Daily Sleep and Fatigue Characteristics in Nulliparous Women during the Third Trimester of Pregnancy

Tsai, Shin Han; Lin, Jia‐Hua; Kuo, Lu-Ting; Thomas, Karen A.

doi:10.5665/sleep.1634

Cited by 62 publications

(38 citation statements)

References 38 publications

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“…Facco et al in Chicago analysed self-administered questionnaires from women in early pregnancy and again in the third trimester and showed that mean sleep duration dropped from 7.4 hours early in pregnancy to 7 hours in late pregnancy [9]. In a small Taiwanese study using actigraphy to measure sleep duration in nulliparous women the mean duration of total night time sleep in the third trimester was 6.4 (± 1.0) hours [16]. …”

Section: Discussionmentioning

confidence: 99%

A postal survey of maternal sleep in late pregnancy

Hutchison

Stone

McCowan

et al. 2012

BMC Pregnancy Childbirth

102

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BackgroundSleep disturbances in late pregnancy are common. This study aimed to survey sleep problems in third trimester pregnant women and to compare sleep in the pre-pregnancy period with the third trimester.MethodsThird-trimester women (n=650) were sent a postal survey containing questions relating to sleep experience, including perceived sleep quality, sleep difficulties, night waking, sleep environment, snoring, daytime tiredness and daytime napping. Time periods reported on were before pregnancy and in the last week.ResultsRespondents numbered 244 (38%). Before pregnancy, the mean reported duration of night-time sleep was 8.1 (SD 1.1) hours; in the last week this had decreased to 7.5 (SD 1.8) hours (p<.0001). Only 29% rated their sleep quality in the last week as very good or fairly good, compared with 82% rating their sleep this way before the pregnancy. The main reasons for sleeping difficulties were discomfort (67%) and pain (36%). Snoring increased significantly over the course of the pregnancy, with 37% reporting snoring often or every night in the last week. Those with a pre-pregnancy body mass index of greater than 25 were significantly more likely to snore (p=.01). Only 4% of women had an abnormal Epworth Sleepiness Scale score (i.e. >10) prior to pregnancy, whereas in the last week 33% scored in the abnormal range. Likewise, 5% had regularly napped during the daytime before pregnancy, compared with 41% in the last week.ConclusionsSleep problems are common in women in late pregnancy, and increase markedly compared with before pregnancy.

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Section: Discussionmentioning

confidence: 99%

A postal survey of maternal sleep in late pregnancy

Hutchison

Stone

McCowan

et al. 2012

BMC Pregnancy Childbirth

102

View full text Add to dashboard Cite

show abstract

“…During the second trimester, daytime sleepiness improves. During the third trimester there is an increase in sleep disruptions with typically 3–5 awakenings per night, more daily naps 49 , diminished daytime alertness, more disturbed dreams 50 , and approximately 21% report disturbed sleep at levels consistent with a diagnosis of insomnia disorder 47,51 . Decreased sleep efficiency, increased wake after sleep onset, increased total sleep time (decreased by third trimester), increased stage 1 and 2 sleep, and decreased REM sleep (during late pregnancy) have been noted by PSG recordings 52–55 .…”

Section: Pregnancymentioning

confidence: 99%

Sleep and Women’s Health

2013

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Sex differences in sleep begin at a very early age and women report poorer sleep quality and have higher risk for insomnia than do men. Sleep may be affected by variation in reproductive hormones, stress, depression, aging, life/role transitions, and other factors. The menstrual cycle is associated with changes in circadian rhythms and sleep architecture. Menstruating women (even without significant menstrual-related complaints) often report poorer sleep quality and greater sleep disturbance during the premenstrual week compared to other times of her menstrual cycle. In addition to these sleep disturbances, women with severe premenstrual syndrome often report more disturbing dreams, sleepiness, fatigue, decreased alertness and concentration during the premenstrual phase. Sleep disturbances are also commonly reported during pregnancy and increase in frequency and duration as the pregnancy progresses. The precipitous decline in hormones and unpredictable sleep patterns of the newborn contribute to and/or exacerbate poor sleep and daytime sleepiness during the early postpartum period. Insomnia is also among the most common health complaints that are reported by perimenopausal women. Women are particularly vulnerable to developing insomnia disorder during these times of reproductive hormonal change. In this review, we present a discussion on the most relevant and recent publications on sleep across the woman’s lifespan, including changes in sleep related to menstruation, pregnancy, postpartum, and the menopausal transition. Treatment for sleep disturbances and insomnia disorder and special considerations for treating women will also be discussed.

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“…Pregnancy is characterized by substantial changes in sleep patterns, such as increased frequency of insomnia symptoms, including night-wakings, daytime fatigue, and in some cases, also difficulties falling asleep and waking up too early in the morning (Manber et al 2013;Mindell and Jacobson 2000;Skouteris et al 2009a;Tsai et al 2012). Although most of the studies in this field are based on self-reported measures of sleep, studies that used objective sleep measures, such as actigraphy and polysomnography (PSG), support these findings and suggest that in comparison to nonpregnant women, pregnant women have lower sleep efficiency, more frequent night-wakings and longer night-wakings and spend more time in light sleep and less time in deep sleep and REM sleep (Hertz et al 1992;Wilson et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Objective and subjective sleep during pregnancy: links with depressive and anxiety symptoms

Volkovich

Tikotzky

Manber

2015

Arch Womens Ment Health

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The aims of this paper are to study the associations between objective and subjective sleep in pregnant women, to examine which specific aspects of women's sleep are associated with depressive and anxiety symptoms and to test the moderating role of depressive and anxiety symptoms in the relations between objective and subjective sleep. The sample included 148 pregnant women. Objective sleep was measured by actigraphy for five nights at the participants' home, and subjective sleep was measured with the Pittsburgh sleep quality index. Depressive symptoms were assessed with the Edinburgh postnatal depression scale and anxiety symptoms with the Beck anxiety inventory. Significant associations were found between the subjective sleep measures and the depressive and anxiety scores, but there were no significant associations between actigraphic sleep measures and the depressive and anxiety scores. Depressive and anxiety scores emerged as significant moderators of the links between objective and subjective sleep. The findings suggest that emotional distress (i.e., depressive and anxiety symptoms severity) during pregnancy is associated with subjective sleep disturbances but not with objective sleep disturbances. Importantly, only among women with higher levels of emotional distress was subjective sleep quality associated with objective sleep quality. These findings may suggest that women with higher levels of emotional distress are not necessarily biased in their perception of sleep quality. However, they may perceive fragmented sleep as more detrimental to their wellbeing.

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Daily Sleep and Fatigue Characteristics in Nulliparous Women during the Third Trimester of Pregnancy

Cited by 62 publications

References 38 publications

A postal survey of maternal sleep in late pregnancy

A postal survey of maternal sleep in late pregnancy

Sleep and Women’s Health

Objective and subjective sleep during pregnancy: links with depressive and anxiety symptoms

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