Assessment of Sleeplessness Among Pregnant Women of Third Trimester: Sleeplessness Among Pregnant Women

Fozia  Ghafoor; Humaira   Saddique; Syeda Sidra  Tasneem

doi:10.54393/pjhs.v4i05.522

Authors

Fozia Ghafoor Department of Nursing, The Superior University, Lahore, Pakistan
Humaira Saddique Department of Nursing, The Superior University, Lahore, Pakistan
Syeda Sidra Tasneem Department of Nursing, The Superior University, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i05.522

Keywords:

Sleeplessness, Pregnant Women, Third Trimester

Abstract

The study aim was to assess the sleeplessness among pregnant women of third trimester. Method: A descriptive cross sectional research study design was used to assess the sleeplessness among 131 pregnant women at Jinnah Hospital, Lahore. The purposive sampling technique was used. The population that is targeted was pregnant women of third trimester. Results: The study result showed that sleeplessness affect the health of pregnant women of third trimester. Descriptive analysis was done. Frequency and percentage was calculated. Bar charts are formed for quantitative values. The Cronbach Alpha, Bartlett’s and KMO values have been checked to insure the validity and reliability in our context .The values shows positive and significant results and tools were consider as reliable and valid for performing statistical analysis. Conclusion: Current study investigated a high rate of sleeplessness among pregnant women. The sleeplessness is one of the indications of high risk pregnancies and maternal and infant mortality. The majority of the pregnant women which was 95% reported that they are feeling unrested during the day. The majority of pregnant women which was 65% reported that they having trouble during falling asleep

References

Tang Y, Dai F, Razali NS, Tagore S, Chern BS, Tan KH. Sleep quality and BMI in pregnancy–a prospective cohort study. BMC Pregnancy and Childbirth. 2022 Jan; 22(1): 1-7. doi: 10.1186/s12884-022-04414-7. DOI: https://doi.org/10.1186/s12884-022-04414-7

Mukhlis H, Putri RH, Puspita L, Wardani PK, Fitri NL. Variables associated to the decline of cognitive function in the third trimester of pregnancy. Journal of Critical Reviews. 2020 Aug; 7(14): 1449-56.

Yang J-P, Lin R-J, Sun K, Gao L-L. Incidence and correlates of insomnia and its impact on health-related quality of life among Chinese pregnant women: a cross-sectional study. Journal of Reproductive and Infant Psychology. 2022 Sep; 41(4):1-12. doi: 10.1080/02646838.2021.2020228. DOI: https://doi.org/10.1080/02646838.2021.2020228

Smyka M, Kosińska-Kaczyńska K, Sochacki-Wójcicka N, Zgliczyńska M, Wielgoś M. Sleep problems in pregnancy—A cross-sectional study in over 7000 pregnant women in Poland. International Journal of Environmental Research and Public Health. 2020 Aug; 17(15): 5306. doi: 10.3390/ijerph17155306. DOI: https://doi.org/10.3390/ijerph17155306

Román-Gálvez RM, Amezcua-Prieto C, Salcedo-Bellido I, Martínez-Galiano JM, Khan KS, Bueno-Cavanillas A. Factors associated with insomnia in pregnancy: A prospective Cohort Study. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2018 Feb; 221: 70-5. doi: 10.1016/j.ejogrb.2017.12.007. DOI: https://doi.org/10.1016/j.ejogrb.2017.12.007

Davoud A and Abazari M. The relationship between quality of life and physical activity, worry, depression, and insomnia in pregnant women. Iranian Journal of Psychiatry. 2020 Apr; 15(2): 159. doi: 10.18502/ijps.v15i2.2688. DOI: https://doi.org/10.18502/ijps.v15i2.2688

Middleton PG. Obstructive Sleep Apnea and Sleep Disorders in Pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology. 2022 Dec; 85: 107-13. doi: 10.1016/j.bpobgyn.2022.11.004. DOI: https://doi.org/10.1016/j.bpobgyn.2022.11.004

Okada K, Saito I, Katada C, Tsujino T. Influence of quality of sleep in the first trimester on blood pressure in the third trimester in primipara women. Blood Pressure. 2019 Sep; 28(5): 345-55. doi: 10.1080/08037051.2019.1637246. DOI: https://doi.org/10.1080/08037051.2019.1637246

Liset R, Grønli J, Henriksen RE, Henriksen TE, Nilsen RM, Pallesen S. Sleep, evening light exposure and perceived stress in healthy nulliparous women in the third trimester of pregnancy. PLoS One. 2021 Jun; 16(6): e0252285. doi: 10.1371/journal.pone.0252285. DOI: https://doi.org/10.1371/journal.pone.0252285

Yasaratne D, Deen A, Anuththara T, De Silva D, Ratnayake C, Kandauda C, et al. Factors associated with poor sleep quality and excessive daytime sleepiness in late pregnancy: A pilot study in an antenatal unit. Sri Lanka Journal of Obstetrics and Gynaecology. 2022 Jun; 44(1): 26-35. doi: 10.4038/sljog.v44i1.8011. DOI: https://doi.org/10.4038/sljog.v44i1.8011

