Actual Sleep Conditions from the Last Trimester of Pregnancy to Three Months Postpartum and the Associated Minor Problems
Download PDF

Keywords

Postpartum
Sleep quality
Pregnancy

DOI

10.26689/aogr.v1i1.4942

Submitted : 2023-04-15
Accepted : 2023-04-30
Published : 2023-05-15

Abstract

Objective: To investigate the actual sleep conditions at four time points from the last trimester of pregnancy to 3 months postpartum, and to examine the relationship between sleep and minor problems affecting sleep. Methods: A cross-sectional survey on the frequency of minor problems, Pittsburgh Sleep Quality Index (PSQI), and observations in a sleep diary was carried out on women at the end of pregnancy, 2 weeks postpartum, 1 month postpartum, and 3 months postpartum. The questionnaires were distributed to 165 participants. Correlation coefficients were obtained for each item and each scale, and the associations were analyzed. Results: The number of valid responses was 127. In the evaluation of sleep, sleep duration was the shortest and sleep quality was the lowest in the first month after delivery based on the PSQI score. In the correlation between “psychiatric symptoms” and sleep, women with anxiety and nervousness at the end of pregnancy were associated with poorer sleep quality. At all time-points, there was a significant association between “psychiatric symptoms” and poor sleep quality. Conclusion: An association exists between “psychiatric symptoms” and poor sleep quality in women from the last trimester of pregnancy to 3 months postpartum.

References

Ezaki H, 2012, Sleep Care in the Maternity Cycle. Sleep Medicine, 2012(64): 553–558.

Shirakawa S, Hirose K, 2012, Perinatal Sleep Disorders: Focusing on the Pregnancy Period. Sleep Medicine, 2012(63): 425–430.

Shinkawa J, Shimada M, Hayase M, et al., 2009, A Survey on the Types, Incidence, and Frequency of Minor Problems Among Pregnant Women Today. Journal of the Japan Midwifery Society, 23(1): 48–58. https://doi.org/10.3418/jjam.23.48

Adachi Y, Sawa R, Ueda M, et al., 2018, Association Between Sleep and Subjective Views of Mental Health Among Postpartum Mothers in the First Month Postpartum. Japanese Journal of Public Health, 65(11): 646–654. https://doi.org/10.11236/jph.65.11_646

Torashima S, Endo K, Sawada Y, 2016, Fact-Finding Study on the Physical Health Status of Women in the Second to Ninth Month Postpartum, Report 1: Comparison Between Older and Other Age Birth Groups. Maternal Health, 57(2): 297–304.

Haruna M, 2021, Care for Adaptation to Daily Life, in Midwifery Course 6: Midwifery Diagnosis and Technology II [1] Pregnancy, Igaku Shoin, 246–247.

Mindell JA., Cook RA, Nikolovski J, 2015, Sleep Patterns and Sleep Disturbances Across Pregnancy. Sleep Medicine, 16: 483–488. https://doi.org/10.1016/j.sleep.2014.12.006

Uematsu S, Manabe E, Tanaka H, 2014, An Examination of Distress Level, Lifestyle, Sleep Satisfaction, and Anxiety of Minor Problems During Pregnancy, Bulletin of the Center for Psychology and Clinical Studies, Hiroshima International University, 39–50.

Watanabe A, Manabe E, Izumi M, et al., 2020, Differences Between Sleep, Anxiety, and Depression in Pregnancy, Postpartum, and Their Association at Various Times. Psychological Research, 89(2): 130–138. https://doi.org/10.4992/jjpsy.89.16065

Yamaguchi T, Hotta N, Hiroshi K, 2007, A Longitudinal Study of Maternal Mental Status and Sex Roles During the First Three Years Postpartum. Child Health Research, 66(4): 551–560. https://www.jschild.med-all.net/Contents/private/cx3child/2007/006604/008/0551-0560.pdf

Niikawa J, 2021, Changes in Minor Problems Due to Pregnancy from the Last Trimester to One Year Postpartum. Journal of the Japan Midwifery Society, 35(1): 36–47. https://doi.org/10.3418/jjam.JJAM-2020-0007

Tomfohr LM, Buliga E, Letourneau NL et al., 2015, Trajectories of Sleep Quality and Associations with Mood During the Perinatal Period. Sleep, 38(8): 1237–1245. https://doi.org/10.5665/sleep.4900

Sekijima K, 2014, The Reality of the Child-Rearing That Mothers Want to Do in the Early Stage of Child-Rearing. Journal of the Japan Midwifery Society, 28(2): 207–217. https://doi.org/10.3418/jjam.28.207

Tajima M, Kawazoe K, Nakanishi K, et al., 2019, Sleep Status and Fatigue in the Transition Period of Life Rhythm from the Third Postpartum Day to the Two-Week Checkup Among First-Time Mothers. Maternal Health, 50(4): 646–654.

