Department of Neurology, Keimyung University School of Medicine, Daegu, South Korea.
Department of Obstetrics and Gynecology, Keimyung University School of Medicine, Daegu, South Korea.
Sleep Breath. 2020 Sep;24(3):1219-1222. doi: 10.1007/s11325-020-02041-0. Epub 2020 Mar 10.
The change in sleep patterns across the duration of pregnancy is an item of interest. The aim of this study is to provide data on pregnant women's quality of sleep (QoS) and quality of life (QoL) to determine appropriate times to screen for potential problems.
This is a multicenter, prospective, longitudinal observational study. Primigravidae, with no previous illness, completed questionnaires once a month. Strict exclusion criteria were applied in order to evaluate QoS and QoL in "normal" pregnant women.
A total of 83 normal primigravidae completed this study. The mean age was 33.1 ± 4.0. During pregnancy, body mass index gradually increased, and QoS worsened to a significant degree between the fifth and ninth months (Pittsburgh Sleep Quality Index 6.8 ± 2.8 vs. 8.9 ± 3.6, p < 0.001). There was a statistically significant difference in QoL between the fifth and seventh months (Short Form-36 70.8 ± 18.3 vs. 67.3 ± 15.1, p = 0.009). There was no evidence of significant depression or suspicion of sleep-disordered breathing.
Pregnant women in South Korea have gradual worsening of QoS which becomes clinically significant by full term. QoL changes significantly between the fifth and seventh months. The results of this observational study suggest that it would be fruitful to evaluate QoS and QoL in pregnant women between the second and third trimesters.
妊娠期间睡眠模式的变化是人们关注的一个问题。本研究旨在提供孕妇睡眠质量（QoS）和生活质量（QoL）的数据，以确定筛查潜在问题的合适时机。
这是一项多中心、前瞻性、纵向观察性研究。初产妇，无既往病史，每月填写一次问卷。严格的排除标准适用于评估“正常”孕妇的 QoS 和 QoL。
共有 83 名正常初产妇完成了这项研究。平均年龄为 33.1 ± 4.0 岁。怀孕期间，体重指数逐渐增加，QoS 在第五至第九个月显著恶化（匹兹堡睡眠质量指数 6.8 ± 2.8 与 8.9 ± 3.6，p < 0.001）。第五至第七个月之间 QoL 存在统计学差异（SF-36 70.8 ± 18.3 与 67.3 ± 15.1，p = 0.009）。没有明显的抑郁或睡眠呼吸障碍的迹象。
韩国孕妇的 QoS 逐渐恶化，足月时达到临床显著程度。QoL 在第五至第七个月之间发生显著变化。这项观察性研究的结果表明，在妊娠第二至第三个三个月评估孕妇的 QoS 和 QoL 将是富有成效的。
