Sleep quality and sleepiness characteristics in first trimester expectant mothers

Shinkawa, Haruko; Shimada, Mieko; Fujita, Terumi

doi:10.3418/jjam.22.180

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…Pregnant women's sleepiness has not been emphasized as an abnormal sign, assuming that it may be related to physical changes such as the secretion of pregnancy-associated hormones and an increase in the uterine capacity. However, several studies showed that a sleep time of 6 hours or less for pregnant women prolonged the duration of birth, increasing the rate at which cesarean birth (CB) was selected (Suzuki, Ohida, Sone, et al, 2003 ;Shinkawa , Shimada, Fujita, 2008 ;Lee & Gay, 2004), suggesting an association between sleep and the outcome of birth.…”

Section: Introductionmentioning

confidence: 99%

Relationship between sleep-disordered breathing and perinatal outcome in pregnant women

Miyagawa

Emori

Kawano

et al. 2011

J. Jpn. Acad. Midwif.

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ObjectiveThe purpose of this study is to investigate the influence of sleep-disordered breathing (SDB) in pregnant women on birth outcomes. MethodsThe subjects were 179 females after Week 28 of pregnancy who had undergone pregnancy checkups in one obstetric hospital. We calculated the peripheral arterial blood ODI per hour during sleep at night by dividing the frequency at which the oxygen saturation did not reach the reference value by the duration of examination using a pulse oximeter.Concerning the criteria, patients with a 3%ODI of less than 0.5 were regarded as showing the absence of SDB, those with values ranging from 0.5 to 4.9 as showing the normal range, those with values ranging from 5 to 14.9 as having mild SDB, those with values ranging from 15 to 29.9 as having moderate SDB, and those with a 3%ODI of 30 or more as having severe SDB.Multiple logistic regression analysis was performed to assess the birth outcomes associated with SDB. ResultsThe 3%ODI was less than 0.5 in 38 (21.2%), 0.5 to 4.9 in 119 (66.5%), and 5 to 14.9 in 22 (12.3%). Therefore, we compared a mild SDB group (3%ODI≥5, n=22) with a normal group (3%ODI<5, n=157).We calculated the adjusted odds ratio (OR), regarding parity and obesity as confounding variables. Regarding spontaneous vaginal birth as the baseline, the adjusted OR of elective or emergency cesarean birth (CB)/vacuum extraction was 3.03 (95% Confidence Interval (CI): 1.10-8.33). Regarding elective CB/spontaneous vaginal birth as the baseline, the adjusted OR of emergency CB/vacuum extraction was 5.18 (95%CI: 1.44-18.65). ConclusionMild SDB in pregnant women suggested that influence to the birth outcomes. Therefore, screening with a pulse-oximeter should be effectively utilized in multiparas with a history of spontaneous abortion and pregnant women complaining of frequent awakening at night or sleep disturbance. In addition, early intervention to improve the state of sleep and treat sleep disturbance may be necessary to promote a safer pregnancy.

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Section: Introductionmentioning

confidence: 99%

Relationship between sleep-disordered breathing and perinatal outcome in pregnant women

Miyagawa

Emori

Kawano

et al. 2011

J. Jpn. Acad. Midwif.

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“…However, nap hours were not counted in the PSQI-J towards the sleep duration. It is reported that sleepiness during the day is highly prevalent in the first trimester [40], and daytime dysfunction is believed to be common, although sleep duration at night is considered appropriate [19]. Our data might be biased given the lack of data on nap duration.…”

