The prevalence and associated risk factors of sleep disorder-related symptoms in pregnant women in China

Cai, Xiaohong; Xie, Yupeng; Li, Xiucui; Qu, Wanglei; Li, Ting; Wang, Hongxia; Lv, Jieqiang; Wang, Liangxing

doi:10.1007/s11325-012-0783-2

Cited by 33 publications

(36 citation statements)

References 21 publications

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“…This rate is comparable to similar studies done in this environment and other places with reported prevalence rate between 35.5% and 47.3% [6,7]. But much lower than rates of 56.1% and 61.6% reported from studies among Chinese and Norwegian pregnant women respectively [4,5]. The difference in the prevalence rates may be due to the different characteristics of the population of women studied and the different tools used in assessing insomnia.…”

Section: Discussionsupporting

confidence: 81%

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Insomnia in Pregnancy: Prevalence and Predisposing Factors in a Developing Country

Usman¹

2018

CAJPH

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This study aimed at determining the prevalence as well as correlates of insomnia among pregnant women attending the antenatal clinic of a tertiary health centre in a developing country. Insomnia was assessed using the insomnia severity index among 237 consecutive women attending the Antenatal clinic of Ekiti State University Teaching Hospital. Other relevant data such as obstetric history and psychological morbidity were collected using structured forms and the data was analysed using SPSS version 20. Logistic regression was done to determine factors associated with insomnia. Prevalence of insomnia among the respondents was 32.5% and factors associated with insomnia included high maternal age (OR = 1.092, CI = 1.013-1.177, P value = 0.022), and having psychological morbidity (OR= 1.218, CI= 1.067 -1.390, P value= 0.004). Though a higher number of women in the 3rd trimester had insomnia, this was however not statistically significant. This study has shown that insomnia during pregnancy is a common occurrence most especially during the last trimester of pregnancy. Common factors associated with it include older age of the patient and having a psychological morbidity. Screening for insomnia and offering some form of management may reduce some of the medical and psychological complications that may arise in the child and mother.

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Section: Discussionsupporting

confidence: 81%

“…Prevalence of insomnia in pregnancy is high and varies from one setting to the other. A study done among Chinese pregnant women reported a rate of 56.1% [4]. While a recent study done in Norway reported a higher prevalence of 61.6% [5].…”

Section: Introductionmentioning

confidence: 94%

Insomnia in Pregnancy: Prevalence and Predisposing Factors in a Developing Country

Usman¹

2018

CAJPH

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“…Pregnant women are easily affected by sleep disruption, and deprivation and sleep disorders [ 5 , 6 ]. A high prevalence of sleep disorder-related symptoms was detected in pregnant women in China [ 7 ]. Insufficient sleep duration and poor sleep quality during pregnancy may increase the risk of adverse pregnancy outcomes, including growth restriction of fetus, and postpartum depression [ 8 , 9 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Sleep Duration and Quality in Pregnant Women: A Cross-Sectional Survey in China

Liu

Zhang

et al. 2017

IJERPH

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Objectives: Good maternal health and fetal development require sufficient and good quality of sleep during pregnancy. This study investigated sleep duration and quality in pregnant women, assessing factors with possibly influence on sleep. Method: A cross-sectional survey was conducted on pregnant women between June and August in 2015 in 16 hospitals in five provinces in China. A total of 2345 pregnant women aged 18 years and older were surveyed. Insufficient sleeping duration was defined as sleeping of less than 7 h per day. Excessive sleep duration was defined as sleeping of more than 9 h per day. Results: A total of 561 (23.9%) participants reported insufficient sleeping duration, whereas 485 (20.9%) claimed excessive sleep duration. A total of 358 (15.2%) of pregnant women reported problems regarding sleep quality. Compared to pregnant women with sufficient sleeping duration, those with insufficient sleeping duration were prone to have poor sleep quality, whereas those with excessive sleeping duration featured low possibility of poor sleep quality. High-risk groups of insufficient sleep duration include women of Han nationality, with siblings, in their first trimester of pregnancy, receiving care in low-capacity/quality hospital settings, and with daily or 1–3 days of secondhand smoke exposure. High-risk groups of excessive sleep duration include women living in rural areas, unemployed, in their third trimester of pregnancy, and receiving care in medium-capacity/quality hospital settings. High-risk groups of poor sleep quality include women of non-Han nationality, low income level, in their third trimester of pregnancy, and with insufficient sleep duration. Conclusions: Insufficient/excessive sleep duration and poor sleep quality commonly occur during pregnancy in China. Findings provide a better understanding of the influencing factors of insufficient/excessive sleep duration and poor quality of sleep. These findings have some implications for future interventions on sleep among pregnant women.

