scholarly journals A Prospective Study of the Relationship Between Sleep Quality and Depression in Pregnancy

2022 ◽  
pp. 201010582110685
Author(s):  
Cassandra Chan ◽  
Shi Hui Poon ◽  
Tze-Ern Chua ◽  
Nurul Syaza Razali ◽  
Kok Hian Tan ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Prospective Study ◽  
Pregnant Women ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Maternity Hospital ◽  
Poor Sleep ◽  
Third Trimester ◽  
The Third ◽  
The Relationship

Objective Poor sleep and depression are common problems during pregnancy, but there has been little investigation into the association between them. This prospective study aims to examine the relationship between sleep quality and depression during pregnancy. Methods Pregnant women under 14 weeks’ gestation attending routine outpatient antenatal care in Singapore’s largest maternity hospital were recruited between 2012 and 2014. Women with multiple pregnancies and deemed at high risk of miscarriage were excluded. Six hundred and forty participants completed the Pittsburgh Sleep Quality Index (PSQI) and Edinburgh Postnatal Depression Scale (EPDS) at the three trimesters during pregnancy. Results Mean PSQI score was highest in the third visit, suggesting poorer quality sleep in the late third trimester compared to other trimesters. 15.6% of participants at each time point fulfilled the criteria for antenatal depression according to the EPDS cut-off score > 14. PSQI scores were significantly correlated with EPDS scores, and also prospectively predicted EPDS scores in all three trimesters. Conclusion Sleep quality in Singaporean pregnant women was poorest in the third trimester, and was associated with the development of depressive symptoms. With more than 1 in 10 women having antenatal depression, interventions targeting sleep quality might be particularly beneficial.

scholarly journals The Relationship between Restless Legs Syndrom and Sleep Quality in the Third Trimester Pregnant Women

2019 ◽  
Vol 6 (1) ◽  
pp. 22-27
Author(s):  
Semiha Aydın Özkan ◽  
Gülay Rathfisch ◽  
Özlem Karabulut ◽  
Türkan Karaca
Keyword(s):  
Sleep Quality ◽  
Pregnant Women ◽  
Third Trimester ◽  
Restless Legs ◽  
The Third ◽  
The Relationship ◽  
Restless Legs Syndrom

scholarly journals 0848 The Relationship Between Sleep Disturbance & Sleep Hygiene In Japanese Pregnant Women

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A323-A323
Author(s):  
y Asaka ◽  
A Morioka
Keyword(s):  
Sleep Quality ◽  
Pregnant Women ◽  
Sleep Disorders ◽  
Sleep Hygiene ◽  
Actual State ◽  
Poor Sleep ◽  
Third Trimester ◽  
Japanese Pregnant Women ◽  
Habitual Behavior ◽  
The Relationship

Abstract Introduction Pregnant women are more likely to develop sleep disorders due to poor sleep quality. Sleep hygiene has been reported as a method for dealing with sleep disorders. However, studies on the relationship between sleep hygiene and sleep disorders in Japanese pregnant women remain insufficient. This study aimed to clarify the actual state of sleep disorders during pregnancy and the relationship between sleep disorders and sleep hygiene. Methods A cross-sectional study was conducted on 147 Japanese pregnant women. We used the Japanese versions of the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (JESS) for evaluation of sleep. We used 32 items of habitual behavior important for sleep improvement for evaluation of sleep hygiene; these items were self-selected. Results The average PSQIG scores of women in their first, second, and third trimesters were 5.6 ± 4.3, 5.4 ± 2.4, and 6.6 ± 2.8, respectively; 22.2%, 46.4%, and 62.2% of women in their first, second, and third trimesters, respectively, exceeded the cut-off score. The average JESS scores were 12.2 ± 4.5, 9.9 ± 4.1, and 10.0 ± 4.6 for first, second, and third trimester women, respectively; 55.6%, 35.7%, and 41.9% of first, second, and third trimester women, respectively, slept excessively during the day (JESS score≥11). Following factor analysis, sleep hygiene was categorized into four factors: ”thinking positively,” ”adding rhythm to the day,” “avoiding going out and caffeine before bedtime,” and “avoiding eye irritation.” Pregnant women who “added rhythm to their day” had lower PSQI scores, and sleep hygiene was not related to JESS scores in the multiple regression analysis of sleep hygiene and sleep disorders. Conclusion Sleep disorders in pregnancy are related to habitual behavior such as being active during the day, eating and sleeping regularly, and basking in the sunlight every morning. Support  

scholarly journals A study on assessment of sleep quality in south Indian pregnant women

