Sleep and Vigilance Disorders in Pregnancy

Abstract

Objectives: To describe different sleep disorders and daytime sleepiness in a French population of randomly selected young women during pregnancy and to evaluate the frequency of these sleep disorders according to the three trimesters of pregnancy. Methods: Cross-sectional design with retrospective survey of pre-pregnancy, symptoms and prospective survey of current symptoms. Mothers were interviewed during pregnancy with a questionnaire to evaluate their sleep before pregnancy and to assess alterations in their sleep according to the trimester. Results: 871 pregnant women completed the questionnaire. The rate of pregnant women with insomnia with non-refreshing sleep and frequent awakenings increases during the second and the third trimester reaching more than 75% of the women, essentially due to an urge to urinate, movements of the fetus, backache and restless legs syndrome. Snoring also increases throughout the pregnancy with more than 18% of them snoring every night. Conversely, more than 75% of the women complained of a decrease in their vigilance and a need to nap inreased during the pregnancy. Conclusions: The subjective quality of sleep is disturbed as early as the first trimester of pregnancy and increases throughout the pregnancy, except for excessive daytime sleepiness which was more frequent during the first trimester.

Identifying Insomnia in Early Pregnancy: Validation of the Insomnia Symptoms Questionnaire (ISQ) in Pregnant Women

“…Thus, insomnia may be overdiagnosed with this scale. Others have used the Pittsburgh Sleep Quality Index (PSQI) 36,37 to indicate prevalence of sleep disturbance and/or insomnia in pregnancy. Although the PSQI may reliably quantify subjective sleep quality in pregnant women, [38][39][40] it was not designed to identify insomnia per se.…”

Quality of sleep in pregnant woman with low back pain

“…However, these were considered normal characteristics of pregnancy, so they are not the target of evaluation and/or treatment by health professionals (13). Among the main sleep disorders, which are characteristics of pregnancy period, those are included: changes in the architecture and sleep patterns, insomnia, excessive daytime sleepiness, respiratory disorders and restless legs syndrome (14). Research analyzing the characteristics of the sleep-wake cycle, during pregnancy, suggest that there is a decrease in the average duration and quality of sleep with the progression of pregnancy (15,16) which, in turn, can influence the type of delivery, duration of parturition (17) and emergence of post partum depression (18).…”

Qualidade de Vida em Gestantes com Alterações do Sono

“…O valor de significância da correlação no terceiro trimes-original tre gestacional foi de p=0,0256, porém, como o gráfico mostra um padrão de dispersão negativo, não há correlação entre as variáveis com a amostra deste estudo. 2009 relatou que 75% de sua amostra também apresentou má qualidade de sono devido à urgência miccional, movimentos fetais, quadro álgico lombar, síndrome das pernas inquietas e ronco 13 . Em 2010 um terceiro estudo obteve resultados semelhantes, no qual gestantes com roncos e síndrome das pernas inquietas apresentaram qualidade do sono ruim 14 .…”

“…Alguns fatores podem interferir na qualidade de vida de uma maneira prejudicial ao sono como, por exemplo, urgência miccional, algias (lombares e inguinais), câimbras, síndrome das pernas inquietas e ortopnéia [13][14][15] . Sendo assim a fisioterapia no início, durante e após a gestação pode prevenir essas queixas através de recursos como hidroterapia, cinesioterapia (assoalho pél-vico, musculatura dorsal, abdominal e de membros) e relaxamento (massagem, acupuntura) [18][19][20][21][22] .…”