling.

While most pregnant people will be able to find proper support in the side-sleeping position, those who weigh more than 230 pounds may find their hips sinking too far below their shoulders. If you’re a heavy sleeper, I’d recommend looking for a bed with firmer support.

For more information, read my full Leesa Natural mattress review. If you’re seeking additional support, I recommend the Leesa Plus, which was designed specifically for larger body types.

It’s critical that your mattress is supportive enough to keep your changing body in a neutral position. Due to the increased weight in your midsection, you may find your hips falling beneath your shoulders, which can place strain on your back. 

When considering the most supportive mattress for pregnancy, the Saatva Classic immediately comes to mind. Made with not one, but two layers of steel coils, this bed provides plenty of lift at the hips and spine to help mitigate back pain. Additionally, the breathable cotton cover and innerspring construction helped this bed remain cool, earning 4 stars on our thermal gun test. 

The Saatva Classic is offered in three firmness levels — Plush Soft, Luxury Firm, and Firm. 

When one of our expert testers, Kenny Timper, evaluated the Luxury Firm model , he said, “​​This mattress felt very firm to me. It’s not as cushiony as other pillow-top beds. I think this mattress is very supportive, but it didn’t offer me any contouring, especially on my side.” With this in mind, we recommend choosing the Plush Soft model for pregnant people. Compared to the mid-range firmness model that we tested, the softer one should provide more cushioning at the hips and shoulder joints and a more medium-soft feel.

Although the foam comfort layers provide pressure relief, when it comes to support, the star of the show is the two layers of steel coils. This coil-on-coil construction allows this mattress to provide extreme support, even when choosing the softest firmness level available. 

While you’re able to snuggle into the plush top, the dual-coil action keeps your hips lifted and in line with your shoulders. When Dr. Tedesco evaluated the Saatva Classic, he said, “This is a great bed for people with back pain, no matter what their sleeping position is. The pressure is very evenly distributed. My spine is in a neutral position and very supported.” Due to the excellent lift he experienced, he rated the mattress 4.5 stars for back pain relief.

The dual-coil layer also helped this bed prevent heat trapping. While one layer of coils can add space inside the bed to promote airflow, two coil layers make this bed super breathable. When Kenny evaluated the Saatva’s cooling, he said, “Although the cover doesn’t feel cool to the touch, I didn’t feel it heating up beneath me as I lay there.” Our thermal gun showed that the mattress heated up by 7.8 degrees, but after Kenny rested on it for five minutes, he didn’t find himself overheating. Overall, the bed earned 4 stars for cooling. 

Before buying, keep in mind that two layers of springy coils makes the Saatva very responsive. This means it struggles to isolate motion, earning only 2.7 stars in this category. If you sleep with a partner, they may wake up when you get up to use the restroom.

For a deep dive into how we tested this bed, check out our full Saatva Classic mattress review. For better motion isolation, I recommend the Saatva Rx mattress.

Your sleeping position is a key consideration during pregnancy. When we asked Dr. Dasgupta about the best sleep position during pregnancy, he said, “For anyone who’s pregnant, I recommend sleeping on your left side, as it improves blood flow and helps relieve pressure on the liver, kidneys, and other vital organs.” For the best bed for side sleeping, I recommend the DreamCloud Luxe Memory Foam mattress. 

With an average pressure-relief rating of 5 stars in this position, this all-foam mattress provides excellent cushioning at the joints and lower back, while promoting proper spinal alignment. Additionally, the layers of foam remained breathable, earning the bed 4 stars during our cooling test.

When our testers evaluated the DreamCloud Luxe Memory Foam for firmness, they thought it felt medium-soft. With an average firmness rating of 6 out of 10, this bed is just a tad softer than medium-firm, making it a great match for side sleepers. The softness comes from the Euro top and memory foam comfort layer, which cradle the joints and conform to the curves for the body. A layer of foam zoned for support adds more firmness at the back and hips, where pregnant people often need more support.

A final layer of high-density foam acts as the primary support system in this mattress. Although innerspring coils are typically more supportive than foam, our in-house teaser still felt enough lift at her hips to prevent spinal misalignment. She said, “The foam in this mattress provides great support when I am lying on my side. I had little to no pressure in my neck and shoulders, and the plush top conformed to my body and supported my spine.” Since the bed was soft enough for side sleeping without sacrificing support, she rated the bed 5 stars for pressure relief in this position. 

