scholarly journals Sleep disordered breathing, insomnia, and excessive daytime sleepiness among Japanese pregnant women without gestational complications do not negatively impact delivery outcomes

2019 ◽  
Author(s):  
Hideaki Kondo ◽  
Shiho Umeno ◽  
Hiromi Eto ◽  
Chiho Kato ◽  
Yuki Nagaura

Abstract Frequently observed sleep/wake problems among pregnant women need comprehensive evaluation. This study was conducted to clarify the sleep/wake problems among pregnant women without gestational complications at the second and third trimester and the effects of sleep/wake problems on delivery outcomes. Methods: A total of 88 Japanese pregnant women participated in this study. At the second and third trimester, subjective sleep quality, insomnia severity, excessive daytime sleepiness (EDS), and restless legs syndrome/Willis-Ekbom disease (RLS/WED) were assessed using questionnaires; also, sleep disordered breathing (SDB) was screened using a pulse oximeter. Results: From the second to third trimester, an increasing tendency of sleep/wake problems was observed. At the third trimester, the percentage of women experiencing decreased subjective sleep quality, difficulty maintaining sleep (DMS), EDS, RLS/WED, and 3% oxygen desaturation index (ODI) values ≥ 5/h were 62.5%, 45.5%, 48.9%, 9.1%, and 29.5%, respectively. In a logistic regression analysis for EDS at the third trimester, the adjusted odds ratio (95% confidence interval) of total sleep time < 6 hours, moderate to severe DMS, and 3% ODI ≥ 5/h were 3.25 (1.16–9.10), 4.74 (1.60–14.00), and 0.90 (0.28–2.89), respectively. Decreased subjective sleep quality, insomnia severity, EDS, and SDB did not affect the delivery outcome or infant’s condition. Conclusions: Sleep/wake problems were frequent during pregnancy, especially at the third trimester. EDS among pregnant women was associated with shorter sleep time and DMS, rather than SDB. However, there were no significant effects of sleep/wake problems on the delivery outcomes or infant’s conditions.

2020 ◽  
Author(s):  
Shiho Umeno ◽  
Chiho Kato ◽  
Yuki Nagaura ◽  
Hideaki Kondo ◽  
Hiromi Eto

Abstract Background: Frequently observed sleep/wake problems among pregnant women need comprehensive evaluation. This study was conducted to clarify the sleep/wake problems among pregnant women without gestational complications during the second and third trimester and the effects of sleep/wake problems on delivery outcomes. Methods: A total of 88 Japanese pregnant women participated in this study. In their second and third trimester, subjective sleep quality, insomnia severity, excessive daytime sleepiness (EDS), and restless legs syndrome/Willis-Ekbom disease (RLS/WED) were assessed using questionnaires; also, sleep disordered breathing (SDB) was screened using a pulse oximeter. Results: From the second to the third trimester, an increasing tendency of sleep/wake problems was observed. During the third trimester, the percentages of women experiencing decreased subjective sleep quality, difficulty maintaining sleep (DMS), EDS, RLS/WED, and 3% oxygen desaturation index (ODI) values ≥ 5/hour were 62.5%, 45.5%, 48.9%, 9.1%, and 29.5%, respectively. In a logistic regression analysis for EDS in the third trimester, the adjusted odds ratio (95% confidence interval) of total sleep duration < 6 hours, moderate to severe DMS, and 3% ODI values ≥ 5/hour were 3.25 (1.16–9.10), 4.74 (1.60–14.00), and 0.90 (0.28–2.89), respectively. Although short sleep durations, decreased subjective sleep quality, EDS, and SDB did not affect delivery outcomes or the infant’s condition, the percentage of women undergoing cesarean sections in the severe insomnia group was significantly higher (p = 0.008). Conclusions: Sleep/wake problems were frequent during pregnancy, especially during the third trimester. EDS among pregnant women was associated with shorter sleep durations and DMS rather than SDB. The effect of factors related to insomnia on delivery outcomes should thus be considered a crucial problem among pregnant Japanese women without gestational complications in clinical practice.


2019 ◽  
Author(s):  
Shiho Umeno ◽  
Chiho Kato ◽  
Yuki Nagaura ◽  
Hideaki Kondo ◽  
Hiromi Eto

Abstract Background : Frequently observed sleep/wake problems among pregnant women need comprehensive evaluation. This study was conducted to clarify the sleep/wake problems among pregnant women without gestational complications during the second and third trimester and the effects of sleep/wake problems on delivery outcomes. Methods : A total of 88 Japanese pregnant women participated in this study. In their second and third trimester, subjective sleep quality, insomnia severity, excessive daytime sleepiness (EDS), and restless legs syndrome/Willis-Ekbom disease (RLS/WED) were assessed using questionnaires; also, sleep disordered breathing (SDB) was screened using a pulse oximeter. Results : From the second to the third trimester, an increasing tendency of sleep/wake problems was observed. During the third trimester, the percentages of women experiencing decreased subjective sleep quality, difficulty maintaining sleep (DMS), EDS, RLS/WED, and 3% oxygen desaturation index (ODI) values ≥ 5/hour were 62.5%, 45.5%, 48.9%, 9.1%, and 29.5%, respectively. In a logistic regression analysis for EDS in the third trimester, the adjusted odds ratio (95% confidence interval) of total sleep time < 6 hours, moderate to severe DMS, and 3% ODI values ≥ 5/hour were 3.25 (1.16–9.10), 4.74 (1.60–14.00), and 0.90 (0.28–2.89), respectively. Although short sleep times, decreased subjective sleep quality, EDS, and SDB did not affect delivery outcomes or the infant’s condition, the percentage of women undergoing cesarean sections in the severe insomnia group was significantly higher (p = 0.008), and one case of stillbirth with severe sleep/wake problems including RLS/WED, short sleep times, decreased sleep quality, insomnia, and EDS occurred. Conclusions : Sleep/wake problems were frequent during pregnancy, especially during the third trimester. EDS among pregnant women was associated with shorter sleep times and DMS rather than SDB. The effect of factors related to insomnia on delivery outcomes should thus be considered as a crucial problem among pregnant Japanese women without gestational complications in the clinical practice.


2021 ◽  
Vol 13 (02) ◽  
pp. 172
Author(s):  
Dyah Ayu Wulandari ◽  
Meika Jaya Rockhmana ◽  
Adelina Cahyaningrum

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


2019 ◽  
Vol 6 (1) ◽  
pp. 22-27
Author(s):  
Semiha Aydın Özkan ◽  
Gülay Rathfisch ◽  
Özlem Karabulut ◽  
Türkan Karaca

2018 ◽  
Vol 6 (2) ◽  
pp. 16
Author(s):  
Mezzi Wulandari Arenza ◽  
Ni Wayan Tianing ◽  
I Putu Adiartha Griadhi

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.


2021 ◽  
Vol 7 (2) ◽  
pp. 287-294
Author(s):  
Noviyanti Noviyanti ◽  
Rahmi Rahmi ◽  
Ratna Dewi ◽  
Nurdahliana Nurdahliana

GIVING MURATTAL AL-QURAN THERAPY ON QUALITY TRIMESTER PRIMARY PREGNANT MOTHER'S SLEEP III Background : Expecting mothers experienced different discomforts which were frequently felt in the third trimester, a waiting period in which the pregnant mothers started to be alert of delivering a baby. These discomforts resulted in disturbance of activities of the expectants. Sleep problem was mostly occured during this trimester which might decrease sleep quality. To overcome the complaint, there should be a way to increase sleep quality of the pregnant women. One of them is Murattal Qur'an.Purpose : This study was aimed at finding out the effect of Murattal Qur'an on third semester toward sleep quality of the pregnants.Methods : This research belonged to a quasi-experimental with a pretest-posttest control group design. The population in this study were all pregnant women in the third trimester primigravida in the working area of the Kuta Baro Health Center, Aceh Besar. The sample was 40 pregnant women who were divided into the control group and the treatment group. The treatment group listened to the Murattal Quran chapter Ar-Rahman on Android for 7 nights before going to bed. Data was  analysed by using the Wilcoxon test because the data were not normally distributed.Results : The obtained significant value (p) of  the treatment group of before and after  therapy was  0.000 lower than 0.05 (p=0.000 <0.05)Conclusion : There is an effect of giving Murattal Al-Quran therapy in the third trimester primigravida on the quality of mother's sleep.Suggestion : It hoped that it increased the active role of Midwives to provide information to pregnant women about the way to overcome the sleep disorders of   the third trimester pregnant women was by by listening to the murattal Quran. Keywords: Murattal Al-Quran, Sleep Quality, Primigravida, Third Trimester.ABSTRAK Latar Belakang :  Ketidaknyamanan yang dirasakan oleh ibu hamil paling sering dirasakan saat trimester III. Trimester III merupakan masa menunggu kelahiran bayinya. Ketidaknyamanan yang dirasakan ibu mengakibatkan aktivitas sehari-hari ibu hamil menjadi terganggu. Gangguan tidur merupakan Keluhan yang paling sering terjadi pada ibu hamil trimester III. Gangguan ini menyebabkan kualitas tidur ibu menurun. Salah satu cara pendekatan untuk meningkatkan kualitas tidur ibu hamil adalah mendengarkan lantunan ayat Al-Quran.Tujuan : Mengetahui pengaruh pemberian terapi murattal Al-Quran pada primigravida trimester III terhadap kualitas tidur ibu.Metode : Jenis penelitian adalah quasi-eksperimen dengan pendekatan pretest-posttest control group design. Populasi adalah primigravida trimester III di wilayah kerja Puskesmas Kuta Baro Kabupaten Aceh Besar. Jumlah sampel 40 ibu hamil yang dibagi menjadi kelompok kontrol dan kelompok perlakuan. Kelompok perlakuan mendengarkan murattal Al-Quran surah Ar-Rahman dengan menggunakan HP Android selama 7 malam sebelum tidur. Analisa data menggunakan Uji Wilcoxon karena data berdistribusi tidak normal.Hasil :  Nilai signifikan pada kelompok perlakuan terhadap kualitas tidur ibu sebelum dan sesudah diberikan terapi adalah p = 0,000 lebih kecil dari nilai 0,05.Kesimpulan : Terdapat pengaruh pemberian terapi murattal Al-Quran pada primigravida trimester III terhadap kualitas tidur ibu.Saran : Meningkatkan peran aktif bidan dalam memberikan informasi kepada ibu hamil tentang asuhan ketidaknyaman ibu hamil trimester III yaitu masalah gangguan tidur dengan mendengarkan murattal Al-Quran.  Kata Kunci: Murattal Al-Quran, Kualitas tidur, Primigravida, Trimester III. 


Author(s):  
Nurlaela Kurnia Rahayu ◽  
Pepi Hapitria ◽  
Rani Widiyanti

As the pregnancy gets older, the attention and thoughts of pregnant women begin to focus on something that is considered as a climax, so that the anxiety experienced will intensify just before the childbirth. Excessive anxiety and sleep disorders during pregnancy can cause mental disorders in pregnant women and inhibit fetal growth. To determine the effect of prenatal gentle yoga and hypnotherapy on anxiety level and sleep quality in the third trimester pregnant women. This is a quasi-experimental study with a pre-post test with a control group. The sample was 32 respondents consisting of 16 respondents as an intervention group and 16 respondents as a control group taken by purposive sampling. The analysis used was the Paired T-test. There is a difference in the average of anxiety level in the third trimester pregnant women in the intervention and control groups with a p value 0,000; there is a difference in the average of sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,000; and there is no difference in the average of anxiety level and sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,64. Prenatal Gentle Yoga and Hypnotherapy have an effect in reducing the anxiety level and improving the sleep quality in the third trimester pregnant women.


2021 ◽  
Vol 9 (4) ◽  
pp. 268-273
Author(s):  
Roghayeh Dargahi ◽  
Behrooz Nazari ◽  
Abbasali Dorosti ◽  
Saeid Charsouei

Objectives: Many factors such as stress and psychological tension affect the mental and physical health of pregnant women in the third trimester during the coronavirus pandemic. These factors can cause severe complications such as sleep disorders and low back pain. Therefore, this study focused on investigating sleep disorders in women by diagnosing low back pain in pregnant women with coronavirus and the affecting factors. Materials and Methods: This descriptive-analytical study was performed during the four months ending July 5, 2020 with the participation of 40 pregnant women (with coronavirus disease detected in the last trimester of pregnancy) with a diagnosis of low back pain in Tabriz (Iran) using a random sampling technique. Demographic data, anxiety and depression, Petersburg’s sleep quality, factors affecting sleep quality, and the severity of back pain (visual analog scale) were electronically collected and analyzed using SPSS 20 by ANOVA and multivariate regression. Results: All participants were at a weak level. The majority of participants had a score of "serious sleep problem", and nausea and vomiting (P=0.041), low back pain (P=0.003), frequent urination (P=0.011), leg cramps (P=0.031), and constipation (P=0.018) caused severe sleep disturbance in pregnant women during coronavirus pandemic. Conclusions: In general, having coronavirus disease causes severe pain in pregnant women, leading to severe back pain in pregnancy, eventually worsening sleep disorders.


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