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Association of maternal sleep before and during pregnancy with sleep and developmental problems in 1-year-old infants
Kazushige Nakahara1, Takehiro Michikawa2, Seiichi Morokuma3,4
1Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Insights
Maternal sleep habits before and during pregnancy significantly impact infant sleep and development. Short sleep durations and late bedtimes in mothers were linked to increased sleep disturbances in their 1-year-old children.
Area of Science:
- Perinatal health
- Infant development
- Sleep science
Background:
- Maternal sleep is crucial for pregnancy and postpartum outcomes.
- Infant sleep and developmental issues can have long-term consequences.
- Understanding the prenatal influences on infant sleep is vital.
Purpose of the Study:
- To investigate the association between maternal sleep patterns before and during pregnancy and infant sleep and developmental problems at one year of age.
- To identify specific maternal sleep characteristics that may increase the risk of infant sleep disturbances and developmental delays.
Main Methods:
- Utilized data from the Japan Environment and Children's Study (103,062 pregnancies).
- Collected self-reported maternal sleep habits (duration, bedtime) pre-pregnancy and during pregnancy.
- Assessed infant sleep habits and developmental progress at age 1 year using the Ages and Stages Questionnaire (ASQ).
Main Results:
- Maternal short sleep duration (<6 hours) and late bedtime before and during pregnancy were associated with increased infant sleep disturbances.
- Infants of mothers with short sleep (<6 hours) pre-pregnancy showed higher risks of prolonged night waking, reduced total sleep time, and later bedtimes.
- Subjective maternal sleep quality during pregnancy (e.g., deep sleep, feeling refreshed upon waking) was inversely associated with abnormal infant ASQ scores.
Conclusions:
- Maternal sleep patterns before and during pregnancy are significant predictors of infant sleep problems.
- Poor maternal sleep quality during pregnancy may be a protective factor against abnormal infant development.
- These findings highlight the importance of optimizing maternal sleep for improved infant outcomes.
Abstract:
This study investigated the association of maternal sleep before and during pregnancy with sleeping and developmental problems in 1-year-old infants. We used data from the Japan Environment and Children's Study, which registered 103,062 pregnancies between 2011 and 2014. Participants were asked about their sleep habits prior to and during pregnancy. Follow-up assessments were conducted to evaluate the sleep habits and developmental progress of their children at the age of 1 year. Development during infancy was evaluated using the Ages and Stages Questionnaire (ASQ). Maternal short sleep and late bedtime before and during pregnancy increased occurrence of offspring's sleeping disturbances. For example, infants whose mothers slept for less than 6 h prior to pregnancy tended to be awake for more than 1 h (risk ratio [RR] = 1.49, 95% confidence interval [CI] 1.34-1.66), sleep less than 8 h during the night (RR = 1.60, 95% CI 1.44-1.79), and fall asleep at 22:00 or later (RR = 1.33, 95% CI 1.26-1.40). Only subjective assessments of maternal sleep quality during pregnancy, such as very deep sleep and feeling very good when waking up, were inversely associated with abnormal ASQ scores in 1-year-old infants.
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