Sleep patterns and sleep disturbances across pregnancy

Mindell, Jodi A.; Cook, Rae Ann; Nikolovski, Janeta

doi:10.1016/j.sleep.2014.12.006

Cited by 429 publications

(414 citation statements)

References 25 publications

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“…The prevalence of sleep disorder in the present study was 87.0%, in which the proportion was reported by 81.80%, 87.40% and 87.10% during the three trimesters, respectively. Our survey declared a higher prevalence of sleep disorder than those of Mindell et al [6] (76%), Xie et al [29] (64%) and Van Ravesteyn et al [30] (39%). These findings indicate that at least one-third of pregnant women experience poor sleep quality during any part of pregnancy.…”

Section: Discussioncontrasting

confidence: 46%

“…Women experience significant sleep problems during pregnancy [6], and poor sleep quality in pregnancy has been associated with preterm birth [26]. Sleep disturbances seen in pregnancy may be linked to adverse outcomes, such as gestational hypertension and cesarean birth [27].…”

Section: Discussionmentioning

confidence: 99%

“…Assessment of sleep quality is clinically relevant in view of the previous findings that sleep quality may be associated with some factors, such as mood disorders (e.g., depression, stress) and gestational age [6,7]. Women's body changes dramatically in a relatively short time during pregnancy, both physiologically and psychologically, which results in a significant alternation of sleep pattern [6].…”

Section: Introductionmentioning

confidence: 99%

“…Women's body changes dramatically in a relatively short time during pregnancy, both physiologically and psychologically, which results in a significant alternation of sleep pattern [6]. Women experienced sleep disturbances as early as during the first trimester of pregnancy [8].…”

Section: Introductionmentioning

confidence: 99%

“…Women experienced sleep disturbances as early as during the first trimester of pregnancy [8]. As pregnancy proceeds, both the number and duration of sleep disorders increase [6]. Sut et al [9] and Facco et al [10] indicated that the risk of poor sleep quality increased in the second and third trimester when compared with the first trimester.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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

Ying¹,

Mao²,

Ye³

et al. 2017

Nurs Palliat Care

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Section: Discussioncontrasting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Ying¹,

Mao²,

Ye³

et al. 2017

Nurs Palliat Care

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Efficacy of Digital Cognitive Behavioral Therapy for the Treatment of Insomnia Symptoms Among Pregnant Women

et al. 2020

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IMPORTANCE Despite the prevalence and adverse consequences of prenatal insomnia, a paucity of research is available regarding interventions to improve insomnia symptoms during pregnancy.OBJECTIVE To test the efficacy of digital cognitive behavioral therapy for insomnia (CBT-I) compared with standard treatment among pregnant women with insomnia symptoms. DESIGN, SETTING, AND PARTICIPANTSThis randomized clinical trial enrolled pregnant women from November 23, 2016, to May 22, 2018. Of the 2258 women assessed for eligibility using an online self-report questionnaire, 208 were randomized to receive digital CBT-I (n = 105) or standard treatment (n = 103) for insomnia. Participants were pregnant up to 28 weeks' gestation, and they either had elevated insomnia symptom severity or met the criteria for insomnia caseness as determined by self-report questionnaires. Participants completed outcome measures at 10 weeks (postintervention) and 18 weeks (follow-up) after randomization. All study visits were completed remotely, and the intervention was delivered digitally. Data were analyzed between December 12, 2018, and July 2, 2019.INTERVENTIONS Digital CBT-I consisted of 6 weekly sessions of approximately 20 minutes each. Standard treatment reflected standard care. Women receiving standard treatment had no limits placed on the receipt of nonstudy treatments, including medication and psychotherapy.MAIN OUTCOMES AND MEASURES All outcomes were assessed remotely using self-report questionnaires administered via online survey. The primary outcome was the change in insomnia symptom severity (measured by the Insomnia Severity Index) from baseline to postintervention. Secondary outcomes were sleep efficiency and nightly sleep duration (defined by sleep diary), global sleep quality (measured by the Pittsburgh Sleep Quality Index), depressive symptom severity (measured by the Edinburgh Postnatal Depression Scale), and anxiety symptom severity (measured by the Generalized Anxiety Disorder Scale-7). For each outcome, we also examined the change from baseline to follow-up. RESULTSThe 208 participants had a mean (SD) age of 33.6 (3.7) years and a mean (SD) gestational age of 17.6 (6.3) weeks at baseline. Most of the participants were white (138 [66.3%]), married or cohabiting (196 [94.2%]), had a college degree (180 [86.5%]), and earned $100 000 or more per year (141 [67.8%]). Women randomized to receive digital CBT-I experienced statistically significantly greater improvements in insomnia symptom severity from baseline to postintervention compared with women randomized to receive standard treatment (time-by-group interaction, difference = −0.36; 95% CI, −0.48 to −0.23; χ 2 = 29.8; P < .001; d = −1.03). Improvements from baseline to postintervention for all secondary outcomes, with the exception of sleep duration, were statistically significant. A similar pattern of results was evident for the change from baseline to follow-up. CONCLUSIONS AND RELEVANCEIn this trial, digital CBT was an effective, scalable, safe, and acceptable intervention...

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CBT‐I Protocols Across the Female Lifespan

Baglioni¹,

Palagini²

2022

Cognitive‐Behavioural Therapy for Insomnia (CBT‐I) Across the Life Span

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Sleep patterns and sleep disturbances across pregnancy

Cited by 429 publications

References 25 publications

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

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

Efficacy of Digital Cognitive Behavioral Therapy for the Treatment of Insomnia Symptoms Among Pregnant Women

CBT‐I Protocols Across the Female Lifespan

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