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04-02-2023 | Insomnia | Review Article

Association between sleep disorders during pregnancy and risk of postpartum depression: a systematic review and meta-analysis

Authors: Hongyan Li, Hongying Li, Jianjiong Zhong, Qingfeng Wu, Lili Shen, Zhen Tao, Huijia Zhang, Shengjun Song

Published in: Archives of Women's Mental Health | Issue 2/2023

Abstract

Sleep disorders are common among pregnant females. However, its association with postpartum depression (PPD) is unknown. We aimed to assess if sleep disorders during pregnancy increase the risk of PPD by a systematic review. The databases of PubMed, CENTRAL, ScienceDirect, Embase, and Google Scholar were searched for studies reporting the association between any type of sleep disorder during pregnancy and the risk of PPD. Effect sizes were pooled in a random-effects model. Sixteen studies with data of 12,614 women were included. Meta-analysis indicated that sleep disorders during pregnancy resulted in a statistically significant increased risk of PPD (OR: 2.36 95% CI: 1.72, 2.32). The overall result had high heterogeneity (I² = 84%). Sub-group analysis based on study location (Asian vs Western), sample size (> 500 vs < 500), depression scale, and PPD assessment time did not change the results. However, we found that only poor sleep quality but not insomnia was associated with PPD. The risk was also increased only with sleep disorders measured in the 3rd trimester but not for the 1st and 2nd trimesters. Evidence suggests that sleep disorders during pregnancy may increase risk of PPD. The risk is high for sleep disorders occurring in the 3rd trimester. Based on these findings, there is a need for thorough screening and subsequent corrective measures to ensure adequate and quality sleep among pregnant females.

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Title: Association between sleep disorders during pregnancy and risk of postpartum depression: a systematic review and meta-analysis
Authors: Hongyan Li
Hongying Li
Jianjiong Zhong
Qingfeng Wu
Lili Shen
Zhen Tao
Huijia Zhang
Shengjun Song
Publication date: 04-02-2023
Publisher: Springer Vienna
Keywords: Insomnia
Mood Disorders
Postpartum Depression
Postpartum Depression
Affective Disorder
Published in: Archives of Women's Mental Health / Issue 2/2023
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-023-01295-3

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Association between sleep disorders during pregnancy and risk of postpartum depression: a systematic review and meta-analysis

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