Sleep impairment during pregnancy: Possible implications on mother–infant relationship

Pires, Gabriel Natan; Andersen, Mônica Levy; Giovenardi, Márcia; Tufik, Sérgio

doi:10.1016/j.mehy.2010.07.036

Cited by 68 publications

(56 citation statements)

References 53 publications

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“…However, the difference between groups was not statistically significant, suggesting that low back pain does not influence the level of daytime sleepiness during the second trimester. The high average scores of the ESS can be explained by the fact that the second trimester is characterized by episodes of insomnia and therefore the occurrence of non-restorative sleep which may cause excessive daytime sleepiness, regardless of the presence or absence of pain low back pain (28).…”

Section: Resultsmentioning

confidence: 99%

Quality of sleep in pregnant woman with low back pain

et al. 2015

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Introduction: Pregnancy is characterized by several changes in her body. These changes contribute to the emergence of low back pain, which may influence the quality of sleep during pregnancy. Objective: To compare the quality of sleep among pregnant women with and without low back pain during pregnancy, examining the relationship between two variables. Materials methods: Thirty volunteers aged between 19 and 36 years, divided into control group (CG -n = 16) and Study Group (SG -n = 14), residents in the cities of Natal, were evaluated in the second trimester of pregnancy. To sleep evaluation were used to index the Pittsburgh Sleep Quality and the Epworth Sleepiness Scale. Low back pain was evaluated using the pressure algometer, Visual Analogue Scale (VAS) and Oswestry Disability Index. Statistical analysis used the Shapiro Wilk test, Student's T test for independent samples and Pearson correlation test. Results: The mean gestational and chronological ages were 28.2 ± 3.4 years and 19.9 ± 3.7 weeks, respectively. Sleep quality was lower in SG (8.21 ± 4.8) when compared to CG (5.94 ± 1.7) and was statistically significant (P = 0.021). Analyzing the relationship between sleep quality and pain intensity, it was observed that the variables have a positive correlation between them

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Section: Resultsmentioning

confidence: 99%

Quality of sleep in pregnant woman with low back pain

et al. 2015

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“…14,15 Moreover, additional sleep deprivation, which is commonly observed due to the impositions of modern living, can compound this impact on pregnant women. 16 Recent studies have argued that the lack of sleep during pregnancy may promote a broad range of impairments in mother-infant relationships, including increased maternal fatigue and postpartum depression.…”

Section: Introductionmentioning

confidence: 99%

“…16 Recent studies have argued that the lack of sleep during pregnancy may promote a broad range of impairments in mother-infant relationships, including increased maternal fatigue and postpartum depression. 14,17,18 However, previous preliminary data in animals have demonstrated that these effects may not be observed in certain specific conditions. 18 Thus, further investigation on the direct effects of lack of sleep on maternal behavior is still required.…”

Section: Introductionmentioning

confidence: 99%

Effects of REM sleep restriction during pregnancy on rodent maternal behavior

Pires

Tufik

Andersen

2015

Rev. Bras. Psiquiatr.

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Objective: To evaluate the effects of sleep restriction during pregnancy on maternal care and maternal aggression in a rodent model. Methods: Twenty-three female Wistar rats were assigned to one of two groups: control (n=12) or sleep restriction (n=11) during the entire pregnancy. At the fifth postpartum day, the animals were subjected to the resident-intruder paradigm and to the pup retrieval test. Results: Sleep restriction during pregnancy had no direct effects on maternal care. Regarding aggressive behavior, defensive aggression was increased by sleep loss, with a lower responsiveness threshold to hostile environmental stimuli. Sleep deprivation during gestation also reduced selfgrooming behavior. Conclusion: Taking increased self-grooming as a behavioral correlate of anxiety in rodents, this study provides evidence that lactating dams were in a condition of reduced anxiety. From an adaptive perspective, this pattern of stress response may function to ensure proper maternal behavior, thereby guaranteeing the survival and viability of the litter. Under a translational perspective, the present article confronts the importance of biological and adaptive features to rodent maternal behavior with the relevance of sociocultural factors to the human mother-infant relationship and to the onset of postpartum depression.