Leung PL, Hui DS, Leung TN, Yuen PM, Lau TK. Sleep disturbances in Chinese pregnant women. BJOG: An International Journal of Obstetrics & Gynaecology. 2005 Nov; 112(11): 1568-71. doi: 10.1111/j.1471-0528.2005.00737.x. DOI: https://doi.org/10.1111/j.1471-0528.2005.00737.x

Jee HJ, Shin W, Jung HJ, Kim B, Lee BK, Jung YS. Impact of sleep disorder as a risk factor for dementia in men and women. Biomolecules & Therapeutics. 2020 Jan; 28(1): 58. doi: 10.4062/biomolther.2019.192. DOI: https://doi.org/10.4062/biomolther.2019.192

Salari N, Darvishi N, Khaledi-Paveh B, Vaisi-Raygani A, Jalali R, Daneshkhah A, et al. A systematic review and meta-analysis of prevalence of insomnia in the third trimester of pregnancy. BMC Pregnancy and Childbirth. 2021 Dec; 21(1): 1-8. doi: 10.1186/s12884-021-03755-z. DOI: https://doi.org/10.1186/s12884-021-03755-z

Bowman MA, Buysse DJ, Marsland AL, Wright AG, Foust J, Mehra R, et al. 0820 Meta-Analysis of the Association of Age and Actigraphy-Assessed Sleep Across the Lifespan. Sleep. 2020 Apr; 43(Supplement_1): A312-3. doi: 10.1093/sleep/zsaa056.816. DOI: https://doi.org/10.1093/sleep/zsaa056.816

Syed TP, Faheem S, Haque AB. Assessment of Maternal Sleeping Habits and Knowledge among Pakistani Pregnant Women. Indian Journal of Sleep Medicine. 2022 Jul; 17(3): 67-71. doi: 10.5005/jp-journals-10069-0102. DOI: https://doi.org/10.5005/jp-journals-10069-0102

Zhou H, Li W, Ren Y. Poor sleep quality of third trimester exacerbates the risk of experiencing postnatal depression. Psychology, Health & Medicine. 2020 Feb; 25(2): 229-38. doi: 10.1080/13548506.2018.1549738. DOI: https://doi.org/10.1080/13548506.2018.1549738

Cao XL, Wang SB, Zhong BL, Zhang L, Ungvari GS, Ng CH, et al. The prevalence of insomnia in the general population in China: a meta-analysis. PloS one. 2017 Feb; 12(2): e0170772. doi: 10.1371/journal.pone.0170772. DOI: https://doi.org/10.1371/journal.pone.0170772

Osnes RS, Roaldset JO, Follestad T, Eberhard-Gran M. Insomnia late in pregnancy is associated with perinatal anxiety: a longitudinal cohort study. Journal of affective disorders. 2019 Apr; 248: 155-65. doi: 10.1016/j.jad.2019.01.027. DOI: https://doi.org/10.1016/j.jad.2019.01.027

Hashmi AM, Bhatia SK, Bhatia SK, Khawaja IS. Insomnia during pregnancy: diagnosis and rational interventions. Pakistan Journal of Medical Sciences. 2016 Jul; 32(4): 1030. doi: 10.12669/pjms.324.10421. DOI: https://doi.org/10.12669/pjms.324.10421

Wang WJ, Hou CL, Jiang YP, Han FZ, Wang XY, Wang SB, et al. Prevalence and associated risk factors of insomnia among pregnant women in China. Comprehensive Psychiatry. 2020 Apr; 98: 152168. doi: 10.1016/j.comppsych.2020.152168. DOI: https://doi.org/10.1016/j.comppsych.2020.152168

Sedov ID, Anderson NJ, Dhillon AK, Tomfohr‐Madsen LM. Insomnia symptoms during pregnancy: A meta‐analysis. Journal of Sleep Research. 2021 Feb; 30(1): e13207. doi: 10.1111/jsr.13207. DOI: https://doi.org/10.1111/jsr.13207

Effati-Daryani F, Mohammad-Alizadeh-Charandabi S, Mohammadi A, Zarei S, Mirghafourvand M. Fatigue and sleep quality in different trimesters of pregnancy. Sleep Science. 2021 Jan; 14(Spec 1): 69. doi: 10.5935/1984-0063.20200091. DOI: https://doi.org/10.5935/1984-0063.20200091

Ghante A, Raj JP, Krishna B, Thomas A. Prevalence and predictors of sleep deprivation and poor sleep quality and their associated perinatal outcomes during the third trimester of pregnancy. Journal of Taibah University Medical Sciences. 2021 Jun; 16(3): 359-64. doi: 10.1016/j.jtumed.2020.11.008. DOI: https://doi.org/10.1016/j.jtumed.2020.11.008

Wang J, Huang Y, Li Y, Wu L, Cao D, Cao F. Sleep-related attentional bias: Development and validation of a Chinese version of the brief sleep-associated monitoring index in pregnant women. Journal of Psychosomatic Research. 2022 Dec; 163: 111052. doi: 10.1016/j.jpsychores.2022.111052. DOI: https://doi.org/10.1016/j.jpsychores.2022.111052