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[Association between sleep status in the first trimester and preterm birth]
1Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
Zhonghua Fu Chan Ke Za Zhi
|May 26, 2024
Summary
Poor sleep quality in early pregnancy significantly increases the risk of preterm birth. This study highlights the importance of monitoring sleep patterns during the first trimester for better pregnancy outcomes.
Area of Science:
- Obstetrics and Gynecology
- Sleep Medicine
- Perinatal Health
Background:
- First-trimester sleep quality is crucial for pregnancy outcomes.
- Preterm birth remains a significant concern in perinatal health.
- Understanding early pregnancy risk factors is essential for timely intervention.
Purpose of the Study:
- To investigate the association between first-trimester sleep status and the incidence of preterm birth.
- To identify specific sleep parameters that correlate with increased preterm birth risk.
- To analyze the relationship between sleep quality and spontaneous preterm birth.
Main Methods:
- A cohort study involving pregnant women from September 2019 to June 2020.
- Utilized the Pittsburgh Sleep Quality Index (PSQI) to assess sleep status at 8-12 weeks of gestation.
- Categorized delivery outcomes into full-term, preterm birth, and spontaneous preterm birth groups for comparative analysis.
Main Results:
- Higher PSQI scores (indicating poorer sleep quality) were significantly associated with preterm birth and spontaneous preterm birth.
- Pregnant women experiencing poor sleep (PSQI > 7) had a higher risk of preterm delivery.
- Reduced nighttime sleep duration was observed in preterm birth groups compared to the full-term group.
- First-trimester PSQI score was identified as an independent risk factor for preterm birth (aOR=1.22).
- Assisted reproductive technology, gestational diabetes mellitus, and first-trimester PSQI score were independent risk factors for spontaneous preterm birth.
Conclusions:
- Decreased sleep quality during the first trimester is a significant risk factor for preterm birth.
- Monitoring and addressing sleep disturbances in early pregnancy may help mitigate the risk of preterm delivery.
- Further research is warranted to explore interventions for improving sleep quality in pregnant individuals.
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