Sleep disturbances during pregnancy
Abstract
Objective To assess sleep patterns and prevalence of sleep disturbances during pregnancy.Design Cross-sectional design; prospective questionnaire.Setting Outpatient, private obstetric clinic.Participants 127 consecutive patients, with women evaluated at one of four points in pregnancy, 8-12 weeks (n = 37), 18-22 weeks (n = 28), 25-28 weeks (n = 24), and 35-38 weeks (n = 38).Main outcome measure Questionnaire of sleep habits and sleep disturbances.Results A large percentage of the women experienced sleep disturbances during pregnancy, These problems included frequent night wakings, difficulty falling asleep, and symptoms of sleep apnea. Few differences in sleep patterns were found across pregnancy, although women were found to sleep more and nap more by the end of pregnancy.Conclusion Sleep disturbances are common during pregnancy, especially late in pregnancy.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The prevalence of a probable diagnosis of perinatal insomnia ranges from 41 to 58% of perinatal women.
“The prevalence of a probable diagnosis of perinatal insomnia range from 41 to 58 % of perinatal women [54,71,72].”
From Non-Pharmacological Treatment of Insomnia (2012) · cites this paper as [54]
In the study population, 36.5% of participants reported either short or long sleep duration and over 70% reported vital exhaustion.
“In our study population, 36.5% of participants reported either short or long sleep duration and over 70% of participants reported vital exhaustion, supporting the evidence that sleep deprivation and sleep disturbance during pregnancy is highly prevalent [7–10].”
From Sleep duration, vital exhaustion, and odds of spontaneous preterm birth: a case–control study (2014) · cites this paper as [10]
Cites
A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
Johns, M. W. (1991) · Sleep · doi:10.1093/sleep/14.6.540 · Cited by 17,364 · see citing works
The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults
Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., & Badr, S. (1993) · New England Journal of Medicine · doi:10.1056/nejm199304293281704 · Cited by 10,183 · see citing works
Insomnia and Its Treatment: Prevalence and Correlates
Mellinger, G. D. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790260019002 · Cited by 1,071 · see citing works
The Treatment of Restless Legs Syndrome and Periodic Limb Movement Disorder
Hening, W., Richard Allen, P., Earley, C. J., Kushida, C. A., Picchietti, D. L., & Silber, M. H. (1999) · SLEEP · doi:10.1093/sleep/22.7.970 · Cited by 321 · see citing works
Sleep in Normal Late Pregnancy
Hertz, G., Fast, A., Feinsilver, S. H., Albertario, C. L., Schulman, H., & Fein, A. M. (1992) · SLEEP · doi:10.1093/sleep/15.3.246 · Cited by 240 · see citing works
Restless leg syndrome in pregnancy.
Goodman, J. D., Brodie, C., & Ayida, G. (1988) · BMJ · doi:10.1136/bmj.297.6656.1101-a · Cited by 191 · see citing works
Changes in Sleep and Sleep Electroencephalogram During Pregnancy
Brunner, D. P., Münch, M., Biedermann, K., Huch, R., Huch, A., & Borbély, A. A. (1994) · SLEEP · doi:10.1093/sleep/17.7.576 · Cited by 185 · see citing works
A Longitudinal Study of Sleep Stages in Young Women During Pregnancy and Postpartum
Driver, H. S., & Shapiro, C. M. (1992) · SLEEP · doi:10.1093/sleep/15.5.449 · Cited by 168 · see citing works
Sleep disturbance in pregnancy
Schweiger, M. S. (1972) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(72)90091-9 · Cited by 119 · see citing works
Characteristics of sleep patterns during late pregnancy and the postpartum periods
Karacan, I., Heine, W., Agnew, H. W., Williams, R. L., Webb, W. B., & Ross, J. J. (1968) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(68)90293-7 · Cited by 108 · see citing works
Obstructive Sleep Apnea during Pregnancy: Therapy and Implications for Fetal Health
Charbonneau, M., Falcone, T., Cosío, M. G., & Levy, R. D. (1991) · American Review of Respiratory Disease · doi:10.1164/ajrccm/144.2.461 · Cited by 90 · see citing works
Understanding sleep: The evaluation and treatment of sleep disorders.