2018 ◽  
Vol 6 (10) ◽  
pp. 3197
Author(s):  
Lalitha Venugopal ◽  
Priyadharsini Rajendran ◽  
Parghavi V.
Keyword(s):  
Sleep Quality ◽  
Sleep Deprivation ◽  
Pregnant Women ◽  
Sleep Disturbances ◽  
Adverse Outcomes ◽  
P Value ◽  
Poor Sleep ◽  
Third Trimester ◽  
The Third ◽  
South Indian

Background: Sleep disturbances are common during pregnancy. The risk of sleep disturbances is estimated to be two times higher in the later part of pregnancy compared to the early trimester. Thus, the present study was planned to assess the sleep quality in different trimesters of South Indian pregnant women.Methods: This was a descriptive cross-sectional questionnaire-based study. A total of 90 healthy pregnant women with a mean age of 25 years were recruited and sleep quality was assessed using a standardized PSQI questionnaire. Mean global PSQI score of ≥5 is suggestive of poor sleep quality. A p value <0.05 was considered statistically significant.Results: Subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medications and daytime medication were found to be significantly higher in the second and third trimester (p<0.0001) pregnant women. Mean global PSQI score was ≥5 in the third trimester pregnant women.Conclusions: The present study shows that the sleep quality is disturbed during pregnancy and it is more in the third trimester of pregnancy. Pregnant women should be aware of the effects of sleep deprivation and adverse outcomes related to it. Thus, proper identification of sleep disturbances and a good awareness on the cumulative effects of the risk factors associated with sleep deprivation during pregnancy will help the physicians to manage and prevent the adverse maternal and fetal outcomes.

scholarly journals Tingkat Kecemasan Berhubungan dengan Kualitas Tidur Ibu Hamil Trimester III

2021 ◽  
Vol 2 (2) ◽  
pp. 52
Author(s):  
Eline Charla Sabatina Bingan
Keyword(s):  
Sleep Quality ◽  
Pregnant Women ◽  
Health Center ◽  
The United States ◽  
Anxiety Level ◽  
Poor Sleep ◽  
Third Trimester ◽  
Correlation Test ◽  
The Third

Pregnancy is a biological and psychological condition which certainly requires adaptation for women who are experiencing it. In the United States there are 40 million people experiencing anxiety disorders before childbirth. Third trimester pregnant women often feel afraid and anxious about the child who will be born later, so that pregnant women experience sleep quality disturbances. The purpose of this study was to determine the relationship between anxiety level and sleep quality of third trimester pregnant women at Ketapang Health Center. This type of quantitative research with a cross sectional approach. The population was 130 respondents in the third trimester of pregnant women at the Ketapang Health Center. The number of samples was 45 respondents using purposive sampling technique. Sleep quality variables used the PSQI (Pittsburgh Sleep Quality Index) questionnaire and the anxiety level variables used the HARS (Hamilton Rating Scale For Anxiety) questionnaire with data analysis tests using the Spearman Rho correlation test with a 95% confidence level. The results of the bivariate analysis showed that respondents who experienced mild anxiety with good sleep quality were 3 people (60%) and respondents who experienced severe anxiety with poor sleep quality were 15 people (83.3%). The correlation test between Anxiety Level and Sleep Quality for Third Trimester Pregnant Women obtained p value = 0.000, so it can be concluded that there is a relationship between anxiety levels and sleep quality for third trimester pregnant women at the Ketapang Health Center. Future research is expected to use other factors that can affect the quality of sleep of pregnant women, especially in the third trimester of pregnancy.

