Maternal Sleep and Related Pregnancy Outcomes: A Multicenter Cross-sectional Study in 11 Provinces of Iran

Mahmoud Hajipour; Maryam Soltani; Roya Safari-Faramani; Salman Khazaei; Koorosh Etemad; Sharmin Rahmani; Tannaz Valadbeigi; Halime Yaghoobi; Shahab Rezaeian

doi:10.18502/jfrh.v15i1.6078

Mahmoud Hajipour Research Center Office, Epidemiology Department, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Maryam Soltani Razi Clinical Research Development Unit (RCRDU), Birjand University of Medical Sciences (BUMS), Birjand, Iran
Roya Safari-Faramani Research Center for Environmental Determinants of Health, Health Institute, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
Salman Khazaei Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
Koorosh Etemad Department of Epidemiology, Environmental and Occupational Hazards Control Research Center, Faculty of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Sharmin Rahmani Student Research Committee, Research Center for Environmental Determinants of Health, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
Tannaz Valadbeigi Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran
Halime Yaghoobi Social Determinants in Health Promotion Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Shahab Rezaeian Infectious Diseases Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran

DOI: https://doi.org/10.18502/jfrh.v15i1.6078

Keywords: Sleep Wake Disorders; Pregnancy Outcome; Stillbirth; Iran

Abstract

Objective: Sleep disturbance during pregnancy is one of the most common maternal complaints. Not only does it play a crucial role in a mother’s life, but also it comes with a multitude number of complications. This study aimed at assessing the association between sleep disturbance in pregnancy and maternal and child outcomes.

Materials and methods: This was a multicenter cross-sectional study, conducted on pregnant women across 11 provinces in Iran in 2018. Sleep disturbance as a composite variable was defined using the principal component analysis based on five questions. Abortion, anemia in the first and third trimester, gestational diabetes, gestational age, glucose tolerance test (GTT), fasting blood sugar (FBS), mode of delivery, low birth weight and stillbirth were defined as study outcomes.

Results: Totally, 3675 pregnant women enrolled in the study. Most of the participants (84.5%) reported that their sleep duration is less than 8 hours per day. The prevalence of sleep disturbance was 20.7% (95% CI: 19.1, 22.3). After adjusting for maternal age, education, job, place of residency and physical violence, sleep disturbance would increase the odds of abortion (p=0.009), anemia in both first (p=0.001) and third (p=0.003) trimester, gestational age (p=0.049), abnormal FBS (p=0.015) and cesarean section (p<0.001).

Conclusion: Regarding the effect of sleep quality on maternal outcomes, planning and implementing a suitable intervention in the context of primary health care is necessary. Increasing the awareness of mothers, health workers and medical personnel about the suitable quality and quantity of sleep during pregnancy is of great importance.