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International Journal of Nursing Education and Research
Year : 2020, Volume : 8, Issue : 1
First page : ( 49) Last page : ( 52)
Print ISSN : 2347-8640. Online ISSN : 2454-2660.
Article DOI : 10.5958/2454-2660.2020.00010.1

Sleep quality among antenatal women in Third Trimester

Joseph Jisha1,*, Aswathy K S2, Chackochan Binju2, George Merin2, Prof. Dr. Shenai N A Sheela3

1Associate Professor, Department of Obstetrical and Gynecological Nursing, MOSC College of Nursing, Kolenchery, Kerala, India

22nd Year Post Basic BSc Nursing Student, MOSC College of Nursing.

3Principal, Malankara Orthodox Syrian Church College of Nursing, Kolenchery, Kerala, India

*Corresponding Author E-mail: jishamaniacheri@gmail.com

Online published on 24 February, 2020.

Abstract

Aim

A descriptive study was conducted to assess the sleep quality among antenatal women in third trimester admitted in antenatal wards of a selected tertiary care hospital in Ernakulum district.

Background

Pregnant women need adequate sleep for the normal growth and development of the foetus and as such, there is also an increased need for sleep during pregnancy. Sleep disturbance and sleep disorders are common during pregnancy. Sleep disturbance have been observed right from the first trimester of pregnancy till the end of the third trimester. However, the percentage of sleep disorder and sleep disturbance are more in the third trimester of pregnancy.1 Insufficient sleep duration and poor sleep quality during pregnancy may increase the risk of adverse pregnancy outcomes, including growth restriction of fetus, and postpartum depression2. Excessive sleep duration is associated with cardiovascular conditions3. Poor sleep quality and shorter/longer duration of sleep during pregnancy are independently associated with an increased risk of gestational diabetes4. There are limited studies looking at this common problem or often it is neglected in the pregnant population. Hence a study assessing the sleep quality among pregnant women may provide a foundation for planning clinical interventions for women who suffer poor quality sleep. So the present study is aimed at assessing the sleep quality among antenatal women in third trimester.

Methods

A Descriptive analytical study was conducted among 60 antenatal women above 37 weeks of gestation admitted in antenatal wards of MOSC Medical College Hospital, Kolenchery. Convenience sampling technique was adopted for the study. A Standardized Pittsburgh Sleep Quality Index was used to assess the sleep quality. Data were analyzed using R software.

Results

The findings of the study revealed that almost all the subjects (93.3%) had poor sleep quality in their third trimester of pregnancy. Only 6.7% had good sleep quality in their third trimester. The mean Pittsburgh Sleep Quality Index Score was 8.95 with standard deviation of 2.709, which indicate poor sleep quality during 3rd trimester of pregnancy. There was no significant association was found between sleep quality and selected socio demographic and obstetric variables.

Conclusion

The study concluded that majority of the antenatal women had poor sleep quality during their third trimester of pregnancy. No association was found between sleep quality and selected socio demographic and obstetric variables. Insufficient sleep duration and poor sleep quality during pregnancy may increase the risk of adverse pregnancy outcomes. It can be concluded that there is a great need to sensitize antenatal women on this issues appropriately.

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Keywords

Sleep quality, pregnant women, third trimester.

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