Changes in Sleep and Sleep Electroencephalogram During Pregnancy

Brunner, Daniel P.; Münch, Magdalena; Biedermann, K; Huch, R.; Huch, A.; Borbély, Alexander A.

doi:10.1093/sleep/17.7.576

Cited by 164 publications

(79 citation statements)

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“…15 Snoring and sleep apnea are correlated with higher body mass index (BMI) before pregnancy. 16 Objective polysomnography studies also confirm changes in sleep quality during pregnancy 17 that worsen with its advancement. 18 In the third trimester of pregnancy, the total sleep BRIEF SUMMARY Current Knowledge/Study Rationale: Insomnia in pregnancy is often explained by physiological changes in the mother's body.…”

Section: Introductionmentioning

confidence: 91%

Insomnia in Pregnancy Is Associated With Depressive Symptoms and Eating at Night

Wołyńczyk-Gmaj

Różańska-Walędziak

Ziemka

et al. 2017

Journal of Clinical Sleep Medicine

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Study Objectives: Deterioration in sleep quality seems to be a natural consequence of physical changes during pregnancy. It is still unclear if insomnia in pregnancy is associated with the same factors as chronic insomnia in the general population. The aim of this study was to explore the determinants of insomnia during pregnancy. Methods: The study included 266 women (mean age: 30.6 ± 5 years, weeks of pregnancy: 36 [interquartile range 32-38]) recruited at the Department of Gynecology and Obstetrics, Medical University of Warsaw. The assessment of variables was performed using the Athens Insomnia Scale (AIS), Beck Depression Inventory (BDI), Regestein Hyperarousal Scale (HS), Epworth Sleepiness Scale (ESS), General Practice Physical Activity Questionnaire, and a semi-structured interview about different sleep disorders. Results: Almost 40% of the women in our study received a diagnosis of insomnia based on AIS cutoff scores. The between-group analyses indicated that HS score, BDI score, eating at night, legs tingling, nightmares, snoring, and myoclonus differentiated the groups of individuals with insomnia from those without insomnia. Other variables were not significantly different between the groups. We divided individuals with insomnia in terms of insomnia duration: 49% developed insomnia at least 1 year before the study onset and 39.6% during pregnancy. For further analyses we used only the women in whom insomnia developed during pregnancy. Logistic regression confirmed that depressive symptoms (BDI) and eating at night were significant predictors of insomnia in pregnancy. Conclusions: Depressive symptoms and night eating are key factors related to insomnia developed during pregnancy.

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Section: Introductionmentioning

confidence: 91%

Insomnia in Pregnancy Is Associated With Depressive Symptoms and Eating at Night

Wołyńczyk-Gmaj

Różańska-Walędziak

Ziemka

et al. 2017

Journal of Clinical Sleep Medicine

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“…[39][40][41] We also included pregnancy week as a potential correlate because a consistent body of literature documents increases in sleep complaints during the third trimester. 25,[42][43][44] We have tested the hypotheses that each of these variables will predict clinically significant insomnia among pregnant Latinas and explored potential interactions using receiver operator characteristic (ROC) analysis.…”

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confidence: 99%

Factors Associated with Clinically Significant Insomnia Among Pregnant Low-Income Latinas

Manber

Steidtmann

Chambers

et al. 2013

Journal of Women's Health

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Background: Poor sleep, common during pregnancy, is associated with negative health risks. The study aimed to identify predictors of clinically significant insomnia among pregnant Latinas. Methods: A total of 1289 pregnant Latinas recruited from obstetric clinics completed the Insomnia Severity Index (ISI) and questions about demographics and sleep. Results: Clinically significant insomnia (ISI ‡ 10) was present among 17% of participants. Significant correlates of clinically significant insomnia were higher scores on the Edinburgh Postnatal Depression Scale (EPDS) after removing the sleep item (47% of women with EPDS ‡ 9 and 9% with EPDS < 9), completing measures in English (rather than Spanish: 26% versus 13%), and income but not pregnancy week, age, highest education level, or marital status. The highest percentage of clinically significant insomnia (59%) was experienced by women with EPDS ‡ 9 who completed measures in English. The lowest percentage of clinically significant insomnia (6.2%) was experienced by women with EPDS < 9 who completed measures in Spanish. Conclusions: In this sample of low-income, mostly Spanish-speaking pregnant Latinas, rates of clinically significant insomnia appear to be higher than rates among nonpregnant Latinas. Rates of clinically significant insomnia are particularly high among Latinas with elevated depressive symptom severity, a known risk for insomnia. Acculturation, as indicated by completing measures in English, may be another risk specific to Latinas, possibly owing to loss of some ethnicity-specific protective factors (e.g., social support, strong family ties, and group identity). It will be important to directly test this explanation in future research.

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“…Three major protective factors counteract the before mentioned negative ones: maternal postural changes to lateral position, reduced REM sleep [13] which usually enhances apneas, and the rightward shift of the oxy-hemoglobin dissociation curve allowing placental oxygen delivery despite the low maternal reserves.…”

Section: Physiopathogenetic Mechanism Of Sdb In Pregnant Womenmentioning

confidence: 99%

Sleep-disordered breathing in pregnancy

Silvestri

Aricò

2013

Curr Respir Care Rep

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Sleep-disordered breathing (SDB) during pregnancy has recently gained medical interest due to its consequences on maternal health and fetal outcome. In fact, although epidemiologic data are still scanty, several reports indicate that snoring and obstructive sleep apnea (OSA) during pregnancy are commonly associated with maternal hypertension, morbidly increased body mass index (BMI), diabetes mellitus and, at child birth, are correlated with an increased percentage of C-sections, preterm births with in-

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Changes in Sleep and Sleep Electroencephalogram During Pregnancy

Cited by 164 publications

References 0 publications

Insomnia in Pregnancy Is Associated With Depressive Symptoms and Eating at Night

Insomnia in Pregnancy Is Associated With Depressive Symptoms and Eating at Night

Factors Associated with Clinically Significant Insomnia Among Pregnant Low-Income Latinas

Sleep-disordered breathing in pregnancy

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