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Updated: Feb 8, 2026

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Prolonged antepartum hospitalization: no time for rest
Stephanie M Spehar1, John F Mission1, Amanda Shupe2
1Magee-Womens Research Institute, Department of Obstetrics and Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Summary
Prolonged hospitalization during pregnancy significantly disrupts sleep, with many women experiencing less than 7 hours of sleep per night and frequent awakenings due to hospital events.
Area of Science:
- Obstetrics and Gynecology
- Sleep Medicine
- Maternal Health
Background:
- Sleep disturbances are common in pregnancy.
- Prolonged antepartum hospitalization presents unique challenges to maternal well-being.
- Characterizing sleep patterns in this population is crucial for improving care.
Purpose of the Study:
- To investigate sleep patterns in pregnant women during prolonged antepartum hospitalization.
- To quantify sleep duration, latency, and awakenings.
- To identify factors associated with poor sleep quality.
Main Methods:
- Prospective cohort study involving 28 women with ≥5 nights of data.
- Utilized Actigraphy for objective sleep measurement.
- Collected subjective data via sleep logs and surveys.
Main Results:
- Median sleep duration was 7.05 hours; 43.5% slept <7 hours nightly.
- Late bedtimes (midnight-5 am) were linked to shorter sleep durations.
- Participants reported an average of 2.4 hospital-related awakenings per night.
Conclusions:
- Prolonged antepartum hospitalization negatively impacts sleep duration and quality.
- Hospital environments contribute to sleep disruption.
- Interventions to improve sleep in hospitalized pregnant women are warranted.
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