CC BY-NC-ND 4.0 · Sleep Sci 2021; 14(S 01): 69-74
DOI: 10.5935/1984-0063.20200091
SHORT COMMUNICATIONS

Fatigue and sleep quality in different trimesters of pregnancy

Fatemeh Effati-Daryani
1   Reproductive Health Research Center, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Department of Midwifery - Urmia - West Azarbaijan - Iran.
,
Sakineh Mohammad-Alizadeh-Charandabi
2   Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Department of Midwifery - Tabriz - East Azerbaijan - Iran.
,
Azam Mohammadi
3   Ph.D. Student in Reproductive Health, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Department of Midwifery and Reproductive Health - Tehran - Tehran - Iran.
,
Somayeh Zarei
4   Shohada Hospital, Qom University of Medical Sciences, Department of Midwifery - Qom - Qom - Iran.
,
Mojgan Mirghafourvand
5   Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan, Iran.
› Author Affiliations

ABSTRACT

Objectives: Fatigue is one of the most common and persistent complaints of pregnant women. Increased severity of fatigue during pregnancy can increase the risk of preterm labor, prolonged labor, cesarean section, and postpartum depression. Therefore, this study aimed to determine the fatigue status in different trimesters of pregnancy and its relationship with sleep quality in pregnant women.

Material and Methods: This cross-sectional study was performed by two-stage cluster sampling on pregnant women referred to Tabriz health centers. Data were collected using socio-demographic questionnaire, multidimensional assessment of fatigue and Pittsburgh sleep quality index.

Results: Among the 605 pregnant women studied, 94.2% of women suffered from fatigue during pregnancy. The mean (standard deviation) of fatigue score in the first, second and third trimesters of pregnancy was 23.53 (8.05), 25.78 (6.56) and 26.46 (6.72), respectively. There was also significant reverse correlation between total fatigue score with total sleep quality score (p=0.031) and with an increase in fatigue, sleep quality was reduced.

Discussion: The findings of this study may be used to design interventional measures for fatigue and medical care to improve quality of sleep in pregnancy.

FUNDING

This study was funded by Tabriz University of Medical Sciences, Iran.




Publication History

Received: 10 August 2020

Accepted: 16 December 2020

Article published online:
30 November 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • REFERENCES

