Relvay makes a pregnancy pillow. We also tell you below when you should not buy one.
The short answer
With twins, plan your pillow setup earlier and check it more often. The bump is usually bigger sooner, and twin births are often planned earlier, so the weeks of side sleeping arrive fast.
- Skip buying while regular pillows still hold the bump.
- Get support once the bump hangs or pillows drift nightly.
- What matters: support wide and tall enough for the whole bump.
Why does sleep get hard sooner with twins?
Because a twin bump usually gets heavier and wider earlier, so the point where regular pillows stop working comes sooner. The NHS notes that feeling bigger than expected for your dates can be one of the first signs of twins.
1:15 a.m.
I was 24 weeks with the twins, and I looked like my sister did at 34. Everyone kept saying the hard part comes later. Nobody said later would come at week 22.
That night I woke up on my side with my bump sagging off the edge of the one pillow I had wedged under it, like it was trying to slide onto the mattress without me. My lower back burned. Sam was asleep. I propped myself up on an elbow and just held my belly with my other hand, because there was nothing else to hold it.
I did the math in the dark. Nights to go. Too many, like this.
- If your bump outgrew the pillow you bought a month ago...
- If you hold your belly with your hand just to turn over...
- If you wake up with your back pulled forward by the weight in front...
You are not complaining early. You are carrying two, and your body is right on its own schedule.
"As my belly grew, it became harder and harder to find a comfortable sleeping position"Amazon review of a pregnancy pillow
"the half pillow by itself is a little too small to be effective on my 9 month bellow"Amazon review of a pregnancy pillow
What most twin moms try first
Most people start with regular pillows, then buy one small bump pillow, then go big. With twins each step runs out faster.
- A folded pillow under the bump.Fine at 18 weeks. By 23 it squashed flat under the weight and I woke up with my bump on the mattress again.Right idea, not enough height.
- One small bump wedge.It lifted the middle of my bump but the lower edge hung over the front. Every turn, I had to reach down and drag it back.Too narrow for a bump this wide.
- The giant U pillow.It held everything, and it held me in. Getting up to pee four times a night meant climbing over a wall, and Sam slept on the last strip of our queen.Plenty of support, but I lost the bed and the easy exit.
When should you start using a pregnancy pillow with twins?
Start when your bump needs propping, which with twins is often earlier than with one baby. There is no set week, but your finish line is earlier too, so plan backward from it.
The NHS says twins are usually found at the 12-week scan, and that planned birth is usually offered at 37 weeks for twins with separate placentas and 36 weeks for twins who share one. It also notes that around 6 in 10 twins are born before 37 weeks. And from 28 weeks, the NHS advises going to sleep on your side, for every pregnancy.
| Stage | What to do | Why it matters with twins |
|---|---|---|
| Bump first needs propping | Try the free regular-pillow setup below for a week | This often comes weeks before friends with one baby |
| Regular pillows drift or flatten every night | Get support that holds the bump and back together | Rebuilding with a heavy bump costs more sleep |
| By 28 weeks | Have a side-sleeping setup that works every night | Side sleeping is the advice from here on |
| Final weeks | Recheck every week, keep the path out of bed clear | Birth may be planned at 36 to 37 weeks, or come sooner |
For general sizing by height and body, our pregnancy pillow size guide goes deeper. For a single pregnancy, see when to start using a pregnancy pillow.
What does a twin bump need from a pillow?
The same three support points as any pregnancy, under the bump, behind the back and between the knees, but the bump support has to be wider and keep up for longer.
Under the whole bumpWide enough to hold the lower curve from side to side, so no part hangs over the edge.
Behind the backSomething to lean into, because the weight in front pulls your back forward.
Between knees and anklesSo your top leg stays level and your hips are not twisted.
With two babies the bump can outgrow a small pillow in weeks, and loose pieces drift apart under a heavier load.
The question is not which pillow is biggest. It is whether the bump support still reaches the whole bump, and stays put when you turn.
There is a small two-wedge setup that answered that for Cora without taking over the bed. First, the check and the free fixes.
How do you check the bump support is still big enough?
Lie on your side, relax fully, and check three things: does the support reach both sides of the lower bump, is there a gap under it, and does it stay when you turn. Repeat every week or two.
- Width. Slide a hand along the front and back of the support. If part of your lower bump hangs past its edge, it is too narrow now.
- Height. Relax for a full minute, then slip a flat hand under the bump. A gap means the support has squashed or the bump has grown past it.
- Pressure. The support should lift, not dig. A hard edge pressing into the top of your bump means it sits too high.
- Turn test. Roll to the other side. Does the bump support come with you, or stay behind?
- Write it down. Measure around the widest part of your bump with a soft tape and note the date. When the number jumps, recheck the setup that week.
Width or height failing? Add a folded towel or move the support lower. Turn test failing every night? That is when a joined setup earns its place.
Can you manage with regular pillows while carrying twins?
Yes, for a while. A good regular-pillow setup works for many people until the bump gets heavy enough to flatten it or roll it away.
- Two pillows under the bump, side by side, so the full width is held, not just the middle.
- A firm pillow behind your lower back, pushed down against the mattress so it cannot roll away.
- A long pillow between knees and ankles, so the top leg stays level.
If you wake rested and the pillows are mostly where you left them, keep going.
