Sleep Quality and Health-Related Quality of Life in Pregnancy

Süt, Hatice Kahyaoğlu; Aşcı, Özlem; Topac, Nalan

doi:10.1097/jpn.0000000000000181

Cited by 54 publications

(58 citation statements)

References 43 publications

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“…Education but not working status was associated in previous findings with health-related quality of life during pregnancy [16]. Our results were consistent with these findings since education was positively correlated to psychological health, social relationships and environment domains, while occupational category was not associated with any domain of the WHOQOL-brief.…”

Section: Resultssupporting

confidence: 92%

“…Psychiatric disorders can affect the psychological as well as the physical domains of the QOL during pregnancy [16]. This was also observed in our study since increased worry was associated with a decrease in two domains of QOL: environment and psychological while depression was associated with a decrease in all QOL domains.…”

Section: Resultssupporting

confidence: 83%

“…Previous studies reported health-related quality of life to be reduced during pregnancy in all trimesters [15] with a decrease in the second and third, compared to the first trimester [16]. …”

Section: Resultsmentioning

confidence: 99%

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Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women

et al. 2017

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Health-related quality of life (QOL) is reported to be reduced during pregnancy. Associations between QOL, physical activity (PA), insomnia, depression and worry are insufficiently investigated among pregnant women. The aim of this study was to evaluate QOL and PA patterns among healthy pregnant women, and to examine how QOL might correlate to PA, sleep, worry and depression. This is an observational cross-sectional study, conducted among a convenient sample of 141 healthy pregnant women using five questionnaires: WHOQOL-brief (WHO quality of life questionnaire, brief version, ISI (Insomnia Severity Index), PSWQ (Penn State Worry Questionnaire), ZSRDS (Zung Self-Rating Depression Scale), and Pregnancy Physical Activity Questionnaire (PPAQ). Pre-gestational BMI was inversely correlated to overall health while education was positively correlated to psychological health, social relationships and environment domains. Smoking before and during pregnancy significantly impacted the general health and psychological health. Total and light PA were positively correlated to psychological health and social relationships. Sports/exercise showed positive correlations with several QOL domains. Insomnia and depression were significantly associated with a decrease in all domains of QOL, while worries were associated with a decrease in physical, psychological and environmental domains. There were significant negative correlations between ZSRDS scores and total activity. PA, worries, depression and insomnia affected QOL during pregnancy. Furthermore, pregnant women presenting depression had a reduced total PA. Sleep and mental health as well as encouraging PA during pregnancy are necessary to improve the quality of life of pregnant women.

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Section: Resultssupporting

confidence: 92%

Section: Resultssupporting

confidence: 83%

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Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women

et al. 2017

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“…Poorer global sleep quality, subjective sleep quality, lower sleep efficiency and sleep disturbances were most prevalent during third trimester. These findings were supported by several studies [9,10], including a report of Chinese pregnant women population [33]. The sleep patterns of most pregnant women changed during pregnancy, which might be the reason [6].…”

Section: Discussionsupporting

confidence: 73%

“…As pregnancy proceeds, both the number and duration of sleep disorders increase [6]. Sut et al [9] and Facco et al [10] indicated that the risk of poor sleep quality increased in the second and third trimester when compared with the first trimester. Depression symptom was previously indicated to be associated with sleep disturbances during pregnancy [11].…”

Section: Introductionmentioning

confidence: 99%

Determinants of sleep quality among pregnant women in China: A cross-sectional survey

Ying¹,

Mao²,

Ye³

et al. 2017

Nurs Palliat Care

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Group Multimodal Prenatal Care and Postpartum Outcomes

Avalos,

Oberman,

Gomez

et al. 2024

JAMA Netw Open

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ImportanceAn increasing body of evidence suggests equivalent if not improved postpartum outcomes of in-person group prenatal care compared with individual prenatal care. However, research is needed to evaluate outcomes of group multimodal prenatal care (GMPC), with groups delivered virtually in combination with individual in-person office appointments to collect vital signs and conduct other tests compared with individual multimodal prenatal care (IMPC) delivered through a combination of remotely delivered and in-person visits.ObjectiveTo compare postpartum outcomes between GMPC and IMPC.Design, Setting, and ParticipantsA frequency-matched longitudinal cohort study was conducted at Kaiser Permanente Northern California, an integrated health care delivery system. Participants included 424 individuals who were pregnant (212 GMPC and 212 frequency-matched IMPC controls (matched on gestational age, race and ethnicity, insurance status, and maternal age) receiving prenatal care between August 17, 2020, and April 1, 2021. Participants completed a baseline survey before 14 weeks’ gestation and a follow-up survey between 4 and 8 weeks post partum. Data analysis was performed from January 3, 2022, to March 4, 2024.ExposureGMPC vs IMPC.Main Outcome MeasuresValidated instruments were used to ascertain postpartum psychosocial outcomes (stress, depression, anxiety) and perceived quality of prenatal care. Self-reported outcomes included behavioral outcomes (breastfeeding initiation, use of long-acting reversible contraception), satisfaction with prenatal care, and preparation for self and baby care after delivery. Primary analyses included all study participants in the final cohort. Three secondary dose-stratified analyses included individuals who attended at least 1 visit, 5 visits, and 70% of visits. Log-binomial regression and linear regression analyses were conducted.ResultsThe final analytic cohort of 390 participants (95.6% follow-up rate of 408 singleton live births) was racially and ethnically diverse: 98 (25.1%) Asian/Pacific Islander, 88 (22.6%) Hispanic, 17 (4.4%) non-Hispanic Black, 161 (41.3%) non-Hispanic White, and 26 (6.7%) multiracial participants; median age was 32 (IQR, 30-35) years. In the primary analysis, after adjustment, GMPC was associated with a 21% decreased risk of perceived stress (adjusted risk ratio [ARR], 0.79; 95% CI, 0.67-0.94) compared with IMPC. Findings were consistent in the dose-stratified analyses. There were no significant differences between GMPC and IMPC for other psychosocial outcomes. While in the primary analyses there was no significant group differences in perceived quality of prenatal care (mean difference [MD], 0.01; 95% CI, −0.12 to 0.15) and feeling prepared to take care of baby at home (ARR, 1.09; 95% CI, 0.96-1.23), the dose-stratified analyses documented higher perceived quality of prenatal care (MD, 0.16; 95% CI, 0.01-0.31) and preparation for taking care of baby at home (ARR, 1.27; 95% CI, 1.13-1.43) for GMPC among those attending 70% of visits. No significant differences were noted in patient overall satisfaction with prenatal care and feeling prepared for taking care of themselves after delivery.ConclusionsIn this cohort study, equivalent and, in some cases, better outcomes were observed for GMPC compared with IMPC. Health care systems implementing multimodal models of care may consider incorporating virtual group prenatal care as a prenatal care option for patients.

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Sleep Quality and Health-Related Quality of Life in Pregnancy

Cited by 54 publications

References 43 publications

Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women

Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women

Determinants of sleep quality among pregnant women in China: A cross-sectional survey

Group Multimodal Prenatal Care and Postpartum Outcomes

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