Section: Discussionmentioning

confidence: 89%

Influence of quality of sleep in the first trimester on blood pressure in the third trimester in primipara women

et al. 2019

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Purpose: The purpose of this study was to clarify the relationship between decreased sleep quality during the first trimester and a rise in blood pressure during an otherwise normal course of pregnancy in primipara women. Materials and methods: We recruited 128 pregnant women (primipara) who visited the obstetrics and gynecology clinic for medical examination, of which 89 were longitudinally investigated from the first to the third trimester after obtaining informed consent. A survey was conducted in the first, second, and third trimesters to evaluate sleep quality using the Japanese version of the Pittsburgh Sleep Quality Index (PSQI-J). Patients were assigned to either a good sleep quality group (PSQI-J ≤5) or a poor sleep quality group (PSQI-J ≥6). Blood pressure was measured using a home blood pressure measurement method. We analyzed the relationship between sleep quality in the first trimester and blood pressure during pregnancy. Results: The increase in morning systolic blood pressure from first to third trimester was larger in the poor sleep quality group than in the good sleep quality group (7.1 ± 7.0 vs. 3.0 ± 5.6 mmHg, p < 0.01). Sleep latency (r = 0.38, β = 0.43, p = 0.02) and sleep disturbances (r = 0.24, β = 0.33, p = 0.04) in the first trimester affected the increase in systolic blood pressure during pregnancy. Conclusions: Understanding sleep quality at the beginning of pregnancy can help predict a rise in systolic blood pressure in the third trimester. This emphasizes the importance of sleep education during pregnancy.

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Changes in pregnancy-related discomforts in women from the third-trimester pregnancy to 1 year postpartum

Shinkawa

2021

J. Jpn. Acad. Midwif.

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The present study aimed to clarify the changes in the incidence and frequency of pregnancy-related discomforts in the period from the third-trimester pregnancy to 1 year postpartum, and factors associated with the symptoms. MethodsThe participants were pregnant women who visited the obstetrics and gynecology outpatient departments of four hospitals for medical examinations or maternity classes in Hiroshima, Japan. A questionnaire survey was administered five times longitudinally: during the pregnancy period, at discharge, and at 1 month, 4 months, and 1 year after childbirth. The contents of the survey consisted of the existence and the frequency of 29 frequently experienced discomforts of pregnancy, type of delivery, feeding condition, childcare burden scale, Japanese version of maternal attachment inventory (MAI-J), and Japanese version of Edinburgh postnatal depression scale (EPDS). We performed one-way analysis of variance for analyzing the changes in the number of symptoms from pregnancy to postpartum and chi-square tests for analyzing the prevalence of each symptom. The Pearson product factor correlation coefficient and unpaired t-tests were used for analyzing the relation between the number of symptoms and the factors affecting postpartum health. ResultsQuestionnaires were distributed to 1566 women in the pregnancy period, and we collected third-trimester data of 681 women and used data of 422 women. Questionnaires were also distributed to the women during the following postpartum periods: time of discharge, 126; 1 month after childbirth, 88; 4 months after childbirth, 79; and 1 year after childbirth, 70. The number of pregnancy-related symptoms were decreased as time passed by (F=130.93, p<0.01). The prevalence of 22 symptoms significantly decreased after childbirth, while the prevalence of three symptoms increased and that of four symptoms remained unaltered. The number of symptoms at the time of discharge and 1 month after childbirth were significant correlated with the EPDS score (r=0.39-0.58, p<0.01) and the childcare burden scale (r=0.30-0.44, p<0.05) from 1 month to 1 year after childbirth. ConclusionThe findings of this study confirm that some pregnancy-related discomforts continue to postpartum and that the number of symptoms in postpartum is associated with postpartum depression and the stress of postnatal care. We thus showed the importance of maternal care during pregnancy as it affects childcare later on. Childcare starts from pregnancy. Thus, a smooth transition to childcare is possible only if pregnancy-related discomforts such as "minor troubles" are not taken lightly, as women require all the physical, mental, and emotional care right from the beginning of pregnancy to be strong and healthy in all aspects of the postnatal phase.

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Sleep quality and sleepiness characteristics in first trimester expectant mothers

Cited by 3 publications

References 26 publications

Relationship between sleep-disordered breathing and perinatal outcome in pregnant women

Relationship between sleep-disordered breathing and perinatal outcome in pregnant women

Influence of quality of sleep in the first trimester on blood pressure in the third trimester in primipara women

Changes in pregnancy-related discomforts in women from the third-trimester pregnancy to 1 year postpartum

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