SLEEPING FOR TWO: INVESTIGATING THE LINK BETWEEN MATERNAL SLEEP AND PREGNANCY OUTCOMES
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Keywords
maternal sleep quality,, pregnancy outcomes,, gestational diabetes, preterm labor,, birth weight, Pittsburgh Sleep Quality Index, prenatal care, sleep hygiene, Edinburgh Postnatal Depression Scale
Abstract
Objective: The objective of this study is to examine the relationship between the quality of sleep in pregnant women and the outcomes of their pregnancies, with a specific focus on the occurrence of gestational diabetes, preterm labor, and birth weights.
Methods: The study was carried out at multiple centers including Naseer Ullah Babar Memorial Hospital Peshawar, Pakistan and Dr Akber Niazi Teaching Hospital Islamabad, Pakistan in the duration from November, 2023 to May, 2024. It was included a cohort of 200 pregnant women between the ages of 18 and 40. Individuals who had pre-existing sleep difficulties or known pregnancy complications were not included in the study. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the quality of sleep, while medical records and patient reports were used to follow pregnancy outcomes.
Results: The study discovered a notable correlation between substandard sleep quality and unfavorable pregnancy results. Women categorized as bad sleepers, with a score greater than 5 on the Pittsburgh Sleep Quality Index (PSQI), exhibited higher incidences of gestational diabetes (22% vs. 9%), preterm labor (18% vs. 7%), and lower birth weights (3050g vs. 3250g) in comparison to women classed as good sleepers, with a PSQI score of 5 or lower. Additional results revealed that individuals with poor sleep experienced longer labor durations, with an average of 14.3 hours compared to 12.1 hours for those with better sleep. Furthermore, poor sleepers had higher rates of cesarean section, with 28% undergoing the procedure compared to 15% for better sleepers. Additionally, bad sleepers scored higher on the Edinburgh Postnatal Depression Scale (EPDS), with an average score of 13 compared to 8 for those with better sleep.
Conclusion: Sleep management in prenatal care improves mother and newborn health, according to the research. Monitoring sleep disruptions using the PSQI and improving sleep hygiene may prevent gestational diabetes, premature labor, and other sleep-related issues. Future study should focus on tailored sleep interventions for pregnant women and how sleep quality affects gestational health.
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Dr Wagma Viqar Afridi
Trainee Regestrar of Gynae and Obstetrics, Naseer Ullah Babar Memorial Hospital Peshawar, Pakistan.
Dr Aasma Zubair
Senior Registrar, Dr Akber Niazi Teaching Hospital Islamabad, Pakistan.
Dr Hina Tariq Jan
Senior Registrar, Department of Psychiatry, Frontier Corps Teaching Hospital Peshawar, Pakistan.
Dr Sabahat Zeb Khan
Lady reading Hospital Peshawar, Pakistan
Dr Raishem
Associate Professor of Obstetrics & Gynecology PUMHS, (People University of Medical Health Science) Nawabshah, Pakistan.
Dr Aftab Khursheed
Medical Officer, Obstetrics & Gynecology, Sahiwal Teaching Hospital, Sahiwal, Pakistan