Abstract
Objectives: Good maternal health and fetal development require sufficient and good quality of sleep during pregnancy. This study investigated sleep duration and quality in pregnant women, assessing factors with possibly influence on sleep. Method: A cross-sectional survey was conducted on pregnant women between June and August in 2015 in 16 hospitals in five provinces in China. A total of 2345 pregnant women aged 18 years and older were surveyed. Insufficient sleeping duration was defined as sleeping of less than 7 h per day. Excessive sleep duration was defined as sleeping of more than 9 h per day. Results: A total of 561 (23.9%) participants reported insufficient sleeping duration, whereas 485 (20.9%) claimed excessive sleep duration. A total of 358 (15.2%) of pregnant women reported problems regarding sleep quality. Compared to pregnant women with sufficient sleeping duration, those with insufficient sleeping duration were prone to have poor sleep quality, whereas those with excessive sleeping duration featured low possibility of poor sleep quality. High-risk groups of insufficient sleep duration include women of Han nationality, with siblings, in their first trimester of pregnancy, receiving care in low-capacity/quality hospital settings, and with daily or 1–3 days of secondhand smoke exposure. High-risk groups of excessive sleep duration include women living in rural areas, unemployed, in their third trimester of pregnancy, and receiving care in medium-capacity/quality hospital settings. High-risk groups of poor sleep quality include women of non-Han nationality, low income level, in their third trimester of pregnancy, and with insufficient sleep duration. Conclusions: Insufficient/excessive sleep duration and poor sleep quality commonly occur during pregnancy in China. Findings provide a better understanding of the influencing factors of insufficient/excessive sleep duration and poor quality of sleep. These findings have some implications for future interventions on sleep among pregnant women.
Highlights
Sleep problems have become an important public health issue [1], and sleep problems, such as insufficient sleep duration and poor sleep quality, become common during pregnancy [2,3,4].Pregnant women are affected by sleep disruption, and deprivation and sleep disorders [5,6].A high prevalence of sleep disorder-related symptoms was detected in pregnant women in China [7].Int
Characteristics of Study Participants Stratified by Sleeping Duration Status
Among the 2345 participants, 1755 (74.8%) pregnant women were on their first pregnancy, and 590 (25.2%) were on their second pregnancy
Summary
Sleep problems have become an important public health issue [1], and sleep problems, such as insufficient sleep duration and poor sleep quality, become common during pregnancy [2,3,4].Pregnant women are affected by sleep disruption, and deprivation and sleep disorders [5,6].A high prevalence of sleep disorder-related symptoms was detected in pregnant women in China [7].Int. Sleep problems have become an important public health issue [1], and sleep problems, such as insufficient sleep duration and poor sleep quality, become common during pregnancy [2,3,4]. Pregnant women are affected by sleep disruption, and deprivation and sleep disorders [5,6]. A high prevalence of sleep disorder-related symptoms was detected in pregnant women in China [7]. Res. Public Health 2017, 14, 817; doi:10.3390/ijerph14070817 www.mdpi.com/journal/ijerph
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