Prevalence of abnormal sleep duration and excessive daytime sleepiness in pregnancy and the role of socio-demographic factors: comparing pregnant women with women in the general population

Signal, T. Leigh; Paine, Sarah‐Jane; Sweeney, Bronwyn; Priston, Monique; Muller, Diane; Smith, Alexander; Lee, Kathryn A.; Huthwaite, Mark; Reid, Papaarangi; Gander, Philippa H.

doi:10.1016/j.sleep.2014.07.007

Cited by 45 publications

(30 citation statements)

References 24 publications

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“…We reported a similar proportion of individuals in the short sleep trajectory group as that published for the general Canadian adult population using the same trajectory method (Gilmour et al, 2013). However, we reported a higher proportion of pregnant women in the long-increasing group, consistent with the prevalence observed by others (Signal et al, 2014). Increasing sleep during pregnancy may be a physiological mechanism to conserve energy or compensate for expected sleep troubles due to hormonal and physical changes (O'Keeffe & St-Onge, 2012).…”

Section: Discussionsupporting

confidence: 91%

Sleep Trajectories Among Pregnant Women and the Impact on Outcomes: A Population-Based Cohort Study

Plancoulaine

Flori

Bat-Pitault

et al. 2017

Matern Child Health J

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Objectives Sleep problems and deprivation are common during pregnancy, particularly in the third trimester. Previous studies are mostly descriptive or focused on specific clinical groups and late pregnancy. We aimed to identify sleep duration trajectories during the pregnancy period, their associated factors, and impact on pregnancy and birth outcomes. Methods We studied 200 women from a mother-child cohort recruited in 2009-2011 from the French general population. We used semi-parametric models to analyze data collected through questionnaires. Results We detected three sleep duration trajectories during pregnancy: short-decreasing (<6.5h/night, 10.8% of the sample), medium-decreasing (6.5-8h/night, 57.6%), and long-increasing (>8h/night, 31.6%) trajectories. Factors associated with the short-decreasing trajectory relative to the medium-decreasing trajectory were older age (odds-ratio/year = 1.13 [95%Confidence-Interval 1.00-1.29]) and working > 28 weeks of gestational age (odds-ratio = 0.30 [0.10-0.90]). Sleep duration during pregnancy in this trajectory group was modified by insomniac symptoms (regression coefficient/trimester = -0.74 [Standard-Error 0.12]) and naps (regression coefficient/trimester = 0.58 [0.25]). Restless legs syndrome was the only factor associated with the long-increasing trajectory and decreased sleep duration (regression coefficient/trimester = -0.88 [0.25]). Assisted delivery (i.e. cesarean section and/or instrumental delivery) and post-partum depression were more frequent among women with the short-decreasing and long-increasing trajectories whereas cesarean section alone was more prevalent among those with the short-decreasing trajectory. Proportion of premature births was higher in the short-decreasing trajectory group. Birth-weight-z-score was lower in the long-increasing trajectory group. Conclusion We identified sleep trajectories among pregnant women with specific risk factors that could affect both pregnancy and birth outcomes. Taking these into consideration could improve both maternal and child health.

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Section: Discussionsupporting

confidence: 91%

Sleep Trajectories Among Pregnant Women and the Impact on Outcomes: A Population-Based Cohort Study

Plancoulaine

Flori

Bat-Pitault

et al. 2017

Matern Child Health J

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“…Future studies need to address the causes behind this phenomenon. Unemployment was associated with excessive sleep duration, and this result is consistent with an international literature about both pregnant women and women in the general population [ 40 ]. In the current study, 24% pregnant women were unemployed, and this value is more prevalent in China.…”

Section: Discussionsupporting

confidence: 90%

Sleep Duration and Quality in Pregnant Women: A Cross-Sectional Survey in China

Liu

Zhang

et al. 2017

IJERPH

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Objectives: Good maternal health and fetal development require sufficient and good quality of sleep during pregnancy. This study investigated sleep duration and quality in pregnant women, assessing factors with possibly influence on sleep. Method: A cross-sectional survey was conducted on pregnant women between June and August in 2015 in 16 hospitals in five provinces in China. A total of 2345 pregnant women aged 18 years and older were surveyed. Insufficient sleeping duration was defined as sleeping of less than 7 h per day. Excessive sleep duration was defined as sleeping of more than 9 h per day. Results: A total of 561 (23.9%) participants reported insufficient sleeping duration, whereas 485 (20.9%) claimed excessive sleep duration. A total of 358 (15.2%) of pregnant women reported problems regarding sleep quality. Compared to pregnant women with sufficient sleeping duration, those with insufficient sleeping duration were prone to have poor sleep quality, whereas those with excessive sleeping duration featured low possibility of poor sleep quality. High-risk groups of insufficient sleep duration include women of Han nationality, with siblings, in their first trimester of pregnancy, receiving care in low-capacity/quality hospital settings, and with daily or 1–3 days of secondhand smoke exposure. High-risk groups of excessive sleep duration include women living in rural areas, unemployed, in their third trimester of pregnancy, and receiving care in medium-capacity/quality hospital settings. High-risk groups of poor sleep quality include women of non-Han nationality, low income level, in their third trimester of pregnancy, and with insufficient sleep duration. Conclusions: Insufficient/excessive sleep duration and poor sleep quality commonly occur during pregnancy in China. Findings provide a better understanding of the influencing factors of insufficient/excessive sleep duration and poor quality of sleep. These findings have some implications for future interventions on sleep among pregnant women.

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“…In support of these findings, the present study also found that self‐reported suboptimum sleep quality, either moderate or poor, was associated with an increased risk of gestational diabetes in pregnant Chinese women, in addition to sleep duration. In the majority of studies, sleep disturbance and gestational diabetes were associated with poor socio‐economic status , which could confound the risk association of gestational diabetes with sleep disturbance. In the present study, the risk association of gestational diabetes with sleep duration and quality remained significant after adjustment for household income, education attainment and occupation.…”

Section: Discussionmentioning

confidence: 99%

Sleep duration and quality, and risk of gestational diabetes mellitus in pregnant Chinese women

Wang

Leng

et al. 2016

Diabet. Med.

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Prevalence of abnormal sleep duration and excessive daytime sleepiness in pregnancy and the role of socio-demographic factors: comparing pregnant women with women in the general population

Cited by 45 publications

References 24 publications

Sleep Trajectories Among Pregnant Women and the Impact on Outcomes: A Population-Based Cohort Study

Sleep Trajectories Among Pregnant Women and the Impact on Outcomes: A Population-Based Cohort Study

Sleep Duration and Quality in Pregnant Women: A Cross-Sectional Survey in China

Sleep duration and quality, and risk of gestational diabetes mellitus in pregnant Chinese women

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