Ускладнення перебігу вагітності та пологів, пов’язані з порушеннями сну

Abstract

Purpose - to conduct a retrospective analysis of complications during pregnancy and childbirth in women with sleep disorders according to medical records. Materials and methods. On the clinical bases of the Department of Obstetrics and Gynecology No. 1 of the Shupyk National Healthcare University of Ukraine during 2020-2022, a retrospective analysis of the course of pregnancy and childbirth was carried out according to the data of medical documentation (individual card of the pregnant/puerperal woman and a questionnaire, history of pregnancy and childbirth) with a total number of 10,694 women. After the selection of two groups of pregnant women according to inclusion and exclusion criteria, the main group consisted of 1,675 pregnant women with signs of sleep disorders, the control group - 7,125 patients with no signs of sleep disorders. The data of the history of pregnancy and childbirth were analyzed according to the most significant risk factors, which were more often found in pregnant women with sleep disorders (maternal age >35 years, body mass index >40 kg/m2), which required the use of sleeping pills. The frequency of complications during pregnancy and childbirth in women with sleep disorders (pregnant anemia, premature birth, development of preeclampsia, delivery by cesarean section) was also analyzed. To evaluate the results of the study, we used the method of statistical testing of hypotheses according to the Student's t-test with determination of the odds ratio and 95% confidence interval (OR with 95.0% CI). Results. We proved that in pregnant women with sleep disorders, the overall frequency of pregnancy complications and abdominal delivery was significantly higher than in pregnant women without sleep disorders (p<0.05). The older age of women with first pregnancy over 35 years and the body mass index of pregnant women >40 kg/m2 influenced sleep disturbances in pregnant women (p<0.05). Conclusions. Sleep disorders are common during pregnancy and pose a real threat to the development of complications during pregnancy and childbirth. Obstetricians and gynecologists and general practitioners who manage pregnancy need to receive information about the quality of sleep of the expectant mother and, in the presence of insomnia, correct the detected disorders in a timely manner with the consultation of specialized specialists. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.