Sleep Disorders During Pregnancy and Postpartum:A Systematic Review Publisher



Moghadam ZB¹ ; Rezaei E² ; Rahmani A³ Show Affiliations
Source: Sleep Medicine Research Published:2021

Abstract

This study aimed to asses previous research results about bio-physiological alterations during pregnancy and postpartum, and make clear outlook about prevalence and related factors of sleep disordersduring pregnancy and postpartum. In this review, the articles that published from 2000 to2019 were reviewed. Related articles were searched from databases in English language. After evaluationof inclusion and exclusion criteria, articles were chosen and reviewed based on the Universityof York strategies. Sleep disorders in present study were classified according to the InternationalClassification of Sleep Disorders-3. The search revealed 4449 articles, after evaluating and assessingqualified articles, finally 56 article selected to review. According to the results of this review, Theprevalence of sleep disorders was almost 76%–97% in whole pregnancy. The most common sleepdisorders included central disorders of hyper somnolence (waking up in the middle of the night,daytime sleepiness, sleeplessness) or insomnia, sleep-related movement disorders (restless legs syndrome),sleep related breathing disorders (obstructive sleep apnea), and parasomnia. In addition,sleep disorder may continue 3–12 months postpartum (33.2%). Sleep disorders induced by physiologicalprocesses (fetal movement, excessive weight gain, male sex of the fetus, and multiparty),health-related risks (metabolism disorders, cardiovascular diseases, and mood disorders), andphysical or sexual abuse in childhood. In addition, these disorders could have maternal outcomesthat can be greatest trigger to postpartum psychiatric disorders and fetal outcomes that have harmfulsequences during childhood (sexual, fertility, emotional, and cognitive problems). Health careproviders should evaluate the mothers’ sleep quality because sleep disorder leads to harmful consequencesin fetuses and children © 2021 The Korean Society of Sleep Medicine