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FWIW, my midwife was very firm that if there was going to be a problem from sleeping on my back my body would move on it's own, or I would wake up LONG before there was any potential damage to the baby, and eventually I would just be too uncomfortable on my back to sleep that way. (True story. Late in my pregnancy I was very uncomfortable even for my checkups).

Do you have a pregnancy pillow? Mine came in handy, especially as my bump got bigger. Or even just regular pillows...I'd have one propping up my belly, one between my knees and one up behind my back. I rarely slept completely on my side, but leaning back on the back pillow, sort of halfway between side and back sleeping. Usually on my left side, but I had to switch back and forth a lot, especially late in my pregnancy.

I feel you. I had a rough few weeks before I figured this out. What finally worked for me was an extra pillow under my head, a body pillow between my legs/to hug to help keep me on my side, and a 4" memory foam mattress topper. The topper was really the best piece of the puzzle. Before I got that, I was waking up every hour or so because my shoulders and hips would ache so bad from laying on my side (I'm a life long stomach sleeper). Now I generally only wake up 1-2 times/night to flip myself over to the other side. Also in the morning sometimes if I wake up like 1 hr before I'm going to get up I'll just sleep on my back. I find that most comfortable too and my doc assured me that short periods of time like that are really no problem. I wouldn't plan to sleep all night like that, but sometimes that last hour of sleep is just awesome…

ETA: also! Sometimes if I really can't get comfortable on either side I'll put the body pillow behind my back and flop back on it with one hip still on the mattress, so I am sort of at a 45 degree angle. I figure that isn't REALLY sleeping on my back since I'm tilted, and sometimes it is more comfortable than straight up on my side.

I'm not there yet, so I don't have any real advice. But if your back is most comfortable, maybe invest in a wedge to prop you up a bit, without the uncomfortable-ness of the double pillow.

@anandam: I slept with it under the pillow beneath my head (still do) either directly under my head or a few inches forward.

Towards the end I had a love hate relationship with the snoogle . It was the only way to get comfortable and provide support to the belly.

I sleep on my sides with a body pillow tucked between my legs and propping my belly.

I fall asleep on my left side, but often end up on my back. A pregnancy pillow has definitely helped. I got a cheaper BRU version of the snuggle. I read somewhere you get the best circulation sleeping on your left side, so I do that and point my humidifier at my face.

I have been having issues with my left arm falling asleep/feeling tingly at night and throughout the day. My OB said it is likely carpal tunnel causing that issue more so than sleeping on it, so I started sleeping with a wrist brace. It has helped, but I do adjust my arm a lot to make sure it doesn't fall asleep. I lay with my left arm under my pillow or straight out.

I slept on my back pretty much the whole pregnancy. I would make valiant effort to sleep on my side, but after I fall asleep asleep, I find myself waking up on my back. My OB said it was fine, and that my body would wake me up should there be an issue. DS didn't like me sleeping on one side either, which he proved during labor with his heart decels if I laid on my left side!