DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20183825

A study on assessment of sleep quality in south Indian pregnant women

Lalitha Venugopal, Priyadharsini Rajendran, Parghavi V.

Abstract


Background: Sleep disturbances are common during pregnancy. The risk of sleep disturbances is estimated to be two times higher in the later part of pregnancy compared to the early trimester. Thus, the present study was planned to assess the sleep quality in different trimesters of South Indian pregnant women.

Methods: This was a descriptive cross-sectional questionnaire-based study. A total of 90 healthy pregnant women with a mean age of 25 years were recruited and sleep quality was assessed using a standardized PSQI questionnaire. Mean global PSQI score of ≥5 is suggestive of poor sleep quality. A p value <0.05 was considered statistically significant.

Results: Subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medications and daytime medication were found to be significantly higher in the second and third trimester (p<0.0001) pregnant women. Mean global PSQI score was ≥5 in the third trimester pregnant women.

Conclusions: The present study shows that the sleep quality is disturbed during pregnancy and it is more in the third trimester of pregnancy. Pregnant women should be aware of the effects of sleep deprivation and adverse outcomes related to it. Thus, proper identification of sleep disturbances and a good awareness on the cumulative effects of the risk factors associated with sleep deprivation during pregnancy will help the physicians to manage and prevent the adverse maternal and fetal outcomes.


Keywords


PSQI, Pregnancy, Sleep quality, South India, Women

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References


Won CH. Sleeping for two: the great paradox of sleep in pregnancy. J Clin Sleep Med. 2015;11(6):593.

Sut HK, Asci O, Topac N. Sleep quality and health-related quality of life in pregnancy. J Perinat Neonatal Nurs. 2016;34(4):302-9.

Chang JJ, Pien GW, Duntley SP, Macones GA. Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship? Sleep Med Rev. 2010;14(2):107-14.

Ko SH, Chang SC, Chen CH. A comparative study of sleep quality between pregnant and nonpregnant Taiwanese women. J Nursing Scholarship. 2010 Mar;42(1):23-30.

O’Brien LM. Sleep disruption and adverse pregnancy outcomes. BMC Pregnancy Childbirth. 2012;12(Suppl 1):A11.

Bei B, Coo S, Trinder J. Sleep and Mood During Pregnancy and the Postpartum Period. Sleep Med Clin. 2015;10(1):25-33.

National sleep foundation. Women and sleep. Available from: https://sleepfoundation.org/sleep-topics/women-and-sleep. Cited on August 2018.

Kloss JD, Perlis ML, Zamzow JA, Culnan EJ, Gracia CR. Sleep, sleep disturbance, and fertility in women. Sleep Med Rev. 2015;22:78-87.

Xu X, Liu D, Zhang Z, Sharma M, Zhao Y. Sleep duration and quality in pregnant women: A cross-sectional survey in China. International J environmental research and public health. 2017 Jul 20;14(7):817.

Lee KA, Gay CL. Sleep in late pregnancy predicts length of labor and type of delivery. Am J Obstet Gynecol. 2004;191(6):2041-6.

Manzar MD, Moiz JA, Zannat W, Spence DW, Pandi-Perumal SR, Ahmed S. BaHammam, et al. Validity of the Pittsburgh Sleep Quality Index in Indian University Students. Oman Med J. 2015;30(3):193-202.

Panda S, Taly AB, Sinha S, Gururaj G, Girish N, Nagaraja D. Sleep-related disorders among a healthy population in South India. Neurol India. 2012;60(1):68-74.

Hedman C, Pohjasvaara T, Tolonen U, Suhonen-Malm AS, Myllylä VV. Effects of pregnancy on mothers’ sleep. Sleep Med. 2002;3(1):37-42.

Ölmez S, Keten HS, Kardaş S, Avcı F, Dalgacı AF, Serin S, et al. Factors affecting general sleep pattern and quality of sleep in pregnant women. Turk J Obstet Gynecol. 2015;12(1):1-5.

Pires GN, Andersen ML, Giovenardi M, Tufik S. Sleep impairment during pregnancy: Possible implications on mother-infant relationship. Med Hypotheses. 2010;75(6):578-82.

Rezaei E, Moghadam ZB, Saraylu K. Quality of life in pregnant women with sleep disorder. J Fam Reprod Health. 2013;7(2):87-93.

Sedov I, Cameron E, Madigan S, Tomfohr L. Sleep quality during pregnancy: A meta-analysis. Sleep Med Rev. 2017;38.

Wilson DL, Barnes M, Ellett L, Permezel M, Jackson M, Crowe SF. Decreased sleep efficiency, increased wake after sleep onset and increased cortical arousals in late pregnancy. Aust N Z J Obstet Gynaecol. 2011;51(1):38-46.

Mindell JA, Cook RA, Nikolovski J. Sleep patterns and sleep disturbances across pregnancy. Sleep Med. 2015;16(4):483-8.

Hung HM, Tsai PS, Ko SH, Chen CH. Patterns and predictors of sleep quality in Taiwanese pregnant women. MCN Am J Matern Child Nur. 2013;38(2):95-101.

Wilson DL, Barnes M, Ellett L, Permezel M, Jackson M, Crowe SF. Decreased sleep efficiency, increased wake after sleep onset and increased cortical arousals in late pregnancy. Aust N Z J Obstet Gynaecol. 2011;51(1):38-46.