  • 1 Bossuah KA. Fatigue in pregnancy. Int J Childbirth Educ. 2017;32(1):10.
  • 2 Wan JJ, Qin Z, Wang PY, Sun Y, Liu X. Muscle fatigue: general understanding and treatment. Exp Mol Med. 2017 Oct;49(10):e384.
  • 3 Kang H, Nho JH, Kang H, Lee S, Lee H, Choi S. Influence of fatigue, depression and anxiety on quality of life in pregnant women with preterm labor. Korean J Women Health Nurs. 2016 Dec;22(4):254-63.
  • 4 Chien LY, Ko YL. Fatigue during pregnancy predicts caesarean deliveries. J Adv Nurs. 2004 Mar;45(5):487-94.
  • 5 Cinar S, Çinar ND, Görpelioglu S, Sözeri CU. Prepartum and postpartum acute fatigue and the influencing factors. Rev Bras Promoç Saúde. 2007;20(1):60-4.
  • 6 Mirghaforvand M, Mohammad-Alizadeh-Charandabi S, Zarei S, Effati-Daryani F, Sarand FS. The relationship between depression and sleep quality in iranian pregnant women. Int J Womens Health Reprod Sci. 2017 Apr;5(2):147-52.
  • 7 Weng SS, Lee YH, Chien LY. Physical activity, sitting time and sleep duration before and during pregnancy and pregnancy outcomes: a prospective panel study. J Clin Nurs. 2020;29(17-18):3494-505.
  • 8 Naud K, Ouellet A, Brown C, Pasquier JC, Moutquin JM. Is sleep disturbed in pregnancy?. J Obstetr Gynaecol Canada. 2010 Jan;32(1):28-34.
  • 9 Hall WA, Moynihan M, Bhagat R, Wooldridge J. Relationships between parental sleep quality, fatigue, cognitions about infant sleep, and parental depression pre and post-intervention for infant behavioral sleep problems. BMC Pregnancy Childbirth. 2017 Apr;17(1):104.
  • 10 Hall WA, Hauck YL, Carty EM, Hutton EK, Fenwick J, Stroll K. Childbirth fear, anxiety, fatigue, and sleep deprivation in pregnant women. J Obstet Gynecol Neonatal Nurs. 2009 Sep;38(5):567-76.
  • 11 Arfaie K, Nahidi F, Simbar M. A qualitative investigation on mothers’ perception of socioeconomic determinants of induced anxiety during pregnancy. Payesh. 2018 Nov/Dec;17(6):657-65.
  • 12 Neuberger GB. Measures of fatigue: the fatigue questionnaire, fatigue severity scale, multidimensional assessment of fatigue scale, and short form-36 vitality (energy/fatigue) subscale of the short form health survey. Arthritis Care Res. 2003;49(Suppl 5):S175-S83.
  • 13 Mehri SN, Pashandi SH, Mahmoodi H, Ebadi A, Ghanei M. Assessment of fatigue and spirometery parameters in chemical war victims with respiratory disease. Iranian J War Public Health. 2010;2(4):29-35.
  • 14 Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213.
  • 15 Ziaei M, Ghanbari A, Shengol AB, Ziarani MH. Comparison of sleep quality and its relationship with fatigue severity between day and night workers in sugar factory in 2011. J Rafsanjan University Med Sci. 2013 Jul;12(5):365-76.
  • 16 Chien LY, Ko YL. Fatigue during pregnancy predicts caesarean deliveries. J Adv Nursing. 2004 Mar;45(5):487-94.
  • 17 Rodriguez A, Bohlin G, Lindmark G. Symptoms across pregnancy in relation to psychosocial and biomedical factors. Acta Obstet Gynecol Scand. 2001 Mar;80(3):213-23.
  • 18 Beebe KR, Lee KA. Sleep disturbance in late pregnancy and early labor. J Perinatal Neonatal Nurs. 2007 Apr/Jun;21(2):103-8.
  • 19 Tsai SY, Lin J W, Kuo LT, Thomas KA. Daily sleep and fatigue characteristics in nulliparous women during the third trimester of pregnancy. Sleep. 2012 Feb;35(2):257-62.
  • 20 Hall WA, Hauck YL, Carty EM, Hutton EK, Fenwick J, Stoll K. Childbirth fear, anxiety, fatigue, and sleep deprivation in pregnant women. J Obstetr Gynecol Neonatal Nurs. 2009 Sep/Oct;38(5):567-76.
  • 21 Elek SM, Hudson DB, Fleck MO. Expectant parents’ experience with fatigue and sleep during pregnancy. Birth. 1997 Mar;24(1):49-54.
  • 22 Gay CL, Lee KA, Lee S Y. Sleep patterns and fatigue in new mothers and fathers. Biol Res Nurs. 2004 May;5(4):311-8.
  • 23 Sedov ID, Cameron EE, Madigan S, Tomfohr-Madsen LM. Sleep quality during pregnancy: a meta-analysis. Sleep Med Rev. 2018;38:168-76.
  • 24 Malakouti J, Nahangi R, Sehhati F, Mirghafourvand M. Relationship between health promoting lifestyles and perceived stress in pregnant women with preeclampsia. J Caring Sci. 2015;4(2):155.
  • 25 Karami J, Momeni K, Alimoradi F. Prediction of sleep quality based on stress, depression and anxiety with role of mediator cognitive emotion regulation strategies in pregnant women. Iranian J Obstet Gynecol Infertil. 2016 Jan;19(9):1-10.
  • 26 Nasrabad HBR, Alimondegari M. Gender preference and its influence on fertility intention in the low-fertility context of Tehran, Iran. J Midwifery Reprod Health. 2019;7(4):1962-70.
  • 27 Yaghoob F, Ashkaran R. Demographic and socio-cultural study of gender preference in Iran. Sociol Rev. 2019;72(1):1-22.