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Published on: October 2, 2019
Daytime Napping and Nighttime Sleep During Pregnancy and Preterm Birth in Iran
Farnaz Shaliha1, Maryam Mozaffari1, Faeze Ramezani1
1Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.
Insights
Poor sleep quality is common in pregnancy, affecting over 84% of women. However, this study found no significant link between sleep quality and preterm birth risk in pregnant individuals.
Area of Science:
- Obstetrics and Gynecology
- Sleep Medicine
- Perinatal Health
Background:
- Poor sleep quality is a prevalent issue among pregnant women.
- Understanding factors influencing preterm birth is crucial for maternal and infant health.
Purpose of the Study:
- To investigate the association between sleep quality during pregnancy and the incidence of preterm birth.
- To identify potential predictors of preterm birth among pregnant women.
Main Methods:
- A longitudinal study involving 150 pregnant women in Qazvin, Iran.
- Sleep quality assessed using the Petersburg Sleep Quality Index and Epworth Sleepiness Scale at 14-18 and 28-32 weeks gestation.
- Data analyzed with Mann-Whitney, Fisher exact tests, and logistic regression.
Main Results:
- High prevalence of poor sleep quality: 84.7% at 14-18 weeks and 93.3% at 28-32 weeks.
- Age and Petersburg Sleep Quality Index scores in the second and third trimesters were included in the final preterm birth prediction model.
- While higher scores indicated increased preterm birth risk (42% and 28% respectively), these associations were not statistically significant.
Conclusions:
- Despite a high prevalence of poor sleep quality in pregnant women, no statistically significant relationship was established with preterm birth.
- Further research may be needed to explore other contributing factors to preterm birth in populations with poor sleep quality.
Objectives:
This study investigated the relationship between sleep quality during pregnancy and preterm birth.
Methods:
This longitudinal study was conducted between August 2018 and May 2019. The participants were 150 pregnant women who had been referred to 7 healthcare centers in the city of Qazvin, Iran and met the inclusion criteria. The Petersburg Sleep Quality Index, the Epworth Sleepiness Scale, and 2 questions about daytime sleep status and a demographic questionnaire were administered at 14-18 weeks and 28-32 weeks of gestation. Data were analyzed using the Mann-Whitney test, the Fisher exact test, and univariate and multivariable logistic regression.
Results:
In the present study, poor sleep quality affected 84.7% of the participants at 14-18 weeks and 93.3% at 28-32 weeks of gestation. The final model for preterm birth prediction incorporated age and the Petersburg Sleep Quality Index score in the second and third trimesters. Preterm birth increased by 14% with each unit increase in age. With each unit increase in the Petersburg Sleep Quality Index score in the second and third trimesters, preterm birth increased by 42% and 28%, respectively, but the p-values of these factors were not significant.
Conclusions:
Although a significant percentage of pregnant women had poor sleep quality, no significant relationship was found between sleep quality during pregnancy and preterm birth.
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