Determinants of sleep quality among pregnant women in China: a cross-sectional survey

Yang, Ying; Mao, Jing; Ye, Zhiying; Zeng, Xiaoli; Zhao, Huimin; Liu, Yueting; Li, Jie

doi:10.1080/14767058.2017.1359831

Cited by 49 publications

(43 citation statements)

References 36 publications

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“…Maternal age was identified as a predictor of poor sleep quality in our study, suggesting that sleep quality of pregnant mothers declines as their age increases. This was in agreement with the results of studies conducted in China [ 17 ] and Turkey [ 13 ]. As a potential risk factor, women with increased age were more likely influenced by physiological and psychological factors, hence leading to the decline of sleep quality [ 17 ].…”

Section: Discussionsupporting

confidence: 93%

“…When compared with the first trimester of pregnancy, significant decline in sleep quality were observed in the second and third trimester of pregnancy. This is similar with the findings of studies conducted in Turkey [ 4 ], Pakistan [ 24 ] and China [ 17 ]. This might be due to the increment of hormonal changes, maternal stress and fetal movement as gestational age increases.…”

Section: Discussionsupporting

confidence: 92%

“…More than a quarter (27.7%) of the women also found to have subjective snoring problem during pregnancy. These findings were supported by other studies conducted in Vietnam [ 18 ], China [ 17 ] and India [ 2 ].…”

Section: Discussionsupporting

confidence: 89%

“…These changes affect the physical and emotional behaviours of women and may lead to sleep disturbances. Poor sleep quality can result in pre-term birth, gestational hypertension and cesarean section deliveries [ 15 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

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Poor sleep quality and its associated factors among pregnant women in Northern Ethiopia, 2020: A cross sectional study

et al. 2021

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Background Sleep is a physiologic necessity for all humankind. Pregnant women, in particular, need adequate sleep to develop their fetuses as well as save energy required for delivery. A change in sleep quality and quantity is the most common phenomena during pregnancy due to mechanical and hormonal factors. However, there is a scarcity of data about poor sleep quality and its associated factors among pregnant mothers in Ethiopia. Therefore, this study aims to determine the prevalence of poor sleep quality and its associated factors among pregnant mothers at Wadila primary hospital, Ethiopia. Methods Institution based cross-sectional study design was employed on 411 pregnant mothers. Data were collected using a pre-tested interviewer administered questionnaire. SPSS Version 23 for Windows software was used for data analyses. Bivariate analysis was conducted to detect the association between dependent and independent variables, and to choose candidate variables (p < 0.25) for multivariate logistic regression. Statistical significance was set at p-value <0.05. Results A total of 411 participants were included in the study making a response rate of 97.4%. Overall, 68.4% of participants found to have poor sleep quality (PSQI>5). Age of the mother [age 20–30 years; AOR = 4.3 CI (1.8, 9.9), p = 0.001, and age >30 years; AOR = 4.7 CI (1.6, 13.9) p = 0.005], gestational age [second trimester, AOR = 2.46, CI (1.2, 4.9), p = 0.01 and third trimester, AOR = 7.5, CI (3.2, 17.8), p = 0.000] and parity [multiparous women; AOR = 2.1(1.24, 3.6) p = 0.006] were predictor variables for poor sleep quality among pregnant mothers. Conclusion More than two-third of pregnant mothers had poor sleep quality. Advanced maternal age, increased gestational age and multiparty are found to be predictors of poor sleep quality in pregnant women.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Poor sleep quality and its associated factors among pregnant women in Northern Ethiopia, 2020: A cross sectional study

et al. 2021

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“…These results are consistent with previous studies and a recent meta-analysis (Naud, Ouellet, Brown, Pasquier, & Moutquin, 2010;Sedov, Cameron, Madigan, & Tomfohr-Madsen, 2018;Sivertsen, Hysing, Dørheim, & Eberhard-Gran, 2015). Yang et al (2018) also found that 87% of pregnant women experienced sleep disorder (PSQI score >5). Poorer global sleep quality, subjective sleep quality, lower sleep efficiency, and sleep disturbances were most prevalent during third trimester.…”

Section: Discussionsupporting

confidence: 93%

Relationship Between Sleep Quality, Depression Symptoms, and Blood Glucose in Pregnant Women

et al. 2018

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Sleep quality during pregnancy affects maternal/child health. We aimed to assess changes in sleep quality during pregnancy and determine its relationship to maternal mood, blood glucose, and work schedule among primiparous women. We conducted a prospective/longitudinal/observational study. Ninety-two pregnant women were recruited from Midwestern hospital. Mood and sleep quality data were collected using Edinburgh Postnatal Depression Scale/Pittsburgh Sleep Quality Index at Gestational Weeks 22 and 32. Forty-three women completed the study. Twenty-six women (63%) were African American and the mean age was 23.64 ( SD = 3.82) years. Rate of poor sleep quality increased during pregnancy with 25% of women had scores indicative of depression symptoms. Poor sleep quality score was related to mood scores ( p < .05) and work schedule. Blood glucose was not significantly related to sleep duration. In conclusion, poor sleep quality during pregnancy was associated with poor mood and work schedule, suggesting that interventions targeting mental health and lifestyles are needed.

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Exploring associations of maternal sleep during periconceptional period with congenital heart disease in offspring

Zhao

Xia

et al. 2019

Birth Defects Research

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Background: In general, the existing evidence points to a role for maternal sleep in pregnancy complications and fetal growth, however, little has been focused on birth defects. We aimed to explore the association between periconceptional poor sleep and the risk of congenital heart disease (CHD), and to examine if daytime napping could to some extent change the association. Methods: A case-control study was conducted in Shanghai Children's Medical Center, in which, a total of 524 cases (262 simple CHD vs. 262 severe CHD), along with 262 controls. Results: In the multivariable logistic analysis, poor sleep could increase the risk of both simple CHD (OR = 2.486, 95% CI = 1.619-3.818) and severe CHD (OR = 1.950, 95% CI = 1.269-2.997), while routine daytime nap could decrease risk of simple CHD (OR = 0.634, 95% CI = 0.435-0.923). In the stratified analysis, the concurrence with routine daytime nap could weaken the risk of simple CHD caused by poor sleep (OR = 3.183, 95% CI: 1.830-5.537 decreased to OR = 2.236, 95% CI: 1.200-4.165). The examinations were repeated in ventricular septal defect and tetralogy of Fallot, and the established associations can be verified. Moreover, all these findings were also similarly observed in both propensityscore-adjusted and propensity-score-matched analyses. Conclusions: Poor maternal sleep around periconceptional period seems to be an independent risk factor for CHD. The concurrence with daytime nap could to some extent reduce the risk in simple CHD. The results individually and collectively put forward the importance of maternal sleep in embryonic heart development. K E Y W O R D S case-control study, congenital heart disease, daytime nap, maternal sleep, pregnancy Anda Zhao and Kena Zhao contributed equally to this work.

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Determinants of sleep quality among pregnant women in China: a cross-sectional survey

Abstract: Sleep disorder is very common in pregnant women from China. Depressive symptoms, increased maternal age, and gestational age are determinants of sleep quality. These determinants can assist healthcare professionals in preventative intervention.

Cited by 49 publications

References 36 publications

Poor sleep quality and its associated factors among pregnant women in Northern Ethiopia, 2020: A cross sectional study

Poor sleep quality and its associated factors among pregnant women in Northern Ethiopia, 2020: A cross sectional study

Relationship Between Sleep Quality, Depression Symptoms, and Blood Glucose in Pregnant Women

Exploring associations of maternal sleep during periconceptional period with congenital heart disease in offspring

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