Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Poor Maternal Sleep Health Adversely Affects Neonatal and Pregnancy Outcomes: An Important Ignored Health Issue in Prenatal Care Publisher



Saraei M1 ; Shafaat M2 ; Aminian O1 ; Eftekhari S1 ; Hesari E3 ; Behkar A2 ; Najafi A2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Center for Research on Occupational Diseases (CROD), Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Obstetrics, Gynecology and Cancer Research Published:2024


Abstract

Background & Objective: Pregnancy is an exceptionally delicate time in the lives of most women. Sleep disorders during pregnancy can substantially impact a healthy pregnancy. This study investigated the relationship between sleep quality during pregnancy and adverse maternal and fetal pregnancy outcomes. Materials & Methods: This was a prospective cohort study on 500 pregnant women referred to the Perinatology clinic. The Pittsburgh Sleep Quality Index questionnaire was used to evaluate sleep quality, and demographic data were collected from the case files of routine prenatal checkups. The study participants were followed until delivery. The association between sleep quality and postpartum complications, such as preterm birth, infant Apgar score, and (Neonatal Intensive Care Unit) NICU admission, was investigated. Results: This study included 500 pregnant women with a mean age of 31.12 ± 5.84 years. The number of pregnancies ranged from one to seven, with a mean of 2.55±1.30. Of the infants, 12% of infants were born prematurely and 27.8% required NICU admission. Poor sleep quality was found to be associated with preterm delivery (OR: 1.27, P = 0.039) and preeclampsia (OR: 0.543, P = 0.004). Women who experienced preeclampsia during pregnancy (P = 0.01), delivered via cesarean section (P = 0.009), and had infants weighing more than 2500 g (P = 0.07) exhibited significantly poorer sleep quality. Conclusion: We found that poor sleep quality was associated with preterm birth, cesarean section delivery, maternal preeclampsia risk, and the 5-minute Apgar score. Considering the impact of a mother’s sleep quality on pregnancy outcomes, assessing mothers' sleep health appears essential in prenatal care. © 2024, Farname Inc. All rights reserved.
Related Docs
View other Related Docs
1. Association Between Psychological Discomforts and Sleep Quality Among People Living With Hiv/Aids, AIDS Research and Therapy (2023)
2. Association of Healthy Beverage Index With Circadian Rhythm and Quality of Sleep Among Overweight and Obese Women: A Cross-Sectional Study, Eating and Weight Disorders (2022)
3. Sleep Disorders During Pregnancy and Postpartum:A Systematic Review, Sleep Medicine Research (2021)
4. Effects of Treatment of Sleep Disorders on Sleep, Psychological and Cognitive Functioning and Biomarkers in Individuals With Hiv/Aids and Under Methadone Maintenance Therapy, Journal of Psychiatric Research (2020)
5. When Non‐Suicidal Self‐Injury Predicts Non‐Suicidal Self‐Injury and Poor Sleep—Results From a Larger Cross‐Sectional and Quasi‐Longitudinal Study, International Journal of Environmental Research and Public Health (2021)
6. Diet Quality Indices Are Associated With Sleep and Mental Health Status Among Diabetic Women: A Cross-Sectional Study, Eating and Weight Disorders (2022)
7. Comparing the Effects of Melatonin and Zolpidem on Sleep Quality, Depression, and Anxiety in Patients With Colorectal Cancer Under Going Chemotherapy, Basic and Clinical Neuroscience (2021)
8. When Much Is Too Much—Compared to Light Exercisers, Heavy Exercisers Report More Mental Health Issues and Stress, But Less Sleep Complaints, Healthcare (Switzerland) (2021)
Experts (# of related papers)
View all Related Experts
Khosro Sadeghniat (7)
Samaneh Akbarpour (4)
Other Related Docs
9. Association of Sleep Characteristics and Respiratory Symptoms at a Smelting Factory, Work (2022)
10. Association of Depression and Common Complaints of Pregnancy in Women With Sleep Disorder, Asian Journal of Scientific Research (2015)
11. Non-Visual Effects of the Light Source “Correlated Color Temperature” on Electroencephalographic Spectral Power, Sleepiness and Neurobehavioral Performance, Iran Occupational Health (2020)
12. Sleep Quality and Associated Factors Among People Who Inject Drugs in Iran: A Nationwide Survey Using Respondent-Driven Sampling, BMC Public Health (2024)
13. The Mediating Role of Sleep Quality Between Pre-Sleep Portable Media Device Use and Nursing Performance, Scientific Reports (2024)
14. Prevalence and Effects of Sleep Disorders Among Shift-Working Nurse, Annals of Tropical Medicine and Public Health (2018)
15. Association Between Oxidative Balance Score and Risk of Postpartum Depression in Iranian Women: A Prospective Cohort Study, Scientific Reports (2025)
16. Acceptance and Commitment Therapy (Act) Improves Sleep Quality, Experiential Avoidance, and Emotion Regulation in Individuals With Insomnia—Results From a Randomized Interventional Study, Life (2021)
17. Assessment the Health-Related Quality of Life in Women With Polycystic Ovary Syndrome, Tehran University Medical Journal (2020)
