analysis of causes or reasons that fragment sleep and sleep disorder in preg-nant and non-pregnant women.

Authors

  • Stella Maris Stella Maris Valiensi Hospital Italiano de Buenos Aires
  • Gustavo Hernán Izbizky Hospital Italiano de Buenos Aires

DOI:

https://doi.org/10.31053/1853.0605.v79.n4.31046

Keywords:

insomnia, nightmares, pregnancy

Abstract

analysis of causes or reasons that fragment sleep and sleep disorders in pregnant and non-pregnant women.

 

Introduction:

During pregnancy, sleep undergoes important changes. The objective was to assess the causes or reasons that fragment sleep and sleep disorders in different women and trimesters of pregnancy, comparing them with those of non-pregnant women (NPW).

Methods:

Cross-sectional study. Anonymous surveys were used to evaluate reasons that fragment sleep and specific questionnaires to evaluate sleep disorders.

Results:

Pregnant Women (PW)= 320. 1st Trimester of pregnancy (T): n = 106, 2nd. T: n = 104, 3rd T: n = 110. MNE: n = 304. Most frequent reasons that fragmented sleep, statistically significant in PW and were: need to urinate, uncomfortable position, not being able to rotate in bed. As sleep disorders we find: nightmares 44 vs 4.9%; snoring with pauses: 31 vs 3%.

Conclusion:

We found that in the PW studied, most of the causes or reasons analyzed fragmented sleep; they had more sleep disorders such as nightmares, respiratory disorders and periodic leg movements, in that order, compared to the NPW who in turn, presented insomnia, excessive sleepiness and bruxism.

 

Key words: insomnia, respiratory disorders, nightmares, pregnancy.

 

 

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Author Biographies

Stella Maris Stella Maris Valiensi, Hospital Italiano de Buenos Aires

Medical Internal Medicine. Neurology. Master in Sleep Medicine.
Secretary of the Argentine Association of Sleep Medicine.

Gustavo Hernán Izbizky, Hospital Italiano de Buenos Aires

Médico Obstetra.
Subjefe del Centro de la Mujer del Hospital Italiano de Buenos Aires.

Instituo Universitario del Hospital Italiano de Buenos Aires

References

Santiago JR, Nolledo MS, Kinzler W, Santiago TV. Sleep and sleep disorders in pregnancy. Ann Intern Med. 2001 Mar 6;134(5):396-408. doi: 10.7326/0003-4819-134-5-200103060-00012.

Manber R, Armitage R. Sex, steroids, and sleep: a review. Sleep. 1999 Aug 1;22(5):540-55.

Neau JP, Texier B, Ingrand P. Sleep and vigilance disorders in pregnancy. Eur Neurol. 2009;62(1):23-9. doi: 10.1159/000215877.

Guilleminault C, Querra-Salva M, Chowdhuri S, Poyares D. Normal pregnancy, daytime sleeping, snoring and blood pressure. Sleep Med. 2000 Oct 1;1(4):289-297. doi: 10.1016/s1389-9457(00)00046-0.

Tsai SY, Lin JW, Kuo LT, Thomas KA. Daily sleep and fatigue characteristics in nulliparous women during the third trimester of pregnancy. Sleep. 2012 Feb 1;35(2):257-62. doi: 10.5665/sleep.1634.

Hall WA, Hauck YL, Carty EM, Hutton EK, Fenwick J, Stoll K. Childbirth fear, anxiety, fatigue, and sleep deprivation in pregnant women. J Obstet Gynecol Neonatal Nurs. 2009 Sep-Oct;38(5):567-76. doi: 10.1111/j.1552-6909.2009.01054.x.

Álvarez-Aguilar D, Valero-Roncero J, Pérez-Rodríguez E, Sánchez-Márquez G. Trastornos del sueño durante el embarazo. Matronas Prof. 2010; 11(1):11-17.

Lee KA, Gay CL. Sleep in late pregnancy predicts length of labor and type of delivery. Am J Obstet Gynecol. 2004 Dec;191(6):2041-6. doi: 10.1016/j.ajog.2004.05.086.

Signal TL, Paine SJ, Sweeney B, Priston M, Muller D, Smith A, Lee KA, Huthwaite M, Reid P, Gander P. Prevalence of abnormal sleep duration and excessive daytime sleepiness in pregnancy and the role of socio-demographic factors: comparing pregnant women with women in the general population. Sleep Med. 2014 Dec;15(12):1477-83. doi: 10.1016/j.sleep.2014.07.007.

Manconi M, Govoni V, De Vito A, Economou NT, Cesnik E, Casetta I, Mollica G, Ferini-Strambi L, Granieri E. Restless legs syndrome and pregnancy. Neurology. 2004 Sep 28;63(6):1065-9. doi: 10.1212/01.wnl.0000138427.83574.a6.

Calaora-Tournadre D, Ragot S, Meurice JC, Pourrat O, D'Halluin G, Magnin G, Pierre F. Le syndrome d'apnées du sommeil pendant la grossesse: prévalence des symptômes cliniques et corrélation avec la pathologie vasculaire gravidique [Obstructive Sleep Apnea Syndrom during pregnancy: prevalence of main symptoms and relationship with Pregnancy Induced-Hypertension and Intra-Uterine Growth Retardation]. Rev Med Interne. 2006 Apr;27(4):291-5. French. doi: 10.1016/j.revmed.2006.01.015.

