Relationship between Fatigue, Sleep Disturbance, and Gestational Stress among Pregnant Women in the Late Stages

Abstract

The objective of this study was to investigate the relationship between fatigue, sleep disturbance, and gestational stress in women during late stage of pregnancy. Methods: This study was conducted with 113 healthy pregnant women at gestational age greater than 27 weeks who were registered at community health centers and received prenatal care. A structured questionnaire regarding fatigue, sleep disturbance, and gestational stress was used. The data was analyzed using a t-test, an ANOVA, and Pearson correlation coefficients. Results: The subjects with unplanned pregnancies and irregular exercise patterns showed a higher level of fatigue than those with planned pregnancies and regular exercise patterns. Pregnant women with caffeine intake manifested higher levels of gestational stress and sleep disturbance than those without. The levels of sleep disturbance and gestational stress increased as the fatigue levels increased. The fatigue levels increased with increased levels of sleep disturbance. Conclusion: Planned pregnancy, regular exercise patterns, and caffeine intake were related with fatigue, sleep disturbance, and gestational stress in women during late stages of pregnancy. Fatigue, sleep disturbance, and gestational stress had close associations to each other. In the future, such results should guide development of nursing intervention programs for women in late stages of pregnancy.

Poor sleep quality and associated factors among pregnant women on antenatal care follow up at Nekemte Referral Hospital and Wollega University Hospital, Nekemte, Ethiopia, 2019: a cross-sectional study

“…This finding showed a similar prevalence to the results of other studies conducted among pregnant women in Turkey (61%) (Abiola et al 2013) and in Chicago (64%) (Brown et al 2002). However, the result of the present study was higher than studies conducted in China (15.2%) (Buysse et al 1989), India (24.4%) (Chang et al 2010), Vietnam (41.2%) (Chung et al 2014) and Canada (45.7%) (Da Costa et al 2010) and it is lower than studies conducted in Iran (88.5%, 87.2%, 75.26%) (Ejeta et al 2015;Huong 2019;Huong and Thuy 2018)and Turkey 86% (JAHDI et al 2013). The possible reason might be the difference in characteristics of the study population, such that only healthy individuals were involved from Vietnam and India, and only thirdtrimester pregnant women participated from Iran (Ejeta et al 2015).…”

“…Total scores range from 0 to 52, with a higher score (> 16) representing poor sleep hygiene (Chang et al 2010). Social support was measured using the Oslo 3 item social support scale (OSS-3), which is a poor social support-a score of "3-8", an intermediate social support-a score of "9-11", and strong social support-a score of "12-14" (Chung et al 2014).…”

“…Pregnancy is a process that creates significant anatomical, physiological, and biochemical changes in a woman's life (Chung et al 2014). In this period, pregnant women need adequate sleep for the normal growth and development of the fetus.…”

Depression remains a neglected public health problem among pregnant women in Northwest Ethiopia

“…The prevalence of depression may be influenced by the time point in which symptoms of depression during pregnancy were assessed [ 79 ]. In studies such as those in South Africa and Korea recruitment of women at a later stage of pregnancy may lead to the expected burden of delivery and child-rearing might cause a higher rate of depression [ 80 ]. Besides this geographic, economic and cultural variations might also contribute to the differences.…”

Mediating Effect of Ego-Resiliency in the Relationship between Growth Mindset and Pregnancy Stress

“…같은 출생 시 문제를 일으킬 수 있고 산 (Chung et al, 2014), 후 우울 임신성 고혈압 및 체중증가 와 같이 임산 , (Kim, 2009) 부의 출산 후 건강에까지도 지속적인 영향을 미친다 또한 임 .…”