18. Visual Attention and Poor Sleep Quality, Frontiers in Neuroscience (2022)
19. Measurement Invariance of the General Health Questionnaire (Ghq-12) Across Gender and Age: Demographic and Medical Correlates of Mental Health in Patients With Covid-19, Frontiers in Psychology (2023)
20. Validity and Reliability of the Dysfunctional Beliefs and Attitudes About Sleep Scale-10 in Iranian Clinical Population, Iranian Journal of Psychiatry and Behavioral Sciences (2018)
21. Evaluation of the Relationship Between Psychological Distress and Sleep Problems With Annoyance Caused by Exposure to Environmental Noise in the Adult Population of Tehran Metropolitan City, Iran, Journal of Environmental Health Science and Engineering (2022)
22. Sleep Quality in Long Haul Truck Drivers: A Study on Iranian National Data, Chinese Journal of Traumatology - English Edition (2016)
23. Sleep Profiles in Epilepsy Patients Undergoing Monotherapy and Polytherapy: A Comparative Cross-Sectional Study, Epilepsy and Behavior (2024)
24. Association Between Mediterranean Dietary Pattern With Sleep Duration, Sleep Quality and Brain Derived Neurotrophic Factor (Bdnf) in Iranian Adults, Scientific Reports (2023)
25. Happiness, Sleep Quality, and Self-Care Ability Among Community-Dwelling Older Adults in Tehran, 2023, BMC Geriatrics (2024)
26. Dietary Total Antioxidant Capacity and Its Association With Sleep, Stress, Anxiety, and Depression Score: A Cross-Sectional Study Among Diabetic Women, Clinical Nutrition ESPEN (2020)
27. Fatigue and Sleep Quality in Different Trimesters of Pregnancy, Sleep Science (2021)
28. Evaluation of Sleep Quality and Depressive Symptoms Among Medical Students During Covid-19 Pandemic, Middle East Current Psychiatry (2023)
29. Effects of Aphrodite (An Herbal Compound) on Ssri-Induced Sexual Dysfunctions and Depression in Females With Major Depressive Disorder: Findings From a Randomized Clinical Trial, Medicina (Lithuania) (2023)
30. Efficacy of Vitamins B1 and B6 As an Adjunctive Therapy to Lithium in Bipolar-I Disorder: A Double-Blind, Randomized, Placebo-Controlled, Clinical Trial, Journal of Affective Disorders (2024)
31. Psychometric Properties of the Persian Pittsburgh Sleep Quality Index for Adolescents, International Journal of Environmental Research and Public Health (2020)
32. Association Between Patterns of Nutrient Intake and Circulating Vitamin D With Sleep Status Among Iranian Adults, Scientific Reports (2023)
33. Diet in Relation to Metabolic, Sleep and Psychological Health Status (Dimets): Protocol for a Cross-Sectional Study, BMJ Open (2023)
34. The Effect of Group Cognitive Behavioural Therapy for Insomnia in Postmenopausal Women, Journal of Sleep Research (2021)
35. Psychosocial Issues and Sleep Quality Among Seafarers: A Mixed Methods Study, BMC Public Health (2022)
36. Components of Pittsburgh Sleep Quality Index in Iranian Adult Population: An Item Response Theory Model, Sleep Medicine: X (2021)
37. The Efficacy of Vitamin B6 As an Adjunctive Therapy to Lithium in Improving the Symptoms of Acute Mania in Patients With Bipolar Disorder, Type 1; a Double-Blind, Randomized, Placebo-Controlled, Clinical Trial, Brain and Behavior (2021)
38. Covid-19 Vaccination and Psychological Status of Iranian Dental Students, Frontiers in Public Health (2022)
39. Sleep Quality and Its Association With Psychological Distress and Sleep Hygiene: A Crosssectional Study Among Pre-Clinical Medical Students, Sleep Science (2018)
40. Compared to Individuals With Mild to Moderate Obstructive Sleep Apnea (Osa), Individuals With Severe Osa Had Higher Bmi and Respiratory-Disturbance Scores, Life (2021)
41. Memantine for Prophylactic Treatment of Migraine Without Aura: A Randomized Double-Blind Placebo-Controlled Study, Headache (2016)
42. Melatonin Effects in Women With Comorbidities of Overweight, Depression, and Sleep Disturbance: A Randomized Placebo Controlled Clinical Trial, Sleep Medicine Research (2022)
43. Associations Between Sleep Disturbances, Personality Traits and Self-Regulation in a Sample of Healthy Adults, Journal of Clinical Medicine (2024)
44. Cross-Cultural Adaptation and Psychometric Properties of the Persian Version of the Geriatric Sleep Questionnaire (P-Gsq), Cranio - Journal of Craniomandibular and Sleep Practice (2024)
45. Evaluation of Postpartum Sleep Quality and the Influential Factors in the Women in Zanjan City, Iran (2014), Iranian Journal of Obstetrics# Gynecology and Infertility (2018)
46. Evaluation of Sleep Disorders in the Elderly With Vestibular Vertigo, Journal of Health Sciences and Surveillance System (2025)
47. Sleep Problems, Social Anxiety and Stuttering Severity in Adults Who Do and Adults Who Do Not Stutter, Journal of Clinical Medicine (2023)
48. Glasgow Sleep Effort Scale: Translation, Test, and Evaluation of Psychometric Properties of the Persian Version, Nature and Science of Sleep (2020)
49. Sleep Quality in Prisoners With Substance Use Disorder (Sud) in Iran—A Cross-Sectional Study, Journal of Substance Use (2020)
50. Sleep Disturbance in Alopecia Areata: A Cross-Sectional Study, Health Science Reports (2022)