Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation

Pascal, Rosalia; Casas, Irene; Genero, Mariona; Nakaki, Ayako; Youssef, Lina; Larroya, Marta; Benitez, Leticia; Gomez, Yvan; Martinez-Aran, Anabel; Morilla, Ivette; Oller-Guzmán, Teresa M.; Martín-Asuero, Andrés; Vieta, Eduard; Crispi, Fàtima; Gratacos, Eduard; Gomez-Roig, María Dolores; Crovetto, Francesca

doi:10.3390/jcm12237333

Cited by 7 publications

(2 citation statements)

References 59 publications

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“…Analogs to our study, the study with African Americans indicated that multiparous women experienced than nulliparous women longer sleep latency and more frequent sleep disturbances (e.g., nighttime and early morning awakenings) when it goes from the first trimester to the third trimester [ 24 ]. In the present study, the mean sleep latency score was 1.06 ± 0.89 respectively.…”

Section: Discussionsupporting

confidence: 53%

Determinants of sleep quality among pregnant women in a selected institution in the Southern province, Sri Lanka

Peiris,

Sundarapperuma

2024

PLoS ONE

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Background Sleep is a vital requirement during pregnancy for the betterment of the fetus and the mother. Sleep quality could vary due to pregnancy-specific psychological and physiological changes. To introduce a tailored programme to enhance the sleep quality of mothers, it is paramount to assess the sleep quality and determinants of sleep. Therefore, this study aimed to assess the determinants of sleep quality among pregnant women in a selected institution in the Southern province of Sri Lanka. Methods Hospital-based cross-sectional study was carried out with 245 antenatal women, selected using a systematic random sampling method. A pretested self-administered questionnaire was used to collect data which contains four parts. Below variables were involved and both continuous and categorical data were collected as required. ‘Maternal sleep quality, socio-demographic data and gestational age, maternal depression and anxiety.’ Data were analyzed using IBM SPSS version 25.0 for Windows by using descriptive statistics, Pearson’s Chi-square test, and independent sample T-test (p < 0.05). Logistic regression analysis was used to find the relationship with sleep quality and other variables. P-value of less than 0.05 was considered statistically significant, at 95% CI. Results The majority of women (60.8%) had good sleep quality and they didn’t have either depressive symptoms (63.4%) or anxiety (64.2%). Aged between 34–41 years and third-trimester women had higher rates of poor sleep quality. Varying quality of sleep was identified among three-trimesters with subjective sleep quality, sleep latency, habitual sleep efficiency, and sleep disturbances. In comparison with the first and second trimester, pregnant women in the third trimester had higher score of global PSQI (5.22 ± 2.35), subjective sleep quality (1.23 ± 0.70), sleep latency (1.25 ± 0.86), habitual sleep efficiency (0.14 ± 0.43), and sleep disturbances (1.39 ± 0.58). There was a significant association between gestational age (P = .006), maternal age (P = .009), antenatal depression (P = .034), and anxiety (P = .013) with sleep quality. However, multinomial logistic regression revealed that only gestational age affected on quality of sleep. The first trimester was a protective factor for good quality sleep (Adjusted OR = 3.156) compared to the other two trimesters. Conclusion This study revealed that the majority of women had good sleep quality but quality of sleep was deprived with gestational age. It is expected that the findings of this research will be helpful for health and social care policymakers when formulating guidelines and interventions regarding improving the quality of sleep among pregnant women in Sri Lanka.

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Section: Discussionsupporting

confidence: 53%

Determinants of sleep quality among pregnant women in a selected institution in the Southern province, Sri Lanka

Peiris,

Sundarapperuma

2024

PLoS ONE

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“…The period of pregnancy can be considered a psychological burden, when the woman is experiencing a strong psychological phenomenon associated with important functional changes. The pregnant woman can experience frequent mood changes, accusing fatigue, exhaustion, sleepiness, anxiety, depressive reactions and sometimes ending up being overwhelmed by states of agitation, euphoria [43].…”

Section: Psychological Changes Stress and Anxiety Factors During Preg...mentioning

confidence: 99%

Effects of Stress and Anxiety on Pregnant Women's Cardiovascular Health: A Narrative Review

Bernad,

Tomescu,

Hogea

et al. 2024

Preprint

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Pregnancy is a complex biological process which is associated with significant metabolic and hemodynamic changes of the maternal body which allow a normal fetal growth. The inability to adapt to these changes can affect the cardiovascular health. During pregnancy, women may experience mood swings, anxiety and emotional ambivalence. These symptoms can lead to stress and have a negative impact on the mental well-being of expectant mothers. It is crucial to know the aspects that can influence the development of cardiovascular problems among pregnant women in order to manage these cases properly. The current narrative review explores and summarizes the evidence regarding the impact of stress and anxiety on cardiovascular health in pregnant women. Understanding the physiological adaptations that the body undergoes throughout pregnancy is crucial for educating and supporting individuals as well as healthcare professionals. This enables them to recognize any risk factors or pathological conditions that may exacerbate pregnant women's health. In order to reduce maternal morbidity and mortality from cardiovascular disease, a psychological and cardiovascular risk factor screening that is done either before or during pregnancy may be able to identify situations that call for particular medical and/or psychological therapies.

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Variability in perinatal sleep quality is associated with an atypical cortisol awakening response and increased mood symptoms

Okun,

Segerstrom,

Jackman

et al. 2025

Psychoneuroendocrinology

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Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation

Cited by 7 publications

References 59 publications

Determinants of sleep quality among pregnant women in a selected institution in the Southern province, Sri Lanka

Determinants of sleep quality among pregnant women in a selected institution in the Southern province, Sri Lanka

Effects of Stress and Anxiety on Pregnant Women's Cardiovascular Health: A Narrative Review

Variability in perinatal sleep quality is associated with an atypical cortisol awakening response and increased mood symptoms

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