Awlachew Samuel, Desalew Assefa, Jibro Usmael, Tura Abera Kenay
School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Sci Rep. 2025 May 4;15(1):15613. doi: 10.1038/s41598-025-00288-9.
Good sleep quality is crucial for health and body equilibrium, particularly during pregnancy, where changes in sleep are influenced by mechanical and hormonal factors. Poor sleep can hinder daily activities and lead to adverse pregnancy outcomes. Data on sleep quality are scarce in low and middle-income countries such as Ethiopia. Hence, this study aimed to determine the magnitude of sleep quality and its associated factors among pregnant mothers in Bahir Dar City, northwest Ethiopia. A facility-based cross-sectional study was conducted with 367 randomly selected pregnant women. All pregnant women who attended public health facilities in Bahir Dar City from November 1st to December 30, 2022 were included except who were critically ill and aged less than 18 years. The data were collected through face-to-face interviews. Sleep quality was assessed by using the Pittsburgh Sleep Quality Index (PSQI). Stata v14 was used for data analysis. A binary logistic regression model was used to identify factors associated with poor sleep quality. Statistical significance was set at p < 0.05. The prevalence of poor sleep quality was 55.04%. In the multivariable analysis, older maternal age (AOR = 3.62), third trimester (AOR = 2.83), multigravidas (AOR = 2.55), low hemoglobin (AOR = 1.92), and coffee consumption (AOR = 2.19) were associated with poor sleep quality. More than half of pregnant women had poor sleep quality. Women aged ≥ 30 years, 3rd trimester, multigravidas, anemic women, and coffee consumption during pregnancy were factors associated with poor sleep quality. The concerned body should pay attention to improving Hgb level and iron/folate supplementation and reduce coffee intake in pregnant women to improve maternal sleep quality during pregnancy.
良好的睡眠质量对健康和身体平衡至关重要，尤其是在孕期，睡眠变化受机械和激素因素影响。睡眠不佳会妨碍日常活动并导致不良妊娠结局。在埃塞俄比亚等低收入和中等收入国家，关于睡眠质量的数据稀缺。因此，本研究旨在确定埃塞俄比亚西北部巴赫达尔市孕妇睡眠质量的严重程度及其相关因素。对367名随机选取的孕妇进行了一项基于机构的横断面研究。2022年11月1日至12月30日期间在巴赫达尔市公共卫生机构就诊的所有孕妇均被纳入，但危重症患者和年龄小于18岁者除外。数据通过面对面访谈收集。使用匹兹堡睡眠质量指数（PSQI）评估睡眠质量。采用Stata v14进行数据分析。使用二元逻辑回归模型确定与睡眠质量差相关的因素。统计学显著性设定为p＜0.05。睡眠质量差的患病率为55.04%。在多变量分析中，产妇年龄较大（调整后比值比[AOR]=3.62）、孕晚期（AOR=2.83）、多胎妊娠（AOR=2.55）、血红蛋白水平低（AOR=1.92）和饮用咖啡（AOR=2.19）与睡眠质量差相关。超过一半的孕妇睡眠质量差。年龄≥30岁的女性、孕晚期、多胎妊娠、贫血女性以及孕期饮用咖啡是与睡眠质量差相关的因素。相关机构应注意提高血红蛋白水平并补充铁/叶酸，减少孕妇咖啡摄入量，以改善孕期母亲的睡眠质量。
