PREVALENCE OF INSOMNIA IN PREGNANT WOMEN IN THE THIRD TRIMESTER OF PREGNANCY AND RELATED FACTORS

Trung Nguyễn Hữu, Nhân Huỳnh Thành

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Abstract

Objective: To determine the rate of insomnia and factors related to insomnia in pregnant women in the last three months of pregnancy attending antenatal care at Binh Dinh general hospital. Methods: cross-sectional study design surveyed 385 pregnant women aged 18 years or older, with gestational age from 28 - 40 weeks, examined at the obstetrics department of Binh Dinh province general hospital from October 2022 to April 2023 using the Pittsburgh scale. Results: The rate of insomnia in pregnant women in the last trimester of pregnancy examined at Binh Dinh general hospital was 56.4% (95% CI: 51.4 - 61.0%). Multivariate analysis of factors related to insomnia in pregnant women in the last three months of pregnancy: Pregnant women who work in sales and other occupations (DS, Doctor, KS) have an increased risk of insomnia POR : 3.7 (95% CI: 1.65-8.28) and POR: 3.6 (95% CI: 1.64-7.93). Pregnant women with an education level of high school and above high school have an increased risk of insomnia, POR: 3.03 (95% CI: 1.66-5.55) and POR: 2, respectively. 62 (95% CI: 1.36-5.05). Pregnant women who have the habit of using phones related to bedtime have an increased risk of insomnia POR: 3.32 (95% CI: 1.93-5.70). Conclusion: The Pittsburgh scale helps early identify factors related to insomnia in pregnant women from the first prenatal visits, helping to identify pregnant women at high risk of insomnia during pregnancy.

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References

1. Gupta, R. and V.S. Rawat, Sleep and sleep disorders in pregnancy. Handb Clin Neurol, 2020. 172: p. 169-186.
2. Lu, Q., et al., Sleep disturbances during pregnancy and adverse maternal and fetal outcomes: A systematic review and meta-analysis. Sleep Med Rev, 2021. 58: p. 101436.
3. Mindell, J.A., R.A. Cook, and J. Nikolovski, Sleep patterns and sleep disturbances across pregnancy. Sleep Med, 2015. 16(4): p. 483-8.
4. Facco, F.L., et al., Sleep disturbances in pregnancy. American journal of obstetrics & gynecology, 2010. 115(1): p. 77-83.
5. Tô Minh Ngọc and cộng sự, Thang đo chất lượng giấc ngủ Pittsburgh phiên bản Tiếng Việt. Tạp chí Y học Thành phố Hồ Chí Minh, 2014. 18(6): p. 664-666.
6. Smyka, M., et al., Sleep quality according to the Pittsburgh Sleep Quality Index in over 7000 pregnant women in Poland. Journal of Sleep Biological Rhythms, 2021. 19(4): p. 353-360.
7. Ko, S.H., S.C. Chang, and C.H. Chen, A comparative study of sleep quality between pregnant and nonpregnant Taiwanese women. J Nurs Scholarsh, 2010. 42(1): p. 23-30.
8. Özkan, S.A. and G. Rathfisch, The effect of relaxation exercises on sleep quality in pregnant women in the third trimester: A randomized controlled trial. Journal of Complementary Therapies in Clinical Practice, 2018. 32: p. 79-84.