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Published on: December 29, 2016
Sleep and vigilance disorders in pregnancy
Jean-Philippe Neau1, Bénédicte Texier, Pierre Ingrand
1Department of Neurology, CHU La Milétrie, Poitiers, France. jph.neau@chu-poitiers.fr
Pregnancy significantly disrupts sleep quality, with insomnia and snoring increasing throughout gestation. However, daytime sleepiness was most prevalent in the first trimester for these women.
Area of Science:
- Obstetrics and Gynecology
- Sleep Medicine
- Perinatal Health
Background:
- Sleep disturbances are common during pregnancy.
- Understanding the prevalence and evolution of sleep disorders across trimesters is crucial for maternal care.
Purpose of the Study:
- To characterize sleep disorders and daytime sleepiness in a French pregnant population.
- To assess the frequency of these sleep issues by trimester.
Main Methods:
- A cross-sectional study utilizing retrospective and prospective surveys.
- 871 pregnant women completed questionnaires on sleep before and during pregnancy.
Main Results:
- Insomnia, non-refreshing sleep, and frequent awakenings affected over 75% of women by the second and third trimesters.
- Causes included urinary urgency, fetal movements, backache, and restless legs syndrome.
- Snoring increased to over 18% nightly, while vigilance decreased and napping increased in over 75% of participants.
Conclusions:
- Subjective sleep quality deteriorates progressively throughout pregnancy.
- Excessive daytime sleepiness presented primarily in the first trimester.
- These findings highlight the significant impact of pregnancy on sleep patterns.
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