I'm 20 weeks pregnant with severe insomnia - going on two days when should i call dr?

At 20 weeks, it is : Often recommended that you contact your ob. Ensure that you are getting sleep hygiene. Retire ; rise same time each day. Keep bedroom dark ; cool ; use only for sex ; sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs w/i 2 hrs of sleep. No alcohol or tobacco. Keep dinner moderate sized ; finish at least 2 to 3 hrs before sleep. Can try warm milk.

Pregnant w/ insomnia: Occasional insomnia is common, but when it goes on for more than a few days, it deserves professional attention. The specific nature of the sleep problem can be evaluated and treatment provided. Often, the problem of insomnia is best treated by a psychologist but given that pregnancy is involved, a woman might first want to contact her primary care physician.

Pregnancy insomnia: Common in pregnancy. Check iron storage levels (ferritin should be > 50) to make sure no restless legs syndrome. No, prenatal vitamins don't usually have enough iron. Iron supplements if needed, should be taken at bedtime. Stool softener optional.