Sleep Disorders in Pregnancy

Oyiengo, Dennis; Louis, Mariam; Hott, Beth; Bourjeily, Ghada

doi:10.1016/j.ccm.2014.06.012

Cited by 76 publications

(57 citation statements)

References 152 publications

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“…[6][7][8][9] The precise causes of insomnia are poorly understood, although available evidence suggests a combination of biological, psychological, and social determinants as causal factors. 2,3 Although insomnia can be the result of normal physiologic changes of pregnancy, 10 exposure to stressful life events or to less severe but more chronic daily struggles (e.g., occupational stress, marital discord) can serve as additional precipitating or exacerbating factors. 11,12 Individuals who are more prone to experience situational insomnia under stressful conditions may also be at greater risk for chronic insomnia.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Evaluation of the Ford Insomnia Response to Stress Test (FIRST) in Early Pregnancy

Gelaye

Barrios

et al. 2016

Journal of Clinical Sleep Medicine

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Study Objectives: To evaluate the construct validity and factor structure of the Spanish-language version of the Ford Insomnia Response to Stress Test questionnaire (FIRST-S) when used in early pregnancy. Methods: A cohort of 647 women were interviewed at ≤ 16 weeks of gestation to collect information regarding lifestyle, demographic, and sleep characteristics. The factorial structure of the FIRST-S was tested through exploratory and confirmatory factor analyses (EFA and CFA). Internal consistency and construct validity were also assessed by evaluating the association between the FIRST-S with symptoms of depression, anxiety, and sleep quality. Item response theory (IRT) analyses were conducted to complement classical test theory (CTT) analytic approaches. Results: The mean score of the FIRST-S was 13.8 (range: 9-33). The results of the EFA showed that the FIRST-S contained a one-factor solution that accounted for 69.8% of the variance. The FIRST-S items showed good internal consistency (Cronbach α = 0.81). CFA results corroborated the one-factor structure finding from the EFA; and yielded measures indicating goodness of fit (comparative fit index of 0.902) and accuracy (root mean square error of approximation of 0.057). The FIRST-S had good construct validity as demonstrated by statistically significant associations of FIRST-S scores with sleep quality, antepartum depression and anxiety symptoms. Finally, results from IRT analyses suggested excellent item infit and outfit measures. Conclusions: The FIRST-S was found to have good construct validity and internal consistency for assessing vulnerability to insomnia during early pregnancy.

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Section: Introductionmentioning

confidence: 99%

Psychometric Evaluation of the Ford Insomnia Response to Stress Test (FIRST) in Early Pregnancy

Gelaye

Barrios

et al. 2016

Journal of Clinical Sleep Medicine

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“…OSA may worsen in late pregnancy, coupled with the development of hypertension. 33 OSA is risk factor for development of preeclampsia. Nocturnal hypoxaemia may adversely affect the foetus, and poor foetal growth has been documented in these patients.…”

Section: Obstructive Sleep Apnoeamentioning

confidence: 99%

Respiratory diseases in pregnancy

Raghu¹,

Pulivarthi²

2015

J Clin Sci Res

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Pulmonary diseases are one of the major indirect causes of maternal deaths. Pregnancy is a unique physiologi-cal state during which changes occur in all systems of the body to meet metabolic needs of both the mother and growing foetus. Enlarging uterus and increasing hormonal levels cause changes in volumes and mechanics of lungs. Understanding the basic physiology of the cardiovascular and respiratory changes during pregnancy along with the pathology of disease processes are vital in making therapeutic decisions. Pre-existing conditions like asthma, tuberculosis, and acute illnesses like pneumonia, acute respiratory distress syndrome (ARDS), pneumothorax can have calamitous effect on mother and child health. Continual foetal monitoring throughout pregnancy is very important in early recognition of foetal jeopardy.

