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Behavioral Sleep Therapies During the Perinatal Period: A Scoping Review.
Jennifer N Felder1,2, Bernadette McClelland1, Candance Sorensen1
1Osher Center for Integrative Health, University of California, San Francisco, CA USA.
Current Sleep Medicine Reports
|March 5, 2026
Summary
Cognitive Behavioral Therapy for Insomnia (CBT-I) improves perinatal sleep, with benefits peaking around six months postpartum. Mindfulness-Based Interventions may reduce insomnia during pregnancy.
Area of Science:
- Perinatal Health
- Sleep Medicine
- Psychological Interventions
Background:
- Perinatal insomnia is a prevalent and impactful condition affecting women during pregnancy and postpartum.
- Behavioral sleep therapies offer potential non-pharmacological solutions for managing sleep disturbances in this population.
Purpose of the Study:
- To review randomized controlled trials of behavioral sleep therapies for perinatal insomnia published since 2020.
- To synthesize findings on the efficacy of Cognitive Behavioral Therapy for Insomnia (CBT-I) and Mindfulness-Based Interventions (MBI) in perinatal samples.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) published from 2020 onwards.
- Included studies focused on behavioral sleep therapies, specifically CBT-I and MBI, in perinatal populations.
- Analysis of reported outcomes related to insomnia severity, sleep quality, and mental health.
Main Results:
- Cognitive Behavioral Therapy for Insomnia (CBT-I) demonstrated effectiveness in improving perinatal sleep, with benefits observed around six months postpartum.
- Mindfulness-Based Interventions (MBI) showed potential for reducing insomnia severity during pregnancy in adequately powered trials.
- The impact of these interventions on mental health outcomes was mixed, potentially due to variations in study design and assessment timing.
Conclusions:
- Behavioral sleep therapies, particularly CBT-I and MBI, are effective options for addressing perinatal insomnia.
- Further research is needed to evaluate long-term effectiveness, real-world applicability, and impacts on offspring.
- Future studies should also clarify indications for MBI versus CBT-I and rigorously assess mental health benefits.
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