Cited by 339Maternal Mental Health During Pregnancy and PostpartumSleep and related disordersSleep and Work-Related Fatigue

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Sleep deprivation during pregnancy and maternal and fetal outcomes: Is there a relationship?

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Chang, Jen Jen, Pien, Grace W., Duntley, Stephen P., Macones, George A.·2010·Sleep Medicine Reviews

DOI 10.1016/j.smrv.2009.05.001PMC PMC2824023

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Abstract

Sleep duration in the population has been declining. Women occupy an increasingly prominent place in the work force without reducing most of their responsibilities at home. Consequently, sleep needs are often pushed to the bottom of women's daily priority list. Prior research has indicated that sleep deprivation is associated with higher levels of pro-inflammatory serum cytokines. This is important because higher plasma concentrations of pro-inflammatory serum cytokine levels are associated with postpartum depression and adverse birth outcomes such as preterm delivery. However, little research has directly examined how sleep deprivation may affect maternal and fetal outcomes. This review summarizes the existing data on the effect of sleep deprivation during pregnancy on maternal and fetal outcomes. We review supporting evidence for the hypotheses that sleep deprivation during pregnancy increases the risk of preterm delivery and postpartum depression, and that systemic inflammation is the causal mechanism in the association. Prior research on sleep in pregnancy has been limited by varying data collection methods, subjective self-reported sleep measures, small and non-representative samples, cross-sectional designs; descriptive or non-hypothesis driven studies. Future research with longitudinal study designs is needed to allow examination of the effect of sleep deprivation on adverse maternal and fetal outcomes.

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Authors: Chang, J. J., Pien, G. W., Duntley, S. P., & Macones, G. A.
Affiliations: Saint Louis University (US)
Washington University in St. Louis (US)
Corresponding author: Chang, Jen Jen
ORCID: Chang, Jen Jen
Pien, Grace W.
Macones, George A.
Venue: Sleep Medicine Reviews
Publisher: Elsevier BV
Published: 2010-04
Volume: 14
Issue: 2
Pages: 107-114
ISSN: 1087-0792 (ISSN-L)
DOI: 10.1016/j.smrv.2009.05.001
PMC: PMC2824023
OpenAlex: W1996885616
Cited by: 339
References: 70
Citations by year: 2026: 12 · 2025: 21 · 2024: 16 · 2023: 16 · 2022: 45 · 2021: 35 · 2020: 29 · 2019: 20 · 2018: 19 · 2017: 14 · 2016: 21 · 2015: 21 · 2014: 35 · 2013: 12 · 2012: 12
FWCI: 1.00
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine Reviews (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (KL2TR000450, UL1TR000448)
National Center for Research Resources (KL2RR024994)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords: sleep deprivation, pregnancy, maternal outcomes, fetal outcomes, preterm birth, postpartum depression, systemic inflammation, inflammatory cytokines, sleep duration
MeSH terms: Female, Humans, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Risk Factors, Sleep Deprivation, Depression, Postpartum, Premature Birth

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Sleep deprivation during pregnancy and maternal and fetal outcomes: Is there a relationship?

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