Effects of pregnancy on mothers' sleep

Effects of pregnancy on mothers' sleep
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DOI:
10.1016/s1389-9457(01)00130-7
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发表时间:
2002-01-01
期刊:
影响因子:
4.8
通讯作者:
Myllyla, V. V.
Myllyla, V. V.
中科院分区:
医学2区
文献类型:
--
作者:
Hedman, C.;Pohjasvaara, T.;Myllyla, V. V.

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目的:探讨妊娠对母亲睡眠的影响。方法:对怀孕期间和怀孕后的母亲进行了一系列的五份问卷调查,以评估她们的睡眠变化。第一份问卷涵盖了怀孕前的3个月,接下来的三个月是怀孕的三个月,最后一个是分娩后的3个月。这项研究是在一家中心医院和附近农村社区的产科护理单位进行的。总共有325名孕妇完成了这五份问卷。结果:睡眠总时间和夜间睡眠总时间在妊娠前三个月显著增加,妊娠后开始减少,妊娠后3个月最短。在怀孕后期,30岁以上的孕妇比30岁以下的孕妇睡眠时间少。在整个怀孕期间,但越来越接近怀孕末期,睡眠变得更加不安和零碎,其主观质量恶化,至少部分原因是不宁腿的增加和夜间醒来随着怀孕的增加而增加。结论:虽然总睡眠时间增加,但早在怀孕前三个月,主观睡眠质量就受到了干扰。据报道,睡眠时间在妊娠中期开始减少。据报道,睡眠障碍的频率,如不宁腿综合征和夜间觉醒,在妊娠晚期最多,但在分娩后3个月内基本正常。(C) 2002 Elsevier Science B.V.版权所有
Objectives: To survey the effects of pregnancy on mothers' sleep.Methods: Mothers were interviewed during and after pregnancy with a series of five questionnaires to assess alterations in their sleep. The first questionnaire covered the 3 months before becoming pregnant, the next three the trimesters of pregnancy and the last the 3 months after delivery. The study was carried out in a central hospital and the maternity care units in the nearby rural community. Altogether, 325 pregnant women completed all five questionnaires.Results: The total amounts of reported sleep and of nocturnal sleep increased significantly during the first trimester of pregnancy, began to decrease thereafter and were shortest during the 3 months after pregnancy. During late pregnancy expectant mothers over 30 years of age reported less sleep than those under 30. During the whole pregnancy, but increasingly toward the end of pregnancy, sleep became more restless and fragmentary and its subjective quality worsened, due at least partly to increased restless legs and nightly awakenings increasing with advancing pregnancy.Conclusions: The subjective quality of sleep is disturbed as early as the first trimester of pregnancy, although total sleeping time increases. The amount of reported sleep begins to decrease in the second trimester. The frequency of reported sleep disturbances, such as restless legs syndrome and nocturnal awakenings, is maximum in the third trimester but is about normal within 3 months after delivery. (C) 2002 Elsevier Science B.V. All rights reserved.