Köken G, Sahin FK, Cosar E, Saylan F, Yilmaz N, Altuntas I, Fidan F, Unlu M, Yilmazer M. Oxidative stress markers in pregnant women who snore and fetal outcome: a case control study. Acta Obstet Gynecol Scand. 2007;86(11):1317-21. doi: 10.1080/00016340701662183.

Facco F, Louis J, Knavert MP, Balserak BI. Sleep-disordered Breahting in Pregnancy. Chapter 157. In Kryer M, Roth T, Dement WC, ed. Principles and Practice of Sleep Medicine. 6 ed. Philadelphia: Elservier; 2017. p. 1540-1546.e4.

Hedman C, Pohjasvaara T, Tolonen U, Salmivaara A, Myllylä VV. Parasomnias decline during pregnancy. Acta Neurol Scand. 2002 Mar;105(3):209-14. doi: 10.1034/j.1600-0404.2002.1o060.x.

Pérez-Chada D, Videla AJ, O'Flaherty ME, Majul C, Catalini AM, Caballer CA, Franklin KA. Snoring, witnessed sleep apnoeas and pregnancy-induced hypertension. Acta Obstet Gynecol Scand. 2007;86(7):788-92. doi: 10.1080/00016340701281919.

Bobes J, García-Portilla González MP, Saiz Martínez PA, Bascarán Fernández MT, Iglesias Álvarez C, Fernández Domínguez JM. Propiedades psicométricas del cuestionario Oviedo del sueño. Psicothema 2000;12(1):107-12. Disponible en: http://hdl.handle.net/10651/27552

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991 Dec;14(6):540-5. doi: 10.1093/sleep/14.6.540.

Baratte-Beebe KR, Lee K. Sources of midsleep awakenings in childbearing women. Clin Nurs Res. 1999 Nov;8(4):386-97. doi: 10.1177/10547739922158377.

Lamberg L. Sleeping poorly while pregnant may not be "normal". JAMA. 2006 Mar 22;295(12):1357-61. doi: 10.1001/jama.295.12.1357.

Morey AK, Pedram A, Razandi M, Prins BA, Hu RM, Biesiada E, Levin ER. Estrogen and progesterone inhibit vascular smooth muscle proliferation. Endocrinology. 1997 Aug;138(8):3330-9. doi: 10.1210/endo.138.8.5354.

Persi GG, Etcheverry JL, Vecchi C, Parisi VL, Ayarza AC, Gatto EM. Prevalence of restless legs syndrome: a community-based study from Argentina. Parkinsonism Relat Disord. 2009 Jul;15(6):461-5. doi: 10.1016/j.parkreldis.2008.11.012.

Malfertheiner SF, Malfertheiner MV, Kropf S, Costa SD, Malfertheiner P. A prospective longitudinal cohort study: evolution of GERD symptoms during the course of pregnancy. BMC Gastroenterol. 2012 Sep 24;12:131. doi: 10.1186/1471-230X-12-131.

Ellis JG, Gehrman P, Espie CA, Riemann D, Perlis ML. Acute insomnia: current conceptualizations and future directions. Sleep Med Rev. 2012 Feb;16(1):5-14. doi: 10.1016/j.smrv.2011.02.002.

Vgontzas AN, Bixler EO, Lin HM, Prolo P, Mastorakos G, Vela-Bueno A, Kales A, Chrousos GP. Chronic insomnia is associated with nyctohemeral activation of the hypothalamic-pituitary-adrenal axis: clinical implications. J Clin Endocrinol Metab. 2001 Aug;86(8):3787-94. doi: 10.1210/jcem.86.8.7778.

Lancel M, Faulhaber J, Holsboer F, Rupprecht R. Progesterone induces changes in sleep comparable to those of agonistic GABAA receptor modulators. Am J Physiol. 1996 Oct;271(4 Pt 1):E763-72. doi: 10.1152/ajpendo.1996.271.4.E763.

Palagini L, Gemignani A, Banti S, Manconi M, Mauri M, Riemann D. Chronic sleep loss during pregnancy as a determinant of stress: impact on pregnancy outcome. Sleep Med. 2014 Aug;15(8):853-9. doi: 10.1016/j.sleep.2014.02.013.

Dominguez JE, Habib AS, Krystal AD. A review of the associations between obstructive sleep apnea and hypertensive disorders of pregnancy and possible mechanisms of disease. Sleep Med Rev. 2018 Dec;42:37-46. doi: 10.1016/j.smrv.2018.05.004.

Nielsen T, Svob C, Kuiken D. Dream-enacting behaviors in a normal population. Sleep. 2009 Dec;32(12):1629-36. doi: 10.1093/sleep/32.12.1629.

Lara-Carrasco J, Simard V, Saint-Onge K, Lamoureux-Tremblay V, Nielsen T. Disturbed dreaming during the third trimester of pregnancy. Sleep Med. 2014 Jun;15(6):694-700. doi: 10.1016/j.sleep.2014.01.026.

The American College of Obstetricians and Gynecologists Committee Opinion no. 630. Screening for perinatal depression. Obstet Gynecol. 2015 May;125(5):1268-1271. doi: 10.1097/01.AOG.0000465192.34779.dc.

Published

2022-12-21

How to Cite

1.
Stella Maris Valiensi SM, Izbizky GH. analysis of causes or reasons that fragment sleep and sleep disorder in preg-nant and non-pregnant women. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2022 Dec. 21 [cited 2024 Jul. 17];79(4):318-26. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/31046

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Section

Original Papers