As DreamCloud’s most luxurious memory foam model, this mattress incorporates additional cooling features, including a breathable cover infused with a cooling phase change material (PCM). PCMs are designed to help draw heat away from the body and regulate the sleeper’s temperature. When our tester assessed its cooling, she said, “The mattress felt cool to the touch when I first got on it. It took a few minutes before I could noticeably feel it heating up, and I tend to run hot.” We rated the mattress’s cooling abilities 4 stars because its temperature increased by just 7.9 degrees after our tester lay on it for five minutes, which isn’t a considerable amount for memory foam, a material known to trap heat. 

Before purchasing this bed, keep in mind that its all-foam construction means it’s not very bouncy, and the soft foams make it difficult to move around on. With a responsiveness rating of 2 stars, you may find your mobility limited when trying to get in and out of bed. 

Our full DreamCloud Luxe Memory Foam mattress review is coming soon. For a more responsive mattress, you may prefer the DreamCloud Luxe Hybrid mattress.

Lower back pain is one of the most common issues sleepers experience during pregnancy. To find the best mattresses for back pain, we invited Dr. Tedesco, a licensed physical therapist, into our studio to evaluate dozens of the most popular beds on the market. He helped us evaluate these models for back pain and rated the WinkBed an impressive 4.5 stars in this category. When I tried this bed for myself, I was most impressed with the pillow top that provides plenty of spinal support while still relieving pressure when side sleeping.

The WinkBed is offered in three firmness levels — Softer, Luxury Firm, and Firmer. Our in-house tester and Dr. Tedesco evaluated the Luxury Firm model in our studio and both thought it was exceptional for back pain. While they rated the bed a 6.5 out of 10 on the firmness scale, making it a true medium-firm bed, we think the Softer model will provide more cushioning and contouring when side sleeping, which is recommended for pregnant women. 

While the softest WinkBed will provide better pressure relief at your hips, shoulders, and lower back, its tall layer of coils will still keep the spine in a straight, neutral line and prevent the sleeper from sinking too far into the layers. The coil layer is zoned for support, meaning its firmness fluctuates depending on where the sleeper needs more lift or more sinkage. I tested this bed myself and can confirm that my hips were lifted in line with my shoulders, and I felt no pressure building along my lower back.

When Dr. Tedesco evaluated the WinkBed, he said, “If you’re a side sleeper, you’ll feel even support across your entire body. I don’t feel any significant pressure building up anywhere, and the longer I lie on this mattress, the more I like it and the more comfortable I am.” He rated the bed 4.5 stars for back pain relief and 4.5 stars for pressure relief when side sleeping. 

In addition to back pain relief, we think the WinkBed is a good choice for pregnant couples due to its 4.3-star motion isolation score. Since frequent urination is common during pregnancy, you may find yourself getting up more at night. Although this bed contains springy coils, our testers thought it did a great job absorbing motion when getting in and out of bed, so you’re unlikely to disturb your partner’s sleep. The bed also earned 4.4 stars for its strong edges, so you’ll be able to rely on them for support when getting in and out.

Keep in mind, the WinkBed is likely the least cooling option on this list. Although the bed sports a moisture-wicking Tencel cover, our thermal gun showed that it warmed up by 8.5 degrees after a tester lay on it for five minutes. This is a smidge higher than we’d like to see, so it may not provide enough cooling for very hot sleepers.

For more on this bed, head to my full WinkBed mattress review. For a cooling option to help with back pain, consider the Brooklyn Bedding Aurora Luxe Mattress.

Over a third of women experience hot flashes during pregnancy. If you’re struggling with overheating and sweaty nights, it can seem impossible to get a good night’s sleep. However, a mattress designed for cooling can help mitigate these symptoms. For pregnancy, I chose the Brooklyn Bedding Aurora Luxe as the best cooling mattress because it earned a perfect 5-star rating on our thermal gun test. Additionally, the sturdy hybrid construction promotes great spinal alignment, earning 4.5 stars from Dr. Tedesco for back pain relief.

The Brooklyn Bedding Aurora Luxe is packed with cooling technology to provide a sweat-free sleeping experience. With a Glacio-Tex cooling cover, this bed is super cool to the touch. When I’m overheated from moving around mattresses in our studio, I like to lie on this bed and feel the heat being pulled away from my body. The cooling gel and copper infusions in the memory foam do a great job of dissipating heat and keeping the sleeper at a comfortable temperature.