When is a pregnancy pillow worth it with twins?
It is worth it when your regular pillows cannot hold the bump through the night. Tick what sounds like your week:
- I hold my bump with my hand to turn over.
- My bump pillow is flat or too narrow by morning.
- I rebuild pillows after every bathroom trip.
- My lower back aches from the weight pulling forward.
- I keep adding towels and pillows every week.
Two or more? Support that stays together is likely worth it now, not at 30 weeks.
Back, hip or pelvic pain that is sharp, one-sided or getting worse is a question for your twin care team, not a pillow. A pillow is a comfort aid only.
What should you ask your twin care team about sleep?
Ask whether anything about your type of twin pregnancy changes the usual sleep advice, and which symptoms they want you to call about. The NHS says your care should come from a team experienced in multiple pregnancies, so use them.
- Is there any position you want me to avoid, given my type of twins?
- Which night-time symptoms should I call about, and which number do I use?
- Should a physiotherapist look at my back or pelvic ache?
The NHS notes pre-eclampsia is more likely with more than one baby. A severe headache, vision changes, pain below the ribs or sudden swelling of the face, hands or feet need checking straight away, day or night.
Which type of pregnancy pillow works for a twin bump?
Choose the type whose bump support you can make wider and taller as you grow, and that does not take the whole bed. Here is how the main types compare for a twin bump.
| Regular pillows | Single bump wedge | U or C pillow | Two wedges joined by a strap | |
|---|---|---|---|---|
| Holds a wide bump | With two side by side | Often too narrow later | Yes | Yes, add a towel for height |
| Back support too | Extra pillow | No | Yes | Yes |
| Stays together when you turn | No | Can slide | Yes | Yes |
| Getting out of bed often | Easy | Easy | Climb over it | Easy |
| Bed space | Flexible | Very little | Fills much of a queen | Stays on your half |
Check the return window too: you want time to test the setup at the bump's biggest.
What changed when the bump support kept up?
When the bump and back support were joined and wide enough, Cora stopped holding her belly to turn over, and the bed stayed shared.
Cora switched to two wedges joined by a strap: one under her bump, one behind her back, her own pillow between her knees. At 30 weeks she slid a folded towel under the bump wedge for more height, and kept checking it with her hand every week.
The night she noticed was a Tuesday. She got up twice to pee and both times climbed back into the same setup, untouched. Sam got his side of the bed back. On Sunday he lay behind her with his hand on the bump and felt both babies kick, one after the other.
Frequently asked questions
Do you need a special pregnancy pillow for twins?
Not a special one. You need bump support wide and tall enough for a bigger bump, plus back support, and a pillow between your knees. Many regular setups work early on; check them often as the bump grows.
When should I start using a pregnancy pillow with twins?
When your bump needs propping or regular pillows drift every night. With twins that is often earlier than with one baby. Aim to have a side-sleeping setup that works by 28 weeks, when the NHS advises going to sleep on your side.
Is a U-shaped pillow best for a twin pregnancy?
It holds a big bump well, but it takes a lot of bed and can make frequent bathroom trips harder. Two wedges joined together, or two regular pillows under the bump, can cover the same points with less space.
My bump pillow feels too small now. What can I do tonight?
Move it lower and further out, add a folded towel under it for height, or put two regular pillows side by side under the bump. If it still fails every night, it is time for support that stays joined to your back support.
Where the Relvay 3-Piece pillow fits in
The Relvay 3-Piece is the two-wedge set from Cora's story. It is not a twin-specific pillow and it does not wrap your whole body. Its bump wedge is about 4 inches at its thickest, so later in a twin pregnancy you may want a folded towel under it for extra height. What it does well is hold the bump and the back together, on your half of the bed, with an easy way out for night trips.
1. The bump wedgeA crescent-shaped wedge that tucks under your bump, thin edge toward your belly button, so the weight is not pulling on your back.
2. The back wedgeThe same shape, snug against your lower back so it has something to rest against.
3. The strap and small cushionA flat strap runs under you and joins the two wedges, so they stay together instead of drifting apart. A small oval cushion sits on the strap between them. You can set the distance as the bump grows.
Each wedge is about 17 by 13 inches and about 4 inches thick at its outer edge, tapering thinner toward your body (supplier measurement). Opened out, the set is roughly as wide as your torso, so it stays on your half of the bed and you keep your normal head pillow. Soft ribbed pink fabric on top, white sides. It is small enough to pack for a trip.
What it does not do: it does not go between your knees. Keep a regular pillow there, the way the NHS suggests. That combination covers all three points without a giant pillow.
Probably not for you if
- Regular pillows still hold your bump and you sleep well.
- You want one pillow that wraps your head, bump and knees.
- You do not want to add a towel for height as the bump grows.
Made for you if
- Your bump pillow drifts or falls short every night.
- You get up often and want to slip out of bed easily.
- You share a full or queen bed.
Try it for 90 nights
Sleep on it through the weeks that matter. If it is not right for you, email us within 90 days of delivery and send it back for a refund. Return shipping is on you unless it arrived faulty.
$79.99
90-day money-back guarantee · Free US shipping over $70 · 3 pieces, one set
Check price and availabilityCora's story is a composite based on real reviews and public posts from pregnant side sleepers. Names and details are changed.
