The Relation between Prenatal Concerns and Sleep Quality of Pregnant Women in Triple Trimesters

Soleimani, Zahra; Nourmohammadi, Mansoor; Hashemi, Neda; Aghaei, Maryam

doi:10.30699/jogcr.8.1.41

Document Type : Original Research Article

Authors

¹ Department of Obstetrics and Gynecology, Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

² Baqiyatallah University of Medical Sciences, Tehran, Iran

³ Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran

⁴ Department of Obstetrics and Gynecology, Baqiyatallah University of Medical Sciences, Tehran, Iran

https://doi.org/10.30699/jogcr.8.1.41

Abstract

Background & Objective: Considering the importance of good sleep quality during pregnancy and the adverse effects of poor sleep quality on mother before and after childbirth and also its adverse effects on the fetus and newborn, identifying the related factors to sleep disturbance is important. Therefore, this study was conducted to evaluate the relationship between prenatal and sleep quality in pregnant women.
Materials & Methods: The present cross-sectional study was done on 150 pregnant women who were referred to Baqiyatallah Hospital, Tehran, Iran. Convenience sampling method was used for choosing participants. Pittsburgh Sleep Quality Index (PSQI) and Prenatal Distress Questionnaire (PDQ) were used for gathering information.
Results: The prevalence rates of poor sleep quality in first, second and third trimesters were 36%, 54% and 62%, respectively. In all three trimesters, the newborn health parameter had the highest score and relationship score had the lowest score. There was a statistically significant relationship between prenatal concerns and sleep quality of pregnant women in all three trimesters of pregnancy (P<0.05).
Conclusion: We found the significant relationship between pregnancy concerns and sleep quality of pregnant women in all three trimesters of pregnancy, and this finding indicates the direct effect of pregnancy concerns on sleep quality during pregnancy. Therefore, it is necessary to plan and perform the necessary interventions to minimize the concerns of pregnant women.

Highlights

✅ We found the significant relationship between pregnancy concerns and sleep quality of pregnant women in all three trimesters of pregnancy, and this finding indicates the direct effect of pregnancy concerns on sleep quality during pregnancy. Therefore, it is necessary to plan and perform the necessary interventions to minimize the concerns of pregnant women.

Keywords

Main Subjects

Obstetrics and Gynecology

References

1. Bödecs T, Horváth B, Szilágyi E, Gonda X, Rihmer Z, Sándor J. Effects of depression, anxiety, self-esteem, and health behaviour on neonatal outcomes in a population-based Hungarian sample. Eur J Obstet Gynecol Reproduct Biol. 2011;154(1):45-50. [DOI:10.1016/j.ejogrb.2010.08.021] [PMID]

2. Okun ML, Coussons-Read ME. Sleep disruption during pregnancy: how does it influence serum cytokines? J reprod immunol. 2007;73(2):158-65. [DOI:10.1016/j.jri.2006.06.006] [PMID]

3. Neau J-P, Texier B, Ingrand P. Sleep and vigilance disorders in pregnancy. Eur Neurol. 2009;62(1):23-9. [DOI:10.1159/000215877] [PMID]

4. Mindell JA, Cook RA, Nikolovski J. Sleep patterns and sleep disturbances across pregnancy. Sleep Med. 2015;16(4):483-8. [DOI:10.1016/j.sleep.2014.12.006] [PMID]

5. Learthart S. Health effects of internal rotation of shifts. Nur Stand. 2000;14(47):34. [DOI:10.7748/ns2000.08.14.47.34.c2895] [PMID]

6. Leproult R, Copinschi G, Buxton O, Van Cauter E. Sleep loss results in an elevation of cortisol levels the next evening. Sleep. 1997;20(10):865-70.

