A systematic review and meta-analysis of prevalence of insomnia in the third trimester of pregnancy

Salari, Nader; Darvishi, Niloofar; Khaledi-Paveh, Behnam; Vaisi-Raygani, Asad; Jalali, Rostam; Daneshkhah, Alireza; Bartina, Yalda; Mohammadi, Masoud

doi:10.1186/s12884-021-03755-z

Cited by 40 publications

(18 citation statements)

References 23 publications

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“…The present study demonstrated that sleep quality deteriorates with increasing gestational age. This is consistent with the results reported by Shojaie et al (32), Facco et al (33), and a recent systematic review by Salari et al (34), which demonstrated that women had sleep disorders and suffered from poor sleep quality in the final months of their pregnancy. This study showed that sleep quality and gestational age are significantly correlated.…”

Section: Discussionsupporting

confidence: 93%

Quality of Sleep and Mental Health Among Pregnant Women: A Cross-sectional Study

et al. 2022

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Background: Sleep disorders are common during pregnancy and can lead to other problems before, during, and after delivery. Objectives: The study was conducted to compare anxiety and depression among pregnant women with and without sleep disorders Methods: This cross-sectional study was performed on pregnant women referring to the health care centers in Babol, Iran (2018 - 2019). Women with singleton pregnancies, who met the study criteria, were chosen from selected health centers and entered the study through the convenience sampling method. Data were collected using Questionnaires. The participants answered four questionnaires, including Demographic, Pittsburg sleep quality index (PSQI), Beck Depression Inventory (BDI), and The State-Trait Anxiety Inventory (STAI) questionnaires. The data were analyzed using SPSS statistical software version 22, and P < 0.05 was considered statistically significant. Results: The average ages of participants were 26.40 ± 4.76 years. The present study showed a statistically significant correlation between the score of depression and sleep quality (r = 0.11, P = 0.008). In women with poor quality of sleep, the mean of trait anxiety was significantly higher than in women with good quality of sleep (P = 0.016). There was a significant association between depression scores and sleep quality subscales. Logistic regression demonstrated that people with high anxiety levels were 2.3 times more likely to have sleep problems than those with low anxiety levels. Conclusions: Sleep quality is correlated with anxiety and depression. Health professionals should be aware that women with poor sleep quality may develop mental health problems. Therefore, screening for mental health and referring them to a clinical psychologist may help their sleep quality. To investigate the causal relationship between the study variables, it is necessary to conduct an extensive cohort study that starts before the pregnancy.

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Section: Discussionsupporting

confidence: 93%

Quality of Sleep and Mental Health Among Pregnant Women: A Cross-sectional Study

et al. 2022

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“…It is curious that in our sample, only 44 pregnant women out of the final 292 included (15.07%) had insomnia. The literature generally reports higher prevalence rates in the third trimester of pregnancy, the time of our assessment, from 39.7% [ 9 ] to 42.4% [ 63 ]. It is possible that the different diagnostic methods used account for the discrepancy in findings.…”

Section: Discussionmentioning

confidence: 99%

The Relevance of Insomnia in the Diagnosis of Perinatal Depression: Validation of the Italian Version of the Insomnia Symptom Questionnaire

Chiara

Mazza

Ricci

et al. 2021

IJERPH

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Background. Sleep disorders are common in perinatal women and may underlie or trigger anxiety and depression. We aimed to translate and validate and evaluate the psychometric properties of the Italian version of the Insomnia Symptom Questionnaire (ISQ), in a sample of women during late pregnancy and 6-months postpartum according to the DSM-5 criteria. Methods. The ISQ was administered to 292 women prenatally along with other measures of sleep quality, depression, and anxiety, to examine its construct and convergent validity. Women were readministered the ISQ six months postdelivery to assess test–retest reliability. Women were divided into DSM-5 No-Insomnia (N = 253) and Insomnia (N = 39) groups. Results. The insomnia group had received more psychopharmacotherapy, had more psychiatric family history, increased rates of medically assisted reproduction, of past perinatal psychiatric disorders, and scored higher on almost all TEMPS-A dimensions, on the EPDS, HCL-32, PSQI, and on ISQ prenatally and postnatally. ISQ scores correlated with all scales, indicating adequate convergent and discriminant validity; furthermore, it showed antenatal–postnatal test–retest reliability, 97.5% diagnostic accuracy, 79.5% sensitivity, 94.9% specificity, 70.5% positive predictive power, and 92.8% negative predictive power. Conclusions. The ISQ is useful, valid, and reliable for assessing perinatal insomnia in Italian women. The Italian version showed equivalent properties to the original version.

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“…From the second trimester to the third trimester, the average PSQI score increased by 1.68 points, which showed that poor sleep quality was common during pregnancy 3 . Recently, a systematic review confirmed that the prevalence of insomnia in the third trimester of pregnancy is 42.4%, which meant approximately one‐third of pregnant women failed to maintain enough sleep 64 . Furthermore, sleep satisfaction and duration decline sharply after delivery, and are difficult to fully recover to pre‐pregnancy 65 .…”

Section: Discussionmentioning

confidence: 99%

Maternal sleep during pregnancy and adverse pregnancy outcomes: A systematic review and meta‐analysis

Wang

Yang

et al. 2022

J of Diabetes Invest

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Aims/Introduction Sleep problems are important public health concern worldwide. We carried out a meta‐analysis to quantitatively evaluate whether sleep duration was associated with pregnancy outcomes, and the associations were modified by important characteristics of studies. Materials and Methods Based on PubMed, Embase and the Cochrane Central Register of Controlled Trials databases, we searched for published literature related to maternal sleep duration and adverse pregnancy outcomes before 30 June 2021. We carried out risk of bias assessment, subgroup analyses and sensitivity analysis. The relative risks or odds ratios with 95% confidence intervals (CI) were used to estimate the pooled effects. Results A total of 5,246 references were identified through a database search, and 41 studies were included in the study. Pregnant women with short sleep duration had 1.81‐fold (95% CI 1.35–2.44, P < 0.001) the risk of developing gestational diabetes mellitus. The association between short sleep duration and the risk of gestational hypertension, cesarean section, low birthweight, preterm birth and small for gestational age were not significant ( P > 0.05). Furthermore, long sleep duration was significantly correlated with gestational diabetes mellitus (odds ratio1.24. 95% CI 1.12–1.36, P < 0.001) and CS (odds ratio 1.13. 95% CI 1.04–1.22, P = 0.004), whereas long sleep duration was not linked with gestational hypertension, low birthweight, preterm birth and small for gestational age ( P > 0.05). Conclusions Short/long sleep duration appeared to be associated with adverse pregnancy outcomes, specifically with an increased risk of gestational diabetes mellitus. Sleep should be systematically screened in the obstetric population.

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A systematic review and meta-analysis of prevalence of insomnia in the third trimester of pregnancy

Cited by 40 publications

References 23 publications

Quality of Sleep and Mental Health Among Pregnant Women: A Cross-sectional Study

Quality of Sleep and Mental Health Among Pregnant Women: A Cross-sectional Study

The Relevance of Insomnia in the Diagnosis of Perinatal Depression: Validation of the Italian Version of the Insomnia Symptom Questionnaire

Maternal sleep during pregnancy and adverse pregnancy outcomes: A systematic review and meta‐analysis

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