NEEDS DURING BED REST IN HIGH RISK PREGNANCY: A NARRATIVE REVIEW

Sleep and Hypnosis - International Journal, 2016

Objective: Given the significance of sleep quality among pregnant women and its effects on the health of the fetus and the lack of sufficient studies in this field as well, the present study aimed to both identify some of the psychological factors associated with sleep quality among pregnant women and investigate the relationship between sleep quality among pregnant women and other variables, including depression, anxiety, stress, resilience, perceived social support, and marital adjustment. Materials and methods: In this descriptive-correlational study, 425 pregnant women, visiting Islamabad and Ravansarbased prenatal care centers (randomly selected from the townships of Kermanshah Province (Iran)) in 2015, were selected. To collect the required data, the Locke-Wallace Marital Adjustment Test (LWSMAT), Pittsburgh Sleep Quality Index (PSQI), Conner-Davidson Resilience Scale (CD-RIS), Zimet's Multidimensional Scale of Perceived Social Support (MSPSS), and depression, anxiety and stress scales were used. The results of data analysis demonstrated that there was a significant relationship between the quality of sleep and variables like depression, anxiety, stress, perception, social support and marital adjustment. Further, the results showed that the hierarchical regression of all variables could predict 31% of the changes of sleep quality. Additionally, anxiety, depression and stress were ranked first, second and third in terms of the shares of variables in predicting the quality of sleep. Whereas, resilience, perceived social support and marital adjustment were unable to predict the quality of sleep. Conclusion: Given the results of the present study, it is suggested that the roles of the psychological factors be considered in improving the quality of sleep among pregnant women.

2013

Therapeutic" bed rest continues to be used widely, despite evidence of no benefit and known harms. In this commentary, we summarize the Cochrane reviews of bed rest and propose an ethical argument for discontinuing this practice. Cochrane systematic reviews do not support "therapeutic" bed rest for threatened abortion, hypertension, preeclampsia, preterm birth, multiple gestations, or impaired fetal growth. This assessment has been echoed in other comprehensive reviews. Prescribing bed rest is inconsistent with the ethical principles of autonomy, beneficence, and justice. Hence, if bed rest is to be used, it should be only within a formal clinical trial.

Birth, 2007

Bedrest has long been recommended for high-risk pregnancies, but recent studies question its effectiveness in improving pregnancy outcomes. To be effective, the women for whom bedrest is recommended must practice it. This study examined degree of compliance and reason for noncompliance in women for whom bedrest was recommended, and outcomes of pregnancy among high-risk women who complied compared with those who did not. The subjects were 326 high-risk pregnant women who were prescribed bedrest for preterm labor, blood pressure problems, or bleeding problems. Of that group, one-third did not comply with the bedrest recommendation. These women had more children, were not currently married, had more stress, did not attend prenatal classes, continued drinking alcohol during pregnancy, and were not trying to get pregnant compared with women who complied. Reasons for noncompliance included the need to care for children, not feeling sick, household demands, lack of partner or family support, need to work, and discomfort. The pregnancy outcomes for the women who complied were similar to those of the women who did not comply. These findings support the importance of more research on the practice of prescribing bedrest to improve pregnancy outcomes.

Obstetrics & Gynecology, 2013

Proceedings of the Third International Conference on Sustainable Innovation 2019 – Health Science and Nursing (IcoSIHSN 2019), 2019

Most of the pregnant women had sleep disorders during pregnancy. The factors that can cause sleep disorder are physical and physiological adaptation. This study aimed to identify sleep quality experienced by pregnant women and factors associated with it. A cross-sectional study was designed to collect the data from 161 pregnant women who are not having a complication during pregnancy and complete the questionnaire. The data were taken by purposive sampling in primary health care Kasihan 1 Tamantirto Bantul Yogyakarta. The data were collected through Pittsburgh Sleep Quality Index (PSQI), Zung-Self Rating Anxiety Scale (ZSAS), and Numerical Rating Scale (NRS), then analyzed using Chi-square and multiple logistic regressions. The majority of the respondent had poor sleep quality (78,9%), and factors that related to sleep quality are anxiety and low back pain. Health care should pay attention to anxiety and low back pain in pregnant women and provide some educations to prevent and trea...

Midwifery, 2015

The author is grateful to the patients who shared their needs during their prolonged hospital stay. The author would also like to thank Dr AE van der Wath for assisting with the coding of the data. All patient/personal identifiers have been removed.

Cochrane Database of Systematic Reviews, 2004

During the childbearing phase of life, a woman’s sleep can be profoundly altered, with increased risk for physical and mental health problems. Poor sleep can adversely affect labor and delivery, lead to poor maternal infant interactions or poor relationships with other adults, and even affect the infant’s growth and development. Hormonal alterations during early pregnancy, enlargement of the fetus during late pregnancy, and a newborn with random patterns of sleeping and feeding contribute to her disrupted sleep. This chapter briefly reviews normal physiological and anatomical changes that occur during pregnancy and discusses common sleep problems that can occur during pregnancy. Throughout this review chapter, the nurses’ role in sleep promotion is discussed in relation to sleep hygiene behaviors that can be adapted for pregnant women.

Shiraz E-Medical Journal, 2020

Background: Sleep, a physiological need, may be disturbed during pregnancy due to the psychological, anatomical, biochemical, hormonal, and emotional adaptations. Objectives: The present study aimed to investigate the frequency of morningness/eveningness, insomnia, and sleep disorders in pregnant mothers. Methods: All healthy pregnant women who referred to Rasoul-Akram Hospital in 2018-2019 for prenatal care without severe medical diseases were included in the study by census method. They were asked to fill their demographics, Morningness Eveningness questionnaire (MEQ), Pittsburgh sleep quality index (PSQI), and insomnia severity index (ISI) after signing their informed consent. The data were analyzed using SPSS V.21. Women who gave birth before the third trimester were excluded from analysis. Results: A total of 347 women completed the study; mean age: 31.46 ± 5.36 years, mean gestational age: 24.68 ± 9.62 weeks. The mean MEQ score was 48.77 ± 5.15; 8.1% were moderate evening type...

