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Shortened Sleep Duration in Pregnanc...

Williams, Jennifer L.

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Shortened Sleep Duration in Pregnancy and Adverse Maternal and Infant Outcomes.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Shortened Sleep Duration in Pregnancy and Adverse Maternal and Infant Outcomes./
作者:	Williams, Jennifer L.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2017,
面頁冊數:	178 p.
附註:	Source: Dissertation Abstracts International, Volume: 78-11(E), Section: B.
Contained By:	Dissertation Abstracts International78-11B(E).
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10612325
ISBN:	9781369905106

Shortened Sleep Duration in Pregnancy and Adverse Maternal and Infant Outcomes.
Williams, Jennifer L.

Shortened Sleep Duration in Pregnancy and Adverse Maternal and Infant Outcomes. - Ann Arbor : ProQuest Dissertations & Theses, 2017 - 178 p.

Source: Dissertation Abstracts International, Volume: 78-11(E), Section: B.

Thesis (Ph.D.)--Emory University, 2017.

Background: Women's sleep needs increase during pregnancy. Most pregnant women need more sleep than the 7-8 hours needed by non-pregnant individuals. One-quarter to one-third of pregnant women experience short sleep duration (<7 hours) as early as the first trimester; with the proportion experiencing shortened sleep duration increasing as pregnancy progresses. Limited evidence suggests that self-reported shortened sleep duration (SRSSD) in pregnancy adversely affects maternal cardiometabolic and infant birth outcomes. The purpose of this study is to determine if SRSSD is independently associated with clinically diagnosed gestational diabetes mellitus (GDM), incident hypertension in pregnancy, preeclampsia, preterm birth (PTB) or small for gestational age (SGA).

ISBN: 9781369905106Subjects--Topical Terms:

528444
Nursing.

Shortened Sleep Duration in Pregnancy and Adverse Maternal and Infant Outcomes.
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245 1 0 $a Shortened Sleep Duration in Pregnancy and Adverse Maternal and Infant Outcomes.
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300 $a 178 p.
500 $a Source: Dissertation Abstracts International, Volume: 78-11(E), Section: B.
500 $a Includes supplementary digital materials.
500 $a Adviser: Ann E. Rogers.
502 $a Thesis (Ph.D.)--Emory University, 2017.
520 $a Background: Women's sleep needs increase during pregnancy. Most pregnant women need more sleep than the 7-8 hours needed by non-pregnant individuals. One-quarter to one-third of pregnant women experience short sleep duration (<7 hours) as early as the first trimester; with the proportion experiencing shortened sleep duration increasing as pregnancy progresses. Limited evidence suggests that self-reported shortened sleep duration (SRSSD) in pregnancy adversely affects maternal cardiometabolic and infant birth outcomes. The purpose of this study is to determine if SRSSD is independently associated with clinically diagnosed gestational diabetes mellitus (GDM), incident hypertension in pregnancy, preeclampsia, preterm birth (PTB) or small for gestational age (SGA).
520 $a Sample and Design: Data was derived from the Pregnancy and Influenza Study (PIP), a prospective, observational cohort of pregnant women receiving prenatal care through two managed health care systems. Data from a subset of PIP enrollees (n=1271) were obtained from enrollment interviews, and electronic medical records. Univariate associations between SRSSD and dependent clinical outcomes, between SRSSD and covariates, and between clinical outcomes and covariates was conducted using Pearson chi-squared (chi 2) tests. Multinomial logistic regression models were conducted for each outcome. Analyses were conducted with SPSS version 21(SPSS Inc., Chicago, IL).
520 $a Results: The majority of women reported sleeping seven to nine hours a night (69%). SRSSD was reported by 11% of respondents. Factors associated with SRSSD at a p value <0.05 included maternal age at conception, race/ethnicity, education, cohabiting with a spouse or partner, and smoke exposure. Percentages of women with selected outcomes were: GDM (9%); incident hypertension in pregnancy (7%); preeclampsia (3%), preterm (3%) and SGA (6%). In logistic regression models, SRSSD was not associated with clinically diagnosed GDM (Adjusted Odds Ratio (aOR) 1.18, 95% confidence interval (CI) 0.55-1.98), incident hypertension in pregnancy (aOR 0.69, CI 0.29-1.66), preeclampsia, (aOR 1.54 CI 0.56-4.25), PTB (aOR 0.87, 95% CI 0.25-2.98) or SGA (aOR 1.39, 95% CI 0.86-2.70).
520 $a Conclusion: Results from this analysis did not find associations between SRSSD and clinically diagnosed GDM, incident hypertension in pregnancy, preeclampsia, PTB or SGA. Further research is needed on the effects of sleep duration and adverse pregnancy and infant outcomes.
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