7. Reichner CA. Insomnia and sleep deficiency in pregnancy. Obst Med. 2015;8(4):168-71. [DOI:10.1177/1753495X15600572] [PMID] [PMCID]

8. Xu X, Liu D, Zhang Z, Sharma M, Zhao Y. Sleep duration and quality in pregnant women: A cross-sectional survey in China. Int J Environ Res Public Health. 2017;14(7):817. [DOI:10.3390/ijerph14070817] [PMID] [PMCID]

9. Huizink AC, Mulder EJ, de Medina PGR, Visser GH, Buitelaar JK. Is pregnancy anxiety a distinctive syndrome? Early Human Develop. 2004;79(2):81-91. [DOI:10.1016/j.earlhumdev.2004.04.014] [PMID]

10. Lobel M, Cannella DL, Graham JE, DeVincent C, Schneider J, Meyer BA. Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health psychol. 2008;27(5):604. [DOI:10.1037/a0013242] [PMID]

11. Li G, Kong L, Zhou H, Kang X, Fang Y, Li P. Relationship between prenatal maternal stress and sleep quality in Chinese pregnant women: the mediation effect of resilience. Sleep Med. 2016;25:8-12. [DOI:10.1016/j.sleep.2016.02.015] [PMID]

12. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psych Res. 1989;28(2):193-213. [DOI:10.1016/0165-1781(89)90047-4] [PMID]

13. Malek M, Halvani G, Fallah H. A study of the relationship between the Pittsburgh sleep quality index and road accidents among truck drivers. Occupat Med Quart J. 2011;3(1):14-20.

14. Alderdice F, Lynn F. Factor structure of the prenatal distress questionnaire. Midwifery. 2011;27(4):553-9. [DOI:10.1016/j.midw.2010.05.003] [PMID]

15. Yousefi R. Psychometric properties of Persian version of prenatal distress questionnaire (PDQ). J Urmia Nur Midwifery Facul. 2015;13(3):215-25.

16. Naud K, Ouellet A, Brown C, Pasquier J-C, Moutquin J-M. Is sleep disturbed in pregnancy? J Obstet Gynaecol Can. 2010;32(1):28-34. [DOI:10.1016/S1701-2163(16)34400-0] [PMID]

17. Facco FL, Kramer J, Ho KH, Zee PC, Grobman WA. Sleep disturbances in pregnancy. Obstet Gynecol. 2010;115(1):77-83. [DOI:10.1097/AOG.0b013e3181c4f8ec] [PMID]

18. Yu Y, Li M, Pu L, Wang S, Wu J, Ruan L, et al. Sleep was associated with depression and anxiety status during pregnancy: a prospective longitudinal study. Arch wome's ment health. 2017;20(5):695-701. [DOI:10.1007/s00737-017-0754-5] [PMID]

19. Bublitz MH, Stroud LR. Maternal history of child abuse moderates the association between daily stress and diurnal cortisol in pregnancy: a pilot study. Stress. 2013;16(6):706-10. [DOI:10.3109/10253890.2013.825768] [PMID] [PMCID]

20. Buckley TM, Schatzberg AF. On the interactions of the hypothalamic-pituitary-adrenal (HPA) axis and sleep: normal HPA axis activity and circadian rhythm, exemplary sleep disorders. J Clin Endocrinol Metabol. 2005;90(5):3106-14. [DOI:10.1210/jc.2004-1056] [PMID]

21. Tham EK, Tan J, Chong Y-S, Kwek K, Saw S-M, Teoh O-H, et al. Associations between poor subjective prenatal sleep quality and postnatal depression and anxiety symptoms. J Affect Disord. 2016;202:91-4. [DOI:10.1016/j.jad.2016.05.028] [PMID]

Journal of Obstetrics, Gynecology and Cancer Research

The Relation between Prenatal Concerns and Sleep Quality of Pregnant Women in Triple Trimesters

References

References

Volume 8, Issue 1 - Serial Number 30
November and December 2022
Pages 41-46

The Relation between Prenatal Concerns and Sleep Quality of Pregnant Women in Triple Trimesters

References

References

Volume 8, Issue 1 - Serial Number 30November and December 2022Pages 41-46

Volume 8, Issue 1 - Serial Number 30
November and December 2022
Pages 41-46