Hamasaki M, 2019, Diagnostic Types and How to Name Diagnoses During Pregnancy, in Practical Maternity Diagnosis 4th Edition, Igaku Shoin, Japan, 78–79.

Okayama M, Ikeuchi K, Akamatsu E, 2018, A Survey on the Physical and Mental State and Mental Resilience of Mothers One Month Postpartum. Journal of Kochi University Nursing Society, 12(1): 39–48. http://hdl.handle.net/10126/00007578

Doi Y, Minowa M, Uchiyama M, et al., 2000, Psychometric Assessment of Subjective Sleep Quality Using the Japanese Version of the Pittsburgh Sleep Quality Index (PS QI-J) in Psychiatric Disordered and Control Subjects. Psychiatry Research, 97(2–3): 65–172. https://doi.org/10.1016/s0165-1781(00)00232-8

Doi Y, Minowa M, Okawa T, et al., 1998, Creation of a Japanese Version of the Pittsburgh Sleep Questionnaire. Psychiatry, 13(6): 755–769.

Buysse DJ, Reynolds 3rd CF, Monk TH, et al., 1989, The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Research, 28(2): 193–213. https://doi.org/10.1016/0165-1781(89)90047-4

Kuriyama S, 2012, Correlation Coefficient as a Description, First Order Regression, Odds Ratio, in Introduction to Gentle Statistics for Medical Professionals (29), Diagnosis and Treatment.

Soma F, 2011, Association Between Attachment to the Fetus and Life Behavior of First-Time Mothers. Japanese Society of Midwifery, 25(2): 203–214.

Komada Y, Hirose K, Shirakawa S, 2002, Cross-Sectional Exploratory Study on Sleep Habits and Sleep Health of Pregnant Women. Journal of the Japanese Society of Psychosomatic Medicine for Women, 7(1): 87–94. https://doi.org/10.18977/jspog.7.1_87

Hirata A, 2020, Has Your Sleep Time Increased or Decreased Due to the Corona Crisis?, viewed on May 3, 2022, https:// www.nhk.or.jp/bunken/yoron-jikan /column/sleep-2020-2.html

Taniguchi C, Kitagawa M, 2017, Diagnosis of Adaptation Status to Healthy Living Conditions, in Today’s Midwifery Maternity Cycle Midwifery Diagnosis Practice Course Revision 3rd Edition, Nankendo, 68–69.

Igarashi Y, 2020, Assessment of Pregnancy Progression, in Maternal Nursing Science II Perinatal Course, 2nd Edition, Acquisition of Assessment Skills to Pursue High Quality Perinatal Care, Medical and Dental Publishing Company, 58–59.

Hayase M, Shimada M, Inui T, et al., 2008, Longitudinal Study of Maternal Sleep-Wake Rhythm from the Last Trimester of Pregnancy to 4 Months Postpartum by Actigraph. Perinatal Medicine, 38(12): 1613–1617.

Fujita F, 2015, A Study on Factors Affecting Nocturnal Sleep in 1-Month-Olds. Journal of Kurume Medical Association, 78(1): 20–29.

Shirakawa S, 2007, The Importance of Sleep: The Identity of Sleep and Its Role. Journal of Nursing Science, 71(9): 782–788.

Rinko K, Makiko K, Hiromi M, et al., 2007, Obstetrics and Gynecology Treatment, Volume 94 Extra Edition, 303–308, viewed September 21, 2020, https://search.jamas.or.jp/link/ui/2007168100

Ministry of Health, Labor and Welfare, n.d., Start with Knowing: Mental Health Sleep Disorders for Everyone, viewed July 1, 2021, https://www.mhlw.go.jp/kokoro/know/disease_sleep.htm

Mishima K, 2022, e-Health Net, Significance of Healthy Sleep, viewed May 3, 2022, https://www.e-healthnet.mhlw.go.jp/information/heart/k-01-001.html

Ishihara R, Yasui T, 2017, Health Status of Women in the Process of Hormone Dynamics Recovery. Journal of Kagawa Prefectural University of Health Sciences, 8: 5–10. http://id.nii.ac.jp/1751/00000237/