Association of maternal sleep before and during pregnancy with preterm birth and early infant sleep and temperament

Nakahara, Kazushige; Michikawa, Takehiro; Morokuma, Seiichi; Ogawa, Masanobu; Kato, Kiyoko; Sanefuji, Masafumi; Shibata, Eiji; Tsuji, Mayumi; Shimono, Masayuki; Kawamoto, Toshihiro; Ohga, Shouichi; Kusuhara, Koichi

doi:10.1038/s41598-020-67852-3

Cited by 26 publications

(19 citation statements)

References 34 publications

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“…We suggest antenatal screening in order to identify potential pregnancy-related symptoms and forms of distress. For example, sleep problems may have serious effects and contribute to adverse pregnancy outcomes or postnatal physical and psychological symptom distress [ 35 , 36 ]. Some symptoms, such as nausea, vomiting, constipation and hemorrhoids, are rarely life-threatening or have adverse consequences but can cause significant distress, not only negatively impacting pregnant women’s quality of life and daily functioning but also leading some women to consider termination of pregnancy or future pregnancy avoidance [ 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Identifying Patterns of Symptom Distress in Pregnant Women: A Pilot Study

Lee

Wen

Hsiung

et al. 2021

IJERPH

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During pregnancy, a woman’s enlarged uterus and the developing fetus lead to symptom distress; in turn, physical and psychological aspects of symptom distress are often associated with adverse prenatal and birth outcomes. This study aimed to identify the trends in the trajectory of these symptoms. This longitudinal study recruited 95 pregnant women, with a mean age of 32 years, from the prenatal wards of two teaching hospitals in northern Taiwan. Symptom distress was measured by a 22-item scale related to pregnancy-induced symptoms. The follow-up measurements began during the first trimester and were taken every two to four weeks until childbirth. More than half of the pregnant women experienced symptom distress manifested in a pattern depicted to be “Decreased then Increased” (56.8%). Other noticeable patterns were “Continuously Increased” (28.4%), “Increased then Decreased” (10.5%) and “Continuously Decreased” (4.2%), respectively. It is worth noting that most pregnant women recorded a transit and increase in their symptom distress, revealed by their total scores, at the second trimester (mean 22.02 weeks) of pregnancy. The participants’ major pregnancy-related distress symptoms were physical and included fatigue, frequent urination, lower back pain, and difficulty sleeping. The mean scores for individual symptoms ranged from 2.32 to 3.61 and were below the “moderately distressful” level. This study provides evidence that could be used to predict women’s pregnancy-related symptom distress and help healthcare providers implement timely interventions to improve prenatal care.

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Section: Discussionmentioning

confidence: 99%

Identifying Patterns of Symptom Distress in Pregnant Women: A Pilot Study

Lee

Wen

Hsiung

et al. 2021

IJERPH

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“… a [ 16 ] and [ 17 ] analyzed the same study population; b [ 21 ] and [ 31 ] studied the same study population; c [ 27 ] and [ 28 ] analyzed the same study population. AIS: Athens Insomnia Scale; BMI: body mass index; ESS: Epworth Sleepiness Scale; PSQI: Pittsburgh Sleep Quality Index.…”

Section: Resultsmentioning

confidence: 99%

Maternal Sleep Problems in the Periconceptional Period and the Impact on Health of Mother and Offspring: A Systematic Review

et al. 2022

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Knowledge of the impact of sleep problems in the periconceptional period is scarce. Since this period is the most sensitive time window for embryonic and placental development, we aim to study the impact of maternal sleep problems in the periconceptional period on both mother and offspring. We systematically searched various databases up until September 2021 for studies reporting on maternal sleep in the periconceptional period and any outcome in mother and offspring. We included observational studies describing maternal sleep problems in the periconceptional period and associations with either maternal and/or offspring outcomes. The search produced 8596 articles, of which we selected 27 studies. Some associations were found between sleep problems and lower fertility, more hypertensive disorders, more mood disorders in mothers, higher risk of preterm birth and low birth weight, and more sleep and behavior problems in offspring, with associations with maternal mood disorders being most consistent. This systematic review shows that maternal sleep problems in the periconceptional period are associated with a higher risk of various adverse outcomes in both mother and offspring, although not consistently. It shows that good sleep during pregnancy is crucial, starting as early as before conception, especially for maternal mood. Therefore, it is important for clinicians to pay attention to sleep problems in the periconceptional period and provide adequate treatment for potential sleep problems, even before pregnancy.

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“…We excluded cases with missing information about the daytime and nighttime sleep periods of the infant, as this was necessary for analysis. If daytime sleep was longer than nighttime sleep at one month of age, it was assumed that the formation of the sleep–wake rhythm had been delayed 14 . The children who slept more during the day were classified into the “Day sleep” group, while children who slept more during the night or slept equally during the night and day were classified into the “Night sleep” group.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, exposure to environmental factors, such as the light–dark cycle and the mother's lifestyle, may promote or hinder the establishment of the infant's sleep–wake rhythm 12 , 13 . In addition, it has been reported that the mother’s sleeping habits during pregnancy, child’s time of birth, infant’s age in weeks, mother’s history of childbirth, and breastfeeding influence the formation of the sleep–wake rhythm in infants 8 , 14 .…”

Section: Introductionmentioning

confidence: 99%

Influence of mothers’ nighttime responses on the sleep–wake rhythm of 1-month-old infants

Kuroda

Suetsugu

Iwata

et al. 2021

Sci Rep

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The purpose of this study was to analyze the influence of the mothers’ nighttime responses on the sleep–wake rhythm of their 1-month-old infants. This study used an anonymous self-administered survey questionnaire with 1133 mothers of 1-month-old infants. The questionnaire investigated basic information about the parents, growth environment of infants, mothers’ sleep patterns during pregnancy, and infants’ sleep patterns at the age of one month. Logistic regression analysis was used to analyze the influence of nighttime responses on the risk of infants sleeping longer during the day than at night. Regarding nighttime response behavior, it was found that immediately picking up 1-month-old infants results in longer sleep during the day than at night (OR 1.616 [1.017 − 2.566], p = 0.042), compared to delaying picking up the infant. It was suggested that the stimulation due to picking up an infant may affect sleep–wake rhythm formation.

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Association of maternal sleep before and during pregnancy with preterm birth and early infant sleep and temperament

Cited by 26 publications

References 34 publications

Identifying Patterns of Symptom Distress in Pregnant Women: A Pilot Study

Identifying Patterns of Symptom Distress in Pregnant Women: A Pilot Study

Maternal Sleep Problems in the Periconceptional Period and the Impact on Health of Mother and Offspring: A Systematic Review

Influence of mothers’ nighttime responses on the sleep–wake rhythm of 1-month-old infants

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