Sleep quality and associated factors among pregnant women attending antenatal care unit at Gondar, Ethiopia: a cross-sectional study.

Journal: BMJ open

Volume: 12

Issue: 9

Year of Publication: 2023

Affiliated Institutions:  Department of Psychiatry, University of Gondar College of Medicine and Health Sciences, Gondar, Amhara, Ethiopia girmawmedfu@gmail.com. Department of Psychiatry, University of Gondar College of Medicine and Health Sciences, Gondar, Amhara, Ethiopia.

Abstract summary 

This study aimed to determine the prevalence and associated factors of poor sleep quality among pregnant women in Ethiopia.Institutional based cross-sectional study.University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.A total of 415 pregnant women were recruited by using a systematic random sampling technique from 28 April 2020 to 12 June 2020.The desired data were collected through face-to-face interview technique by using validated questionnaires such as the Pittsburgh Sleep Quality Index, Edinburgh Postnatal Depression Scale, Perceived Stress Scale, Oslo-3 and Abuse Assessment Screen. The data were analysed by using SPSS V.20. Logistic regression analysis was used to identify associated factors with poor sleep quality. Variables having a p value of less than 0.2 in the bivariate analysis were entered to the multivariable logistic regression. A p value of less than 0.05 was considered statistically significant, at 95% CI.In this study, 175 (42.2%) pregnant women had poor sleep quality. According to multivariable logistic regression, being first and third trimesters of gestational age (adjusted OR (aOR) 2.31, 95% CI 1.16 to 4.61 and aOR 3.45, 95% CI 2.05 to 5.79, respectively), consumption of caffeinated substances (aOR 2.96, 95% CI 1.68 to 5.52), having depression (aOR 2.12, 95% CI 1.19 to 3.76), having high perceived stress (aOR 5.39, 95% CI 1.96 to 14.79) and experience of intimate partner violence (aOR 5.57, 95% CI 2.19 to 14.68) were positive significant associated factors with poor sleep quality.The prevalence of poor sleep quality among pregnant women was relatively high. First and third trimesters, consumption of caffeinated substances, antenatal depression, high perceived stress and intimate partner violence were factors significantly associated with poor sleep quality. This result suggests that all pregnant women should be screened and treated for poor sleep quality during the first and third trimesters.

Authors & Co-authors:  Takelle Girmaw Medfu GM Muluneh Niguse Yigzaw NY Biresaw Mengesha Srahbzu MS

Study Outcome 

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Citations :  Chang JJ, Pien GW, Duntley SP, et al. . Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship? Sleep Med Rev 2010;14:107–14. 10.1016/j.smrv.2009.05.001
Authors :  3
Identifiers
Doi : e056564
SSN : 2044-6055
Study Population
Women
Mesh Terms
Female
Other Terms
epidemiology;maternal medicine;mental health;psychiatry;reproductive medicine;sleep medicine
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
England