(1997) · American Psychological Association eBooks · doi:10.1037/10233-000 · Cited by 88 · see citing works
Sleeping patterns during pregnancy in Japanese women
SUZUKI, S., Dennerstein, L., Dennerstein, L., Armstrong, S. M., & Satohisa, E. (1994) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/01674829409025625 · Cited by 86 · see citing works
RESPIRATION DURING SLEEP IN PREGNANCY
Feinsilver, S. H., & Hertz, G. (1992) · Clinics in Chest Medicine · doi:10.1016/s0272-5231(21)01131-x · Cited by 55 · see citing works
Cognitive Effects of Sleep and Sleep Fragmentation
Bonnet, M. H. (1993) · SLEEP · doi:10.1093/sleep/16.suppl_8.s65 · Cited by 55 · see citing works
Obstructive Sleep Apnoea During Pregnancy Requiring Tracheostomy
Hastie, S. J., Prowse, K., Perks, W. H., et al. (1989) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/j.1479-828x.1989.tb01768.x · Cited by 35 · see citing works
A comparison of prospective and retrospective assessments of sleep
Babkoff, H., Weller, A., & Lavidor, M. (1996) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(95)00529-3 · Cited by 22 · see citing works
The Relationship of Sleep to Learning and Memory
Li, D., Zhenyun, W., Daosheng, S., & Shanxun, L. (1991) · International Journal of Mental Health · doi:10.1080/00207411.1991.11449184 · Cited by 12 · see citing works
Hertz, G. (1997) · American Psychological Association eBooks · doi:10.1037/10233-024 · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Altena, E., Baglioni, C., Espie, C. A., Ellis, J., Gavriloff, D., Holzinger, B., Schlarb, A., Frase, L., Jernelöv, S., & Riemann, D. (2020) · Journal of Sleep Research · doi:10.1111/jsr.13052 · Cited by 991 · see citing works
Sleep Disturbances in Pregnancy
Facco, F. L., Kramer, J., Ho, K. H., Zee, P. C., & Grobman, W. A. (2010) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e3181c4f8ec · Cited by 403 · see citing works
Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship?
Chang, J. J., Pien, G. W., Duntley, S. P., & Macones, G. A. (2010) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2009.05.001 · Cited by 339 · see citing works
Reutrakul, S., & Van Cauter, E. (2014) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.12355 · Cited by 321 · see citing works
Poor Sleep Quality is Associated with Preterm Birth
Okun, M. L., Schetter, C. D., & Glynn, L. M. (2011) · Sleep · doi:10.5665/sleep.1384 · Cited by 256 · see citing works
Obstructive sleep apnea and the risk of adverse pregnancy outcomes
Chen, Y.-H., Kang, J.-H., Lin, C.-C., Wang, I.-T., Keller, J. J., & Lin, H.-C. (2012) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2011.09.006 · Cited by 246 · see citing works
Chronic sleep loss during pregnancy as a determinant of stress: impact on pregnancy outcome
Palagini, L., Gemignani, A., Banti, S., Manconi, M., Mauri, M., & Riemann, D. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.02.013 · Cited by 220 · see citing works
A randomized controlled trial of digital cognitive behavioral therapy for insomnia in pregnant women
Kalmbach, D. A., Cheng, P., O'Brien, L. M., Swanson, L. M., Sangha, R., Sen, S., Guille, C., Cuamatzi-Castelan, A., Henry, A. L., Roth, T., et al. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.03.016 · Cited by 154 · see citing works
Wolfson, A. R., Crowley, S. J., Anwer, U., & Bassett, J. L. (2003) · Behavioral Sleep Medicine · doi:10.1207/s15402010bsm0101_6 · Cited by 134 · see citing works
Kempler, L., Sharpe, L., Miller, C. B., & Bartlett, D. J. (2016) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2015.08.002 · Cited by 113 · see citing works
Neurobiological and Hormonal Mechanisms Regulating Women’s Sleep
Dorsey, A., de Lecea, L., & Jennings, K. J. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2020.625397 · Cited by 100 · see citing works