I formally tested cooling using a thermal gun, which measured the initial temperature of the Aurora Luxe to be 68.5 degrees Fahrenheit. Then, I lay down on the mattress and relaxed for five minutes before measuring the mattress’s temperature again. The Aurora Luxe’s temperature had risen to 72.5 degrees, which is only a 4-degree increase. These are excellent results, earning the bed 5 stars overall for cooling.  

However, the Aurora Luxe offers a lot more than just superb cooling abilities. Like many hybrid mattresses, it’s offered in three firmness levels — Soft, Medium, and Firm. We tested the Medium model in our studio, which is the most commonly preferred feel among sleepers, and found it solidly firm. 

We rated the Medium model a 7.5 out of 10 on the firmness scale, making it firmer than we’d want for side-sleeping pregnant people. We recommend choosing the Soft model, which contains plusher foams for more sinkage and cushioning around the hips, shoulders, and mid-section. Additionally, Brooklyn Bedding offers an optional Cloud pillow top for an additional $400, which may be worth it for some shoppers who prefer even more softness.

We also asked Dr. Tedesco to evaluate the Aurora Luxe for pain relief, specifically when side-sleeping. He specifically called out this bed as a great choice for those prone to back pain, which pregnant people are, and rated it 4.5 stars. He said, “My thoracic and lumbar spines are very neutral. There isn’t a lot of flexion or extension, and no significant ‘falling’ feeling. That neutral anatomical position is good for people who have any type of back pain.”

Keep in mind, this Brooklyn Bedding mattress is a luxury model, so it’s priced higher than a standard mattress. Without the Cloud pillow top, a queen-size costs $1,865 at full retail; however, it’s typically on sale for around $1,400. You can also check out our Brooklyn Bedding coupon page for more deals. 

For more information, check out my full Brooklyn Bedding Aurora Luxe mattress review. For a budget buy with great cooling, consider the Glacier Original Hybrid mattress. 

When sleeping with a partner, motion isolation, responsiveness, cooling, and edge support are the most important factors to consider. Additionally, the mattress needs to be soft and pressure-relieving enough for the pregnant sleeper in the side-sleeping position. For expecting couples, I think the Nolah Evolution is the best mattress. 

When we evaluated this bed for the categories most important for co-sleeping, it excelled on every test. With 5-star motion isolation, 4.6-star edge support, 4.5-star cooling, and 4-star responsiveness, this bed is a homerun for couples before, during, and after pregnancy.

The Nolah Evolution is offered in Plush, Luxury Firm, and Firm models, allowing you to choose the feel best suited to your needs. When we tested the Luxury Firm model, we thought it had a medium-firm feel that leaned just a tad firmer than average. However, our testers still found solid 4.3-star pressure relief at their hips, shoulders, and lower back when side-sleeping on this model.

When our tester Erin Chiles tested the Luxury Firm model, she said, “I liked this bed on my side overall, but it was a little more firm than I wanted. I felt supported, but I was feeling a little pressure in my hips. While this model may appeal to sleepers who prefer a firmer feel, we recommend pregnant sleepers opt for the Plush option, which will provide more sinkage and contouring at the sensitive pressure points.”

In addition to the proper firmness level, motion isolation is an important factor for pregnant couples to consider. According to Dr. Dasgupta, “Motion isolation is crucial, especially for shared beds, because it prevents one partner’s movement from being felt by the other.” When we evaluated the Nolah Evolution, it was able to effectively muffle any movement we made and prevent the disturbance from rippling across the entire bed. We rated it 5 stars for this category, so you won’t have to worry about disrupting your partner’s sleep when you get up in the middle of the night.

A bed with top notch cooling is also key for both couples and pregnant sleepers, as two bodies produce more heat-trapping than just one, and hot flashes are common during pregnancy. Luckily, the Nolah Evolution only heated up by 4.9 degrees during our thermal gun test, indicating excellent 4.5-star cooling abilities.

Additionally, couples can appreciate the strong 4.6-star edge support, which allows both partners to fully spread out and use the entire surface of the mattress. Sexually active couples can also benefit from the 4-star responsiveness, which makes moving around easier.

One of the only downfalls of the Nolah Evolution is its price. A queen-size mattress currently costs $2,127 at full retail, but is often on sale for about 25% off. You can also visit our Nolah coupon page for the best deals.

For more on the best mattress for pregnant couples, read my full Nolah Evolution mattress review. For a cheaper alternative for couples, I recommend the Silk & Snow Hybrid mattress.