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Association between sleep quality with maternal and neonatal outcomes during the covid-19 pandemic

Maryam Akbari1, Sara EsmaeilzadehSaeieh2, Malihe Farid3

  • 1Department of Midwifery, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.

BMC Pregnancy and Childbirth
|April 19, 2024
PubMed

Insights

Pregnant individuals with sleep disorders during the COVID-19 pandemic experienced increased anxiety and higher fasting blood sugar (FBS) levels. Improving sleep quality is crucial for maternal health and well-being.

Area of Science:

  • Obstetrics and Gynecology
  • Sleep Medicine
  • Public Health

Background:

  • Sleep disorders are prevalent during pregnancy and can negatively affect maternal and neonatal outcomes.
  • The COVID-19 pandemic introduced unique stressors that may exacerbate sleep disturbances in pregnant individuals.

Purpose of the Study:

  • To investigate the association between sleep quality and maternal/neonatal outcomes in pregnant women during the COVID-19 pandemic.
  • To assess the correlation between sleep disorders, anxiety related to COVID-19, and specific maternal health indicators.

Main Methods:

  • A prospective cohort study involving 198 pregnant participants in Tehran, Iran (December 2020 - September 2022).
  • Participants were assessed using demographic questionnaires, the Pittsburgh Sleep Quality Index (PSQI), and the Corona Disease Anxiety Scale (CDAS).
  • Data on maternal and neonatal outcomes were collected and analyzed.

Main Results:

  • Sleep disorders were significantly correlated with higher fasting blood sugar (FBS) levels at 34-36 weeks gestation and increased Corona Disease Anxiety (CDA).
  • For each unit increase in sleep disorders, the risk of elevated FBS increased by 1.09 times, and the risk of CDA increased by 1.36 times.
  • No significant differences were observed between groups regarding birth weight, delivery type, gestational age, labor duration, Apgar scores, or NICU admissions.

Conclusions:

  • A notable correlation exists between poor sleep quality, elevated FBS levels, and heightened anxiety during pregnancy amidst the COVID-19 pandemic.
  • Findings highlight the necessity for public health strategies to prioritize and improve sleep quality for pregnant women during health crises.
Abstract

Keywords:
COVID-19 pandemicMaternal outcomesNeonatal outcomesPregnant womenSleep disorder

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