Open AccessMaternal Sleep and Related Pregnancy Outcomes: A Multicenter Cross-sectional Study in 11 Provinces of Iran
Author(s) -
Mahmoud Hajipour,
Maryam Soltani,
Roya SafariFaramani,
Salman Khazaei,
Koorosh Etemad,
Sharmin Rahmani,
Tannaz Valadbeigi,
Halimeh Yaghoobi,
Shahab Rezaeian
Publication year - 2021
Publication title -
journal of family and reproductive health./journal of family and reproductive health
Language(s) - English
Resource type - Journals
eISSN - 1735-8949
pISSN - 1735-9392
DOI - 10.18502/jfrh.v15i1.6078
Subject(s) - medicine , pregnancy , gestational diabetes , obstetrics , sleep disorder , anemia , cross sectional study , gestational age , odds ratio , abortion , context (archaeology) , pediatrics , gestation , psychiatry , insomnia , paleontology , genetics , pathology , biology
Objective: Sleep disturbance during pregnancy is one of the most common maternal complaints. Not only does it play a crucial role in a mother’s life, but also it comes with a multitude number of complications. This study aimed at assessing the association between sleep disturbance in pregnancy and maternal and child outcomes.
Materials and methods: This was a multicenter cross-sectional study, conducted on pregnant women across 11 provinces in Iran in 2018. Sleep disturbance as a composite variable was defined using the principal component analysis based on five questions. Abortion, anemia in the first and third trimester, gestational diabetes, gestational age, glucose tolerance test (GTT), fasting blood sugar (FBS), mode of delivery, low birth weight and stillbirth were defined as study outcomes.
Results: Totally, 3675 pregnant women enrolled in the study. Most of the participants (84.5%) reported that their sleep duration is less than 8 hours per day. The prevalence of sleep disturbance was 20.7% (95% CI: 19.1, 22.3). After adjusting for maternal age, education, job, place of residency and physical violence, sleep disturbance would increase the odds of abortion (p=0.009), anemia in both first (p=0.001) and third (p=0.003) trimester, gestational age (p=0.049), abnormal FBS (p=0.015) and cesarean section (p<0.001).
Conclusion: Regarding the effect of sleep quality on maternal outcomes, planning and implementing a suitable intervention in the context of primary health care is necessary. Increasing the awareness of mothers, health workers and medical personnel about the suitable quality and quantity of sleep during pregnancy is of great importance.