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“…The sleep cycle is also often disturbed due to nausea and vomiting and the emotional stress associated with pregnancy. 4,8,19 The urge to urinate occurs due to the increasing pressure on the bladder caused by the rapid development of the fetus within the uterus. The body's demand for proper sleep results in excessive daytime sleepiness.…”

Section: Physical and Emotional Issuesmentioning

confidence: 99%

“…2,3 Pregnancy may also exacerbate existing sleep disorders. 4 Common sleep abnormalities associated with pregnancy include insomnia, restless legs syndrome and excessive sleepiness. 4 Furthermore, alterations in respiratory physiology during pregnancy result in sleep-disordered breathing (SDB) and hence disorders such as obstructive sleep apnea are also common.…”

mentioning

confidence: 99%

“…4 Common sleep abnormalities associated with pregnancy include insomnia, restless legs syndrome and excessive sleepiness. 4 Furthermore, alterations in respiratory physiology during pregnancy result in sleep-disordered breathing (SDB) and hence disorders such as obstructive sleep apnea are also common. 5 The three trimesters of pregnancy are each associated with different challenges to sleep quality.…”

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confidence: 99%

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Sleep Abnormalities in Pregnancy: Review

Eser¹,

Kaygusuz²,

Gümüş³

et al. 2015

Turkiye Klinikleri J Gynecol Obst

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A AB BS S T TR RA AC CT T Pregnancy and sleep disorders are strongly correlated. Sleep disorders commonly experienced in pregnancy include insomnia, restless legs syndrome, excessive daytime sleepiness and sleep disordered breathing, for example sleep apnea. Causes can be physical discomfort, hormonal changes, alterations in respiratory physiology and psychological and emotional upheaval. Incidence of the different types of sleep disorders varies depending on pregnancy trimester. The first trimester is associated with excessive daytime sleepiness, although this can continue throughout pregnancy. Physical factors such as nausea and vomiting and hormonal changes are important causes. By the second trimester, hormonal changes are stabilising but women may still suffer sleep problems due to enlarged abdomen causing low back pain, abrupt fetal movements, heartburn and nocturia. In the third trimester, the majority of women suffer from sleep problems. Incidence of insomnia and restless legs syndrome reach their maximum. Sleep disordered breathing issues including sleep apnea, snoring and hypoventilation are also more common, influenced by rising progesterone levels, disordered and periodic breathing, excessive weight gain and altered neck circumference. Sleep disorders in pregnancy have been associated with adverse maternal and fetal outcomes. Treatment options include improving sleep hygiene, exercise, positional therapy, continuous positive airway pressure, behavioural therapies and, where the sleep disorders are refractory to these types of interventions, short-term pharmacological treatment with suitable hypnotics. Postpartum, many of the pregnancy-associated sleep disorders resolve, however many women continue to experience excessive daytime sleepiness and both pre-and post-partum sleep disorders have been linked to incidence of post-natal depression.K Ke ey y W Wo or rd ds s: : Sleep; pregnancy; sleep disorders Ö ÖZ ZE ET T Gebelik ve uyku bozuklukları arasında kuvvetli bir ilişki vardır. Gebelikte sıklıkla yaşanan uyku bozuklukları insomnia, huzursuz bacak sendromu, gündüz aşırı uyku hali ve uyku apnesi gibi uykuda nefes bozukluklarıdır. Nedenleri fiziksel rahatsızlık, hormonal değişiklikler, solunum fizyolojisindeki değişimler, psikolojik ve duygusal sarsıntılardır. Çeşitli tipteki uyku bozukluklarının insidansı trimesterlere göre değişiklik göstermektedir. İlk trimester gündüz aşırı uyku hali ile ilişkilidir, ancak bu durum gebelik boyunca devam edebilir. Bulantı kusma gibi fiziksel faktörler ve hormonal değişiklikler önemli nedenlerdir. İkinci trimesterle birlikte hormonal değişiklikler stabilize olur fakat kadınlar, genişlemiş karnın neden olduğu sırt ağrısına, ani fetüs hareketlerine, mide yanması ve noktüriye bağlı olarak, uyku problemlerinden hala şikayetçi olabilirler. Üçüncü trimesterde kadınların büyük çoğunluğu uyku problemleri yaşayabilirler. İnsomnia ve huzursuz bacak sendromu insidansı maksimum seviyeye ulaşır. Yükselen progesteron düzeyleri, düzensiz ve periyodik solunum, aşırı kilo alımı ve deği...

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Sleep Disorders in Pregnancy

Cited by 76 publications

References 152 publications

Psychometric Evaluation of the Ford Insomnia Response to Stress Test (FIRST) in Early Pregnancy

Psychometric Evaluation of the Ford Insomnia Response to Stress Test (FIRST) in Early Pregnancy

Respiratory diseases in pregnancy

Sleep Abnormalities in Pregnancy: Review

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