MENGURANGI KECEMASAN PADA MASA KEHAMILAN TM III DENGAN METODE ACCUPRESSURE DEPRESSION POINTS

2021 ◽  
Vol 13 (02) ◽  
pp. 172
Author(s):  
Dyah Ayu Wulandari ◽  
Meika Jaya Rockhmana ◽  
Adelina Cahyaningrum
Keyword(s):  
Sleep Quality ◽  
Pregnant Women ◽  
Psychological Adaptation ◽  
The Body ◽  
Wilcoxon Test ◽  
P Value ◽  
Third Trimester ◽  
Purposive Sampling ◽  
The Third

ABSTRAKAdaptasi fisik dan psikis kehamilan trimester III secara fisiologis dapat menimbulkan kecemasan ibu hamil. Adanya kecemasan pada ibu hamil trimester III dapat menyebabkan komplikasi ibu dan janin saat kehamilan, persalinan bahkan nifas. Terapi acupressure merupakan natural terapi dengan cara menekan acupoint  untuk merelaksasi tubuh, melancarkan sirkulasi darah serta memberikan rasa tenang dan nyaman. Acupoint KID 27 dan CV 17 adalah titik yang berhubungan dengan kecemasan, agitasi, penyimpangan kelenjar tiroid, keseimbangan tubuh dan pusat jantung. Penekanan pada titik ini menyeimbangkan kadar hormon tiroid dan mengatasi gangguan kecemasan. Tujuan penelitian mengetahui pengaruh acupressure depression points terhadap kecemasan ibu hamil trimester III. Metode: Jenis penelitian kuantitatif dengan metode penelitian pre-experimental One Group Pretest-Posttest Design. Penelitian dilakukan Bulan Februari-Agustus 2021. Populasi penelitian ibu hamil trimester III yang melakukan ANC bulan Juni 2021 dengan keluhan kecemasan. Sampel penelitian 22 ibu hamil trimester III dengan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner PRAQ-R2. Analisa data univariat dan bivariat (Uji Wilcoxon) Hasil: Hasil analisa statistik dengan uji Wilcoxon diperoleh nilai P-value 0,000 pada tingkat kecemasan. Kesimpulan: Acupressure depression points berpengaruh terhadap tingkat kecemasan ibu hamil trimester III di Semarang.Kata kunci: kecemasan, ibu hamil trimester IIIREDUCE ANXIETY IN PREGNANT MOTHER TRIMESTER III WITH ACCUPRESSURE DEPRESSION POINTS METHODABSTRACTPhysical and psychological adaptation of the third trimester of pregnancy can physiologically cause anxiety for pregnant women. The existence of anxiety in third trimester pregnant women can affect the quality of sleep which causes maternal and fetal complications during pregnancy, delivery and even postpartum. Acupressure therapy is a natural therapy by pressing the acupoints to relax the body, improve blood circulation and provide a sense of calm and comfort. Acupoints KID 27 and CV 17 are points associated with anxiety, agitation, thyroid disorders, body balance and heart centers. Emphasis on this point balances thyroid hormone levels and treats anxiety disorders thereby improving sleep quality. Objective: to determine the effect of acupressure depression points on the level of anxiety and sleep quality of pregnant women in the third trimester. Methods: This type of research is quantitative with pre-experimental research method One Group Pretest-Posttest Design. The study was conducted in February-August 2021. The study population was pregnant women in the third trimester who performed ANC in June 2021 with complaints of anxiety. The study sample was 22 pregnant women in the third trimester with purposive sampling technique. The research instrument used the PRAQ-R2. Analysis of univariate and bivariate data (Wilcoxon test) Results: The results of statistical analysis using the Wilcoxon test obtained a P-value of 0.000 on anxiety levels. Conclusion: Acupressure depression points have an effect on the level of anxiety of pregnant women in the third trimester at Semarang.Keyword: Anxiety, Pregnant Women In The Third Trimester

scholarly journals THE DIFFERENCE IN ADDITION OF BACK MASSAGE COMBINATION IN PREGNANCY EXERCISE IN IMPROVING QUALITY OF SLEEP IN THIRD TRIMESTER PREGNANT WOMEN

2018 ◽  
Vol 6 (2) ◽  
pp. 16
Author(s):  
Mezzi Wulandari Arenza ◽  
Ni Wayan Tianing ◽  
I Putu Adiartha Griadhi
Keyword(s):  
Sleep Quality ◽  
Pregnant Women ◽  
Control Group ◽  
Quality Of Sleep ◽  
Third Trimester ◽  
The Third ◽  
The Difference ◽  
In Pregnancy ◽  
Back Massage