Non-Pharmacological Treatment of Insomnia
Siebern, A. T., Suh, S., & Nowakowski, S. (2012) · Neurotherapeutics · doi:10.1007/s13311-012-0142-9 · Cited by 88 · see citing works
Sleeping for Two: An Open-Pilot Study of Cognitive Behavioral Therapy for Insomnia in Pregnancy
Tomfohr-Madsen, L. M., Clayborne, Z. M., Rouleau, C. R., & Campbell, T. S. (2017) · Behavioral Sleep Medicine · doi:10.1080/15402002.2016.1141769 · Cited by 86 · see citing works
Objective and subjective sleep during pregnancy: links with depressive and anxiety symptoms
Volkovich, E., Tikotzky, L., & Manber, R. (2016) · Archives of Women's Mental Health · doi:10.1007/s00737-015-0554-8 · Cited by 75 · see citing works
Perinatal Insomnia and Mental Health: a review of recent literature
Swanson, L. M., Kalmbach, D. A., Raglan, G. B., & O’Brien, L. M. (2020) · Current Psychiatry Reports · doi:10.1007/s11920-020-01198-5 · Cited by 70 · see citing works
Rawal, S., Hinkle, S. N., Zhu, Y., Albert, P. S., & Zhang, C. (2017) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2016.11.1051 · Cited by 69 · see citing works
Disturbed Sleep, a Novel Risk Factor for Preterm Birth?
Okun, M. L., Luther, J. F., Wisniewski, S. R., Sit, D., Prairie, B. A., & Wisner, K. L. (2012) · Journal of Women's Health · doi:10.1089/jwh.2010.2670 · Cited by 61 · see citing works
Sleep duration, vital exhaustion, and odds of spontaneous preterm birth: a case–control study
Kajeepeta, S., Sanchez, S. E., Gelaye, B., Qiu, C., Barrios, Y. V., Enquobahrie, D. A., & Williams, M. A. (2014) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-14-337 · Cited by 51 · see citing works
Subjective reports versus objective measurement of sleep latency and sleep duration in pregnancy
Wilson, D. L., Fung, A., Walker, S. P., & Barnes, M. (2013) · Behavioral Sleep Medicine · doi:10.1080/15402002.2012.670674 · Cited by 52 · see citing works
Young child and maternal sleep in the Middle East
Mindell, J. A., Lee, C., & Sadeh, A. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2016.11.011 · Cited by 35 · see citing works
Self-citationPoor sleep quality is associated with impaired glucose tolerance in women after gestational diabetes
Ferrari, U., Künzel, H., Tröndle, K., Rottenkolber, M., Kohn, D., Fugmann, M., Banning, F., Weise, M., Sacco, V., Hasbargen, U., et al. (2015) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2015.02.012 · Cited by 23 · see citing works
Prolonged antepartum hospitalization: No time for rest
Spehar, S. M., Mission, J. F., Shupe, A., & Facco, F. L. (2018) · Journal of Perinatology · doi:10.1038/s41372-018-0155-2 · Cited by 19 · see citing works
- Authors
- Mindell, J. A., & Jacobson, B. J.
- Affiliations
- Saint Joseph's University (US)
- Delaware County Memorial Hospital (US)
- Corresponding author
- Mindell, Jodi A.
- ORCID
- Mindell, Jodi A.
- Venue
- Journal of Obstetric, Gynecologic & Neonatal Nursing
- Publisher
- Elsevier BV
- Published
- 2000-11
- Volume
- 29
- Issue
- 6
- Pages
- 590-597
- ISSN
- 0090-0311 (ISSN-L)
- 0884-2175
- OpenAlex
- W2021951890
- Cited by
- 239
- References
- 19
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 6 · 2023: 10 · 2022: 17 · 2021: 13 · 2020: 22 · 2019: 12 · 2018: 8 · 2017: 8 · 2016: 15 · 2015: 19 · 2014: 8 · 2013: 18 · 2012: 13
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
- Keywords
- sleep disorders, pregnancy, sleep patterns, nocturnal awakenings, sleep onset difficulty, sleep apnea, napping, sleep habits, prevalence
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Female, Humans, Patient Education as Topic, Pregnancy, Pregnancy Complications, Prospective Studies, Surveys and Questionnaires, Risk Factors, Sleep Wake Disorders, Time Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review