This study aimed at determining the prevalence as well as correlates of insomnia among pregnant women attending the antenatal clinic of a tertiary health centre in a developing country. Insomnia was assessed using the insomnia severity index among 237 consecutive women attending the Antenatal clinic of Ekiti State University Teaching Hospital. Other relevant data such as obstetric history and psychological morbidity were collected using structured forms and the data was analysed using SPSS version 20. Logistic regression was done to determine factors associated with insomnia. Prevalence of insomnia among the respondents was 32.5% and factors associated with insomnia included high maternal age (OR = 1.092, CI = 1.013- 1.177, P value = 0.022), and having psychological morbidity (OR= 1.218, CI= 1.067 – 1.390, P value= 0.004). Though a higher number of women in the 3rd trimester had insomnia, this was however not statistically significant. This study has shown that insomnia during pregnancy is a common occurrence most especially during the last trimester of pregnancy. Common factors associated with it include older age of the patient and having a psychological morbidity. Screening for insomnia and offering some form of management may reduce some of the medical and psychological complications that may arise in the child and mother.
Published in | Central African Journal of Public Health (Volume 4, Issue 3) |
DOI | 10.11648/j.cajph.20180403.12 |
Page(s) | 65-68 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Insomnia, Pregnancy, Psychological Morbidity
[1] | AASMAAoSM. International classification of sleep disorders - Second Edition (ICSD-2). (2005). Westchester: American Academy of Sleep Medicine. |
[2] | M. Pavlova, L. S. Sheikh. Sleep in women. Semin Neurol. 2011 Sep;31(4):397-403. |
[3] | P. K Sahota, S. S. Jain, R. Dhand. Sleep disorders in pregnancy. CurrOpinPulm Med. 2003 Nov;9(6):477-83. |
[4] | X. H. Cai, Y. P. Xie, X. C. Li, W. L. Qu, T. Li, H. X. Wang, L. X. Wang. The prevalence and associated risk factors of sleep disorder-related symptoms in pregnant women in China. Sleep Breath. 2013 Sep;17(3):951-6. |
[5] | K. Signe, B. Dørheim, and M. Eberhard-Gran. Can Insomnia in Pregnancy Predict Postpartum Depression? A Longitudinal, Population-Based StudyPLoS One. 2014; 9(4): e94674. Published online Apr 14, 2014. doi:10.1371/journal.pone.0094674 |
[6] | Wołyńczyk-Gmaj D, Różańska-Walędziak A, Ziemka S, Ufnal M, Brzezicka A, Gmaj B, Januszko P, Fudalej S, Czajkowski K, Wojnar M. Insomnia in pregnancy is associated with depressive symptoms and eating at night. J Clin Sleep Med. 2017; 13(10): 1171–1176. |
[7] | J. A. Osaikhuwuomwan, O. I. Aina, M. EAziken. Sleep disorders in women attending antenatal care at a tertiary hospital in Nigeria. Niger Postgrad Med J. 2014 Jun; 21(2): 155-9. |
[8] | H. Skouteris, E. H. Wertheim, CGermano, S. J. Paxton, J. Milgrom. Assessing sleep during pregnancy a study across two time points examining the pittsburgh sleep quality index and associations with depressive symptoms. Women’s Health Issues. 2009;19(1):45–51. |
[9] | M. Branchey, L. Branchey, R. D Nadler. Effects of estrogen and progesterone on sleep patterns of female rats. [JournalArticle] Physiology &Behavior. 1971 Jun; 6(6): 743-6. |
[10] | L. Tikotzky, A. S. Chambers, E. Gaylor, R. Manber. Maternal sleep and depressive symptoms: links with infant Negative Affectivity. Infant Behav Dev33: 605–612. |
[11] | L. Run, J. Zhang, R. Zhou, J. Liu, Z. Dai, D Liu, Y. Wang. Sleep disturbances during pregnancy are associated with cesarean delivery and preterm birth The Journal of Maternal-Fetal & Neonatal Medicine Published online: 16 May 2016 pg 1-6. http://dx.doi.org/10.1080/14767058.2016.1183637. |
[12] | D. P Goldberg. The detection of psychiatric illness by questionnaire. London: Oxford University Press; 1972. |
[13] | Z. Makowska, D. Merecz, A. Mościcka, W. Kolasa. The validity of general health questionnaires, GHQ-12 and GHQ-28, in mental health studies of working people. Int J Occup Med Environ Health.2002; 15(4): 353-62. |
[14] | N. Hoeymans, A. A. Garssen, G. PWestert, and P. F. M Verhaak. Measuring mental health of the Dutch population: a comparison of the GHQ-12 and the MHI-5. Health Qual Life Outcomes.2004; 2: 23. |
[15] | O. Gureje and B. Obikoya The GHQ-12 as a screening tool in a primary care setting. Social Psychiatry and Psychiatric Epidemiology. 1990; 25(5): 276-280. |
[16] | M. Chahoud, Chahine R, Salameh P, et al. Reliability, factor analysis and internal consistency calculation of the Insomnia Severity Index (ISI) in French and in English among Lebanese adolescents. eNeurological Sci. 2017; 1;7:9-14. |
[17] | C. M. Morin, G. Belleville, L. Bélanger. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34:601–608. |
[18] | IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp. |
[19] | C. T. Hedman, U. Pohjasvaara, A, S. Tolonen, and V. V. Myllyla, Effects of pregnancy on mothers’ sleep. Sleep Med, 2002; 3: 37–42. |
[20] | F. L. Facco, J. Kramer, K. H. Ho, P. C. Zee, and W. A. Grobman. Sleep Disturbances in Pregnancy. Obstet Gynecol 2010; 115: 77–83. |
[21] | G. Hertz, A. Fast, S. H. Feinsilver et al. Sleep in normal late pregnancy. Sleep 1992; 15: 246-51. |
[22] | R. M. Román-Gálvez, C. Amezcua-Prieto, L. Salcedo-Bellido, J. M. Martínez-Galiano, K. S. Khan, A. Bueno-Cavanillas. Factors associated with insomnia in pregnancy: A prospective Cohort Study. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2018; 221: 70-75. |
[23] | K. R. Baratte-Beebe, K. Lee. Sources of midsleep awakