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Archives of Gynecology and Obstetrics
Published in: Archives of Gynecology and Obstetrics 1/2012

01-07-2012 | Maternal-Fetal Medicine

Factors related to insomnia and sleepiness in the late third trimester of pregnancy

Authors: Ana M. Fernández-Alonso, Martina Trabalón-Pastor, Peter Chedraui, Faustino R. Pérez-López

Published in: Archives of Gynecology and Obstetrics | Issue 1/2012

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Abstract

Objective

To assess the presence of insomnia and sleepiness and related factors in the late third trimester of pregnancy.

Methods

A total of 370 singleton gravids completed a general questionnaire containing personal data, the Insomnia Severity Index (ISI) and the Epworth Sleepiness Scale (ESS). In addition, maternal anthropometry was recorded upon survey.

Results

Median [interquartile range] maternal age and gestational age upon survey was of 31 [7.0] years and 39 [1.8] weeks, respectively. A 73.5% of women displayed some degree of insomnia (Total ISI score 8–28) and 22.2% sleepiness (Total ESS score ≥10). Determined rho Spearman coefficients showed significant correlations between ISI scores and gestational age at survey and survey to birth interval (weeks) and between ESS scores and maternal weight and arm circumference at survey and neonatal birth weight. Multiple linear regression analysis found that smoking habit, higher blood pressure and shorter survey to birth interval (weeks) significantly predicted higher ISI scores, and hence a higher risk of insomnia. Employed status, increased arm circumference and neonatal weight predicted higher ESS scores (sleepiness).

Conclusion

Insomnia and sleepiness were prevalent in the late third trimester of pregnancy in which lifestyle factors and maternal and neonatal body composition were significant predictors.
Literature
1.
Desai AV, Cherkas LF, Spector TD, Williams AJ (2004) Genetic influences in self-reported symptoms of obstructive sleep apnoea and restless legs: a twin study. Twin Res 7:589–595PubMed
2.
Watson NF, Goldberg J, Arguelles L, Buchwald D (2006) Genetic and environmental influences on insomnia, daytime sleepiness, and obesity in twins. Sleep 29:645–649PubMed
3.
Moline ML, Broch L, Zak R, Gross V (2003) Sleep in women across the life cycle from adulthood through menopause. Sleep Med Rev 7:155–177PubMedCrossRef
4.
Pérez-López FR (1992) Sleep disorders. In: The menopause. Temas de Hoy, Madrid, pp 164–168
5.
Arakane M, Castillo C, Rosero MF, Peñafiel R, Pérez-López FR, Chedraui P (2011) Factors relating to insomnia during the menopausal transition as evaluated by the Insomnia Severity Index. Maturitas 69:157–161PubMedCrossRef
6.
Ayrım A, Keskin EA, Ozol D, Onaran Y, Yıidirim Z, Kafali H (2011) Influence of self-reported snoring and witnessed sleep apnea on gestational hypertension and fetal outcome in pregnancy. Arch Gynecol Obstet 283:195–199PubMedCrossRef
7.
Facco FL, Kramer J, Ho KH, Zee PC, Grobman WA (2010) Sleep disturbances in pregnancy. Obstet Gynecol 115:77–83PubMedCrossRef
8.
Kennelly MM, Fallon A, Farah N, Stuart B, Turner MJ (2011) Effects of body mass index on sleep patterns during pregnancy. J Obstet Gynaecol 31:125–127PubMedCrossRef
9.
10.
Johns M, Hocking B (1997) Daytime sleepiness and sleep habits of Australian workers. Sleep 20:844–849PubMed
11.
Leung PL, Hui DS, Leung TN, Yuen PM, Lau TK (2005) Sleep disturbances in Chinese pregnant women. BJOG 112:1568–1571PubMedCrossRef
12.
Vahratian A, Siega-Riz AM, Savitz DA, Zhang J (2005) Maternal pre-pregnancy overweight and obesity and the risk of cesarean delivery in nulliparous women. Ann Epidemiol 15:467–474PubMedCrossRef
13.
Higgins N, Leong E, Park CS, Facco FL, McCarthy RJ, Wong CA (2011) The Berlin Questionnaire for assessment of sleep disordered breathing risk in parturients and non-pregnant women. Int J Obstet Anesth 20:22–25PubMedCrossRef
14.
SEGO (2002) Antenatal care during pregnancy. Prog Obstet Ginecol 45:575–583
15.
Bastien CH, Vallières A, Morin CM (2001) Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Med 2:297–307PubMedCrossRef
16.
Johns MW (1994) Sleepiness in different situations measured by the Epworth sleepiness scale. Sleep 17:703–710PubMed
17.
Chedraui P, Pérez-López FR, Mendoza M et al (2010) Factors related to increased daytime sleepiness during the menopausal transition as evaluated by the Epworth sleepiness scale. Maturitas 65:75–80PubMedCrossRef
18.
WHO (1995) Physical status: the use and interpretation of anthropometry. WHO Technical Report Series 854, World Health Organization, Geneva
19.
Sahin FK, Koken G, Cosar E et al (2008) Obstructive sleep apnea in pregnancy and fetal outcome. Int J Gynaecol Obstet 100:141–146PubMedCrossRef
20.
Manber R, Ong JC, Carlyle E (2008) Diagnostic tools for insomnia. In: Kushida CA (ed) Handbook of sleep disorders, 2nd edn. Informa Healthcare, New York, pp 41–54
21.
Sahlin C, Franklin KA, Stenlund H, Lindberg E (2009) Sleep in women: normal values for sleep stages and position and the effect of age, obesity, sleep apnea, smoking, alcohol and hypertension. Sleep Med 10:1025–1030PubMedCrossRef
22.
Izci B, Martin SE, Dundas KC, Liston WA, Calder AA, Douglas NJ (2005) Sleep complaints: snoring and daytime sleepiness in pregnant and pre-eclamptic women. Sleep Med 6:163–169PubMedCrossRef
23.
Pérez-López FR, Chedraui P, Gilbert JJ, Pérez-Roncero G (2009) Cardiovascular risk in menopausal women and prevalent related co-morbid conditions: facing the post-Women’s Health Initiative era. Fertil Steril 92:1171–1186PubMedCrossRef
24.
Miletin MS, Hanly PJ (2003) Measurement properties of the Epworth sleepiness scale. Sleep Med 4:195–199PubMedCrossRef
25.
Smith S, Sullivan KA (2007) A reliable change index (RCI) for the Epworth sleepiness scale (ESS). Sleep Med 9:102PubMedCrossRef
26.
Pien GW, Schwab RJ (2004) Sleep disorders during pregnancy. Sleep 27:1405–1417PubMed
27.
López LB, Calvo EB, Poy MS, del Valle Balmaceda Y, Cámera K (2011) Changes in skinfolds and mid-upper arm circumference during pregnancy in Argentine women. Matern Child Nutr 7:253–262PubMedCrossRef
28.
Luque V, Mendez G, Capdevila F et al (2009) Subcutaneous fat stores related to weight in full-term neonates. Ann Hum Biol 36:88–97PubMedCrossRef
Metadata
Title
Factors related to insomnia and sleepiness in the late third trimester of pregnancy
Authors
Ana M. Fernández-Alonso
Martina Trabalón-Pastor
Peter Chedraui
Faustino R. Pérez-López
Publication date
01-07-2012
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 1/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-012-2248-z

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