Journal of Turkish Sleep Medicine, 2022

Objective: This study aimed to determine the factors affecting the quality of sleep in pregnant women with respect to maternal age. Materials and Methods: This cross-sectional study was conducted in the Gynecology and Obstetrics Outpatient Clinic of Bartın State Hospital. The research data were collected using questionnaires Whooley questions, Pittsburg sleep quality index, and the 12-item shortform health survey. Results: This study included 135 pregnant women, of whom 43 were ≥35 years, 46 were 23-34 years, and 46 were ≤29 years old. The mean sleep quality score of the advanced maternal age group was 4.88 [standard deviation (SD), 2.27], which was lower than the maternal age group of 30-34 years (5.78; SD, 2.94) and ≤29 years (5.02; SD, 3.38). Of the total participants, 52.6% were poor sleepers. Approximately 65% of the participants were Whooley-positive. The mean of the physical and mental component summary was 43.04 (SD, 6.04) and 44.05 (SD, 6.03), respectively, for each maternal age group. No significant differences were found among the maternal age groups in terms of sleep quality, depression, and quality of life. Conclusion: The study results revealed similar characteristics among pregnant women of advanced and young maternal age concerning quality of life, sleep quality, and maternal depression.

Indian Journal of Sleep Medicine

This article provides a qualitative, non-medical analysis of pregnancy bed rest to contribute to feminist scholarship on women's experiences of embodiment and reproduction. Drawing on surveys and interviews, I examine pregnancy bed rest from the perspective of those who have experienced it. I argue that pregnancy bed rest significantly disrupts women's sense of control over their bodies, and that this disruption is partly manifested through feelings of failure and self-blame. Women's feelings of failure are heightened within a cultural context that emphasizes the importance of individual control over reproductive processes and ignores marginalized experiences of pregnancy. I then examine how women strategize ways to momentarily regain some control over their self and lives and thereby reduce feelings of failure. Analysis of women's pregnancy bed rest experiences furthers our understanding of an experience that drastically alters women's sense of control and self-discipline as well as their relationship to their bodies. It also sheds light on pregnancy as an experience that is informed at least as much by the cultural context as it is by the body.

PLOS ONE, 2024

Background Sleep is a vital requirement during pregnancy for the betterment of the fetus and the mother. Sleep quality could vary due to pregnancy-specific psychological and physiological changes. To introduce a tailored programme to enhance the sleep quality of mothers, it is paramount to assess the sleep quality and determinants of sleep. Therefore, this study aimed to assess the determinants of sleep quality among pregnant women in a selected institution in the Southern province of Sri Lanka. Methods Hospital-based cross-sectional study was carried out with 245 antenatal women, selected using a systematic random sampling method. A pretested self-administered questionnaire was used to collect data which contains four parts. Below variables were involved and both continuous and categorical data were collected as required. ‘Maternal sleep quality, sociodemographic data and gestational age, maternal depression and anxiety.’ Data were analyzed using IBM SPSS version 25.0 for Windows by using descriptive statistics, Pearson’s Chi-square test, and independent sample T-test (p < 0.05). Logistic regression analysis was used to find the relationship with sleep quality and other variables. P-value of less than 0.05 was considered statistically significant, at 95% CI. Results The majority of women (60.8%) had good sleep quality and they didn’t have either depressive symptoms (63.4%) or anxiety (64.2%). Aged between 34–41 years and third-trimester women had higher rates of poor sleep quality. Varying quality of sleep was identified among three-trimesters with subjective sleep quality, sleep latency, habitual sleep efficiency, and sleep disturbances. In comparison with the first and second trimester, pregnant women in the third trimester had higher score of global PSQI (5.22 ± 2.35), subjective sleep quality (1.23 ± 0.70), sleep latency (1.25 ± 0.86), habitual sleep efficiency (0.14 ± 0.43), and sleep disturbances (1.39 ± 0.58). There was a significant association between gestational age (P = .006), maternal age (P = .009), antenatal depression (P = .034), and anxiety (P = .013) with sleep quality. However, multinomial logistic regression revealed that only gestational age affected on quality of sleep. The first trimester was a protective factor for good quality sleep (Adjusted OR = 3.156) compared to the other two trimesters. Conclusion This study revealed that the majority of women had good sleep quality but quality of sleep was deprived with gestational age. It is expected that the findings of this research will be helpful for health and social care policymakers when formulating guidelines and interventions regarding improving the quality of sleep among pregnant women in Sri Lanka.

International Journal of Translational Medicine

Throughout their life, women should pay attention to their mental health. Evidence indicates that poor sleep quality is related to depressive symptoms in pregnancy, justifying the intervention of health professionals in improving sleep quality to promote the mental health of pregnant women. The objective of our study is to analyze the relationship between sleep quality and perinatal depression, and to identify the obstetric nurse’s intervention in improving sleep quality in the perinatal period. A total of 53 pregnant women between the 28th week of pregnancy and the 7th day after delivery completed the Edinburgh Postnatal Depression Scale (EPDS) and Pittsburgh Sleep Quality Index (PSQI). Women were also asked about the strategies used by the obstetric nurse to improve their quality of sleep. Data analysis was performed using IBM SPSS Statistics software, version 25.0. The Mann–Whitney-U and Kruskal-Wallis tests were carried out. A p-value &lt; 0.05 was considered statistically signi...