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“…MÉTODOS: Estudo transversal incluindo 223 gestantes com ≥14 semanas: 105 com sobrepeso (índice de massa corporal -IMCpré-gestacional ≥25,0 km 2 ) e 118 eutróficas (IMC 18,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)9 kg/m 2 ) em acompanhamento pré-natal. A versão brasileira do questionário Pittsburgh Sleep Quality Index (PSQI-BR) foi utilizada para avaliação do sono.…”

Section: Introductionunclassified

“…A insônia durante a gestação está associada a depressão e ansiedade no final da gestação e do puerpério 14,15 , baixa produtividade diurna e riscos para a segurança 15 , parto pré-termo 16,17 , trabalho de parto prolongado e cesárea 18,19 . A insônia pode ainda alterar o relacionamento da gestante com o parceiro e a família 20 . As desordens respiratórias do sono, mais prevalentes em gestantes com sobrepeso e obesas 10,21 , têm sido associadas a síndromes hipertensivas 21,22 , sintomas depressivos 23,24 , diabetes mellitus gestacional 25 e maior probabilidade de parto cesárea 26 , assim como desfechos perinatais adversos, como baixo peso ao nascer 17 , restrição do crescimento intrauterino 17 e admissão na UTI neonatal 26 .…”

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Qualidade do sono em gestantes com sobrepeso

Ribeiro¹,

Nakamura²,

Torloni³

et al. 2015

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVO: Comparar a qualidade do sono de gestantes com e sem sobrepeso no segundo e terceiro trimestres. MÉTODOS: Estudo transversal incluindo 223 gestantes com ≥14 semanas: 105 com sobrepeso (índice de massa corporal -IMCpré-gestacional ≥25,0 km 2 ) e 118 eutróficas (IMC 18,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)9 kg/m 2 ) em acompanhamento pré-natal. A versão brasileira do questionário Pittsburgh Sleep Quality Index (PSQI-BR) foi utilizada para avaliação do sono. Testes do χ 2 e t de Student foram utilizados para comparar diferenças entre os grupos; p<0,05 foi considerado significante. RESULTADOS: A maioria (65,9%) apresentou baixa qualidade de sono (escore total >5) e essa proporção foi significativamente mais alta entre as mulheres com sobrepeso (80/105), em comparação às eutróficas (67/118) (76,2 versus 56,8%, p=0,004). No 2º trimestre, essa proporção não alcançou significância estatística (72,5 versus 53,7%, p=0,06), mas o escore médio total do PSQI-BR foi mais alto entre aquelas com sobrepeso (7,0±3,8 versus 5,5±3,2, p=0,02). Nesse período, os escores médios de latência e qualidade subjetiva do sono foram significativamente mais altos entre as mulheres com sobrepeso (1,4±1,0 versus 1,0±0,9, p=0,02, e 1,3±0,8 versus 0, 8±0,8, p=0,02, respectivamente). No 3º trimestre, a proporção de gestantes com baixa qualidade do sono foi mais alta entre as mulheres com sobrepeso, mas sem diferença significante (79,6 versus 60,8%, p=0,06). Nessa fase, o escore total do instrumento foi semelhante entre as mulheres com e sem sobrepeso (9,4±4,2 versus 8,3±4,6, p=0,2). No entanto, gestantes com sobrepeso apresentaram escores médios mais altos para distúrbios do sono (2,3±0,7 versus 2,0±0,8, p=0,04). CONCLUSÃO: Mulheres com sobrepeso pré-gestacional apresentaram sono mais comprometido do que as eutróficas, no segundo e terceiro trimestres da gravidez. Abstract PURPOSE:To compare sleep quality of overweight versus normal weight women in the second and third trimesters of pregnancy. METHODS: A cross-sectional study involving 223 women with 14 or more weeks of pregnancy, 105 of them overweight (pre-pregnancy body mass index -BMI -≥25.0 kg/m 2 ) and 118 of normal weight (BMI 18.5-24.9 kg/m 2 ), attending the prenatal care clinic. The Brazilian version of the Pittsburgh Sleep Quality Index (PSQI-BR) questionnaire was used to evaluate sleep quality. The Student t-test and the chi-square test were used to compare differences between groups and a p value <0.05 was considered statistically significant. RESULTS: Most of the participants (67.7%) were poor sleepers (total score >5); this proportion was significantly higher among overweight (80/105) versus normal weight (67/118) women (76.2 versus 56.8%, p=0,004). During the second trimester, this difference did not reach statistical significance (72.5 versus 53.7%, respectively, p=0.06) but mean total PSQI-BR scores were significantly higher among overweight participants (7.0±3.8 versus 5.5±3.2, p=0.02). In the 2 nd trimester, overweight women a...

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Sleep impairment during pregnancy: Possible implications on mother–infant relationship

Cited by 68 publications

References 53 publications

Quality of sleep in pregnant woman with low back pain

Quality of sleep in pregnant woman with low back pain

Effects of REM sleep restriction during pregnancy on rodent maternal behavior

Qualidade do sono em gestantes com sobrepeso

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