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Sleep Quality in Individuals with and without Persistent Postpartum Hypertension.

Tiffany L Wang¹, Samantha G Bryan², Arundhathi Jeyabalan^1,2

¹Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Magee-Womens Hospital, Pittsburgh, Pennsylvania.

American Journal of Perinatology

|February 19, 2024

Summary

Poor sleep quality is common one year after hypertensive disorders of pregnancy (HDP). Persistent postpartum hypertension is linked to worse sleep, suggesting sleep interventions may improve maternal cardiovascular health.

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Area of Science:

Obstetrics and Gynecology
Cardiovascular Health
Sleep Medicine

Background:

Hypertensive disorders of pregnancy (HDP) affect maternal health postpartum.
Persistent postpartum hypertension (HTN) is a concern following HDP.
Sleep quality is crucial for overall maternal well-being.

Purpose of the Study:

To compare sleep quality at 1 year postpartum in individuals with and without persistent postpartum HTN after HDP.
To identify factors associated with persistent postpartum HTN.
To explore sleep quality as a potential intervention target for maternal cardiovascular health.

Main Methods:

Combined data from two studies (n=154) of individuals with a history of HDP.
Assessed sleep quality using the Pittsburgh Sleep Quality Index (PSQI) at ~1 year postpartum.
Defined persistent postpartum HTN based on blood pressure measurements or antihypertensive medication use.

Main Results:

81% of individuals reported poor sleep quality (PSQI > 5) at 1 year postpartum.
Individuals with persistent postpartum HTN (45%) had significantly higher PSQI scores (worse sleep quality) compared to normotensive individuals (p < 0.01).
Persistent postpartum HTN was associated with older age, Black race, higher BMI, and multiparity.

Conclusions:

Poor sleep quality is prevalent postpartum following HDP.
Worsened sleep quality is associated with persistent postpartum hypertension.
Interventions targeting sleep behavior may improve cardiovascular health in this population.