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confidence: 99%

Epworth Sleepiness Scale scores and adverse pregnancy outcomes

2013

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Sleep disturbances generally increase with the onset of pregnancy and continue to increase in frequency as pregnancy progresses [1][2][3][4]. Although these disturbances may arise as a consequence of numerous physiologic and hormonal changes accompanying pregnancy, it is important for clinicians to consider the possible presence of primary sleep-related breathing disorders (SRBD), such as snoring and sleep apnea [5]. Sleep apnea, snoring, and excessive sleepiness are identified as the most frequently sleep disturbances among pregnant women. There is conflictive evidence in regard to whether sleep-disordered breathing increases in prevalence during pregnancy, but existing research indicates that such disorders may enhance the risk of potentially adverse maternal-fetal outcomes by increasing the likelihood of preterm birth, preeclampsia, and gestational diabetes [6].In this issue of Sleep and Breathing, Ghada Bourjeily and colleagues of The Warren Alpert Medical School of Brown University in their paper "Epworth Sleepiness Scale scores and adverse pregnancy outcomes" tried to investigate whether excessive daytime sleepiness (EDS) in snorers and non-snorers contributed to adverse pregnancy outcomes such as gestational hypertensive disorders, gestational diabetes, or mode of delivery. The authors found that there is an increased association between pregnant women with higher Epworth Sleepiness Scale (ESS) score and planned caesarean delivery. Although retrospective, this study extends previous observations that EDS and snoring are risk factors for gestational diabetes by showing that when higher cut off values of ESS were used, the risk of gestational diabetes was significantly elevated and sevenfold higher than women below the cutoff point, even after adjusting for confounders. However, in this study, neither gestational diabetes nor hypertensive disorder was associated with EDS, when EDS was defined as an ESS >10.In the literature, studies that address SRBD in pregnant women are scarce with the only available data come from case studies, case series, small cohort studies, and a few small longitudinal studies. As no large population-based epidemiological studies have been performed, the prevalence of obstructive sleep apnea in pregnant women is not known. Previously, the same authors found that snoring, gasping, and apneas, all three symptoms of SRBD, were associated with higher mean ESS scores [7]. Furthermore, they found that these symptoms are common in pregnancy and associated with a higher likelihood of gestational hypertensive disorders, gestational diabetes, and unplanned caesarean deliveries [8]. The question, therefore, that arises is whether EDS assessed by ESS increases the risk of adverse pregnancy outcomes. In this new study, Bourjeily et al. attempted to answer this question. However, the fact that their major findings were that EDS was not associated with adverse pregnancy outcomes both in snorers and in non-snorers but severe EDS (ESS >16) increases the risk of gestational diabetes is still not clea...

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The prevalence and associated risk factors of sleep disorder-related symptoms in pregnant women in China

Abstract: There is a high prevalence of sleep disorder-related symptoms in pregnant women. Our data may provide a baseline for prevention and treatment of sleep disturbances in pregnant women.

Cited by 33 publications

References 21 publications

Insomnia in Pregnancy: Prevalence and Predisposing Factors in a Developing Country

Insomnia in Pregnancy: Prevalence and Predisposing Factors in a Developing Country

Sleep Duration and Quality in Pregnant Women: A Cross-Sectional Survey in China

Epworth Sleepiness Scale scores and adverse pregnancy outcomes

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