ABSTRACTSleep disturbance in the third trimester pregnant women is caused by discomfort, an increasingly largeabdominal condition, back pain, frequent urination, fetal movement, heartburn, cramps in the legs, tiredness, difficultygetting started, and physiological changes. Sleep disorders result in decreased quality of sleep. Pregnant women whohave poor sleep quality are at risk of longer labor, cesarean delivery, premature birth, and even infant mortality. The aimof this research is to know the difference of pregnant exercise combination and back massage in improving the sleepquality of third trimester pregnant women. This research use experiment method with quasi experiment approach andresearch design is pre and post test with control design. Sample are 18 people, divided into 2 groups, 9 people intreatment groups given pregnancy exercise and back massage and 9 people in control group is given only pregnantexercise. Intervention is given 8 times. Pittsburgh Sleep Quality Index (PSQI) questionnaire used for measured of sleepquality. The result of different test of unpaired group, in the treatment group got difference of average 4,556 and controlgroup got difference mean 2,333 with p=0,004 (p<0,05). These results showed that there was a significant differencebetween the treatment group and the control group in improving the sleep quality of the third trimester pregnant women.In conclusion, there are differences in the addition of back massage combination in pregnancy exercise intervention inimproving sleep quality of third trimester pregnant women.Keyword : Pregnancy Exercise, Back Massage, Sleep Quality, Third Trimester.

scholarly journals Associations of Tryptophan, Docosahexaenoic Acid (DHA), and Vitamin D With Sleep Quality and Depression During Pregnancy

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 766-766
Author(s):  
Amber Kautz ◽  
Ying Meng ◽  
Emily S Barrett ◽  
Jessica Brunner ◽  
Richard Miller ◽  
...  
Keyword(s):  
Vitamin D ◽  
Depressive Symptoms ◽  
Docosahexaenoic Acid ◽  
Sleep Quality ◽  
Pregnant Women ◽  
Maternal Mental Health ◽  
Smoking Status ◽  
Depression Scale ◽  
Poor Sleep ◽  
Increased Risk

Abstract Objectives During pregnancy women are at increased risk of poor sleep quality and depression. Serotonin and melatonin are compounds that are involved in regulation of sleep and mood. Several nutrients are involved in the synthesis of these compounds, including tryptophan, docosahexaenoic acid (DHA), and vitamin D. Studies exploring associations between these nutrients and sleep, as well as mood, have been largely limited to the general population, showing mixed results. The aim of this study was to assess the associations of dietary intake of these nutrients with sleep quality and depression in pregnant women. Methods Participants enrolled in the Understanding Pregnancy Signals and Infant Development (UPSIDE) Study (n = 253) were included in this analysis if they completed dietary, sleep and depression assessments during the 2nd trimester. Dietary and supplement intake were measured using 24-hour dietary recalls. The NCI method was used to estimate usual intake. Sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI). Depressive symptoms were measured with the Edinburgh Postnatal Depression Scale (EPDS). Multivariable linear regression was conducted to estimate the associations between nutrients and sleep/depression, adjusting for age, race/ethnicity, parity, education, early pregnancy body mass index, smoking status, energy and macronutrient intake. Results The NCI adjusted mean intakes of tryptophan, DHA, and vitamin D were 1.02 ± 0.11 g/day, 0.13 ± 0.11g/day, and 19.74 ± 21.80 mcg/day, respectively. Mean PSQI score was 6.15 ± 3.39, where higher scores indicated worse sleep quality, and mean EPDS score was 5.84 ± 4.77, where higher scores indicated increased severity of depressive symptoms. Tryptophan intake was inversely associated with EPDS scores (b = −15.23, 95%CI: −26.75, −3.72). The associations between DHA, vitamin D, and depression were not significant. The selected nutrients were not associated with PSQI scores. Conclusions In this study, higher tryptophan intake was associated with lower depressive symptoms among pregnant women during the second trimester. Additional research on the relationship between tryptophan intake and maternal mental health during pregnancy is warranted. Funding Sources NIH, Mae Stone Goode Foundation, Wynne Family Foundation.

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