For some couples, sleeping back-to-back can actually show trust and security. They may feel emotionally close without needing constant physical contact during the night.
If the change is sudden and comes with less affection, frequent arguments, emotional distance, or avoidance during the day, it may be worth talking openly about how both partners are feeling.
Sleep position alone cannot reveal the health of a relationship. Communication, trust, affection, and how you treat each other while awake are much more meaningful signs of emotional connection.