Daytime Napping and Nighttime Sleep During Pregnancy and Preterm Birth in Iran
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Objectives: This study investigated the relationship between sleep quality during pregnancy and preterm birth. Methods: This longitudinal study was conducted between August 2018 and May 2019. The participants were 150 pregnant women who had been referred to 7 healthcare centers in the city of Qazvin, Iran and met the inclusion criteria. The Petersburg Sleep Quality Index, the Epworth Sleepiness Scale, and 2 questions about daytime sleep status and a demographic questionnaire were administered at 14-18 weeks and 28-32 weeks of gestation. Data were analyzed using the Mann-Whitney test, the Fisher exact test, and univariate and multivariable logistic regression. Results: In the present study, poor sleep quality affected 84.7% of the participants at 14-18 weeks and 93.3% at 28-32 weeks of gestation. The final model for preterm birth prediction incorporated age and the Petersburg Sleep Quality Index score in the second and third trimesters. Preterm birth increased by 14% with each unit increase in age. With each unit increase in the Petersburg Sleep Quality Index score in the second and third trimesters, preterm birth increased by 42% and 28%, respectively, but the p-values of these factors were not significant. Conclusions: Although a significant percentage of pregnant women had poor sleep quality, no significant relationship was found between sleep quality during pregnancy and preterm birth.
Abstract
Objectives: This study investigated the relationship between sleep quality during pregnancy and preterm birth. Methods: This longitudinal study was conducted between August 2018 and May 2019. The participants were 150 pregnant women who had been referred to 7 healthcare centers in the city of Qazvin, Iran and met the inclusion criteria. The Petersburg Sleep Quality Index, the Epworth Sleepiness Scale, and 2 questions about daytime sleep status and a demographic questionnaire were administered at 14-18 weeks and 28-32 weeks of gestation. Data were analyzed using the Mann-Whitney test, the Fisher exact test, and univariate and multivariable logistic regression. Results: In the present study, poor sleep quality affected 84.7% of the participants at 14-18 weeks and 93.3% at 28-32 weeks of gestation. The final model for preterm birth prediction incorporated age and the Petersburg Sleep Quality Index score in the second and third trimesters. Preterm birth increased by 14% with each unit increase in age. With each unit increase in the Petersburg Sleep Quality Index score in the second and third trimesters, preterm birth increased by 42% and 28%, respectively, but the p-values of these factors were not significant. Conclusions: Although a significant percentage of pregnant women had poor sleep quality, no significant relationship was found between sleep quality during pregnancy and preterm birth.
참고문헌 (37)
- Manuck TA, "Preterm neonatal morbidity and mortality by gestational age : a contemporary cohort", Am J Obstet Gynecol, 215(1), pp.103.e1~103.e14 (2016)
- Purisch SE, "Epidemiology of preterm birth", Semin Perinatol, 41(7), pp.387~391 (2017)
- Martin JA, "Births : final data for 2017", Natl Vital Stat Rep, 67(8), pp.1~50 (2018)
- "Born too soon: the global action report on preterm birth" (2012)[URL]
- Beck S, "The worldwide incidence of preterm birth : a systematic review of maternal mortality and morbidity", Bull World Health Organ, 88(1), pp.31~38 (2010)
- Sharifi N, "Investigating the prevalence of preterm birth in Iranian population : a systematic review and meta-analysis", J Caring Sci, 6(4), pp.371~380 (2017)
- de Freitas AS, "Defining microbial biomarkers for risk of preterm labor", Braz J Microbiol, 51, pp.151~159 (2020)
- Chaitanya Tellapragada, "Risk Factors for Preterm Birth and Low Birth Weight Among Pregnant Indian Women: A Hospital-based Prospective Study", 예방의학회지, 49(3), pp.165~175 (2016), 대한예방의학회
- Leal MD, "Prevalence and risk factors related to preterm birth in Brazil", Reprod Health, 13(Suppl 3), pp.127~ (2016)
- Shoja M, "Prevalence and affecting factors on preterm birth in pregnant women referred to Bentolhoda hospital-Bojnurd", J North Khorasan Univ Med Sci, 7(4), pp.855~863 (2015)
- Mehraban Z, "Surveying the relationship between sleep apnea and preterm birth in women referring to health centers of Ardabil", Urmia Med J, 26(11), pp.931~940 (2016)
- Gupta R, "Restless legs syndrome and pregnancy: prevalence, possible pathophysiological mechanisms and treatment", Acta Neurol Scand, 133(5), pp.320~329 (2016)
- Kocsis I, "Effect of a gymnastics program on sleep characteristics in pregnant women", Taiwan J Obstet Gynecol, 56(2), pp.204~209 (2017)
- Meharaban Z, "Restless legs syndrome during pregnancy and preterm birth in women referred to health centers of Ardabil", Iran Red Crescent Med J, 17(12), pp.e24438~ (2015)
- Hung HM, "The association between prenatal sleep quality and obstetric outcome", J Nurs Res, 22(3), pp.147~154 (2014)
- Hutchison BL, "A postal survey of maternal sleep in late pregnancy", BMC Pregnancy Childbirth, 12, pp.144~ (2012)
- Mindell JA, "Sleep patterns and sleep disturbances across pregnancy", Sleep Med, 16(4), pp.483~488 (2015)
- Abdullahzadeh M, "The effect of matricaria chamomilla on sleep quality of elderly people admitted to nursing homes", Iran J Nurs, 27(89), pp.69~79 (2014)
- Ram S, "Prevalence and impact of sleep disorders and sleep habits in the United States", Sleep Breath, 14(1), pp.63~70 (2010)
- Zhang J, "Subjective sleep quality in perimenopausal women and its related factors", J Nanjing Med Univ, 21(2), pp.116~119 (2007)
- Nodine PM, "Common sleep disorders : management strategies and pregnancy outcomes", J Midwifery Womens Health, 58(4), pp.368~377 (2013)
- Chang JJ, "Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship?", Sleep Med Rev, 14(2), pp.107~114 (2010)
- Gunduz S, "Sleep deprivation in the last trimester of pregnancy and inadequate vitamin D: is there a relationship?", J Chin Med Assoc, 79(1), pp.34~38 (2016)
- Malekzadegan A, "Effect of relaxation on insomnia during third trimester among pregnant women", Iran J Nurs, 23(64), pp.52~58 (2010)
- Najar S, "The relationship between sleep disorders during pregnancy and premature labor and low birth weight", Iran J Obstet Gynecol Infertil, 20(7), pp.44~49 (2017)
- Felder JN, "Sleep disorder diagnosis during pregnancy and risk of preterm birth", Obstet Gynecol, 130(3), pp.573~581 (2017)
- Li R, "Sleep disturbances during pregnancy are associated with cesarean delivery and preterm birth", J Matern Fetal Neonatal Med, 30(6), pp.733~738 (2017)
- Ota H, "Effect of sleep disorders on threatened premature delivery", J Perinat Med, 45(1), pp.57~61 (2017)
- Dolatian M, "The effect of impaired sleep on preterm labour", West Indian Med J, 63(1), pp.62~67 (2014)
- Tomfohr-Madsen L, "Pregnancy anxiety and preterm birth : the moderating role of sleep", Health Psychol, 38(11), pp.1025~1035 (2019)
- Seyedahmadinejad FS, "Investigation of sleep quality during the third trimester of pregnancy and some related factors in primigravida women referred to health care centers in Mashhad-2014", Avicenna J Nurs Midwifery Care, 22(4), pp.53~60 (2014)
- Afkham Ebrahimi A, "Sleep parameters and the factors affecting the quality of sleep in patients attending selected clinics of Rasoul-e-Akram hospital", Razi J Med Sci, 15, pp.31~38 (2008)
- Okun ML, "Disturbed sleep and inflammatory cytokines in depressed and nondepressed pregnant women : an exploratory analysis of pregnancy outcomes", Psychosom Med, 75(7), pp.670~681 (2013)
- Sedov ID, "Sleep quality during pregnancy : a meta-analysis", Sleep Med Rev, 38, pp.168~176 (2018)
- Loube DI, "Self-reported snoring in pregnancy. Association with fetal outcome", Chest, 109(4), pp.885~889 (1996)
- Beebe KR, "Sleep disturbance in late pregnancy and early labor", J Perinat Neonatal Nurs, 21(2), pp.103~108 (2007)
- Tsai SY, "Reduced sleep duration and daytime naps in pregnant women in Taiwan", Nurs Res, 62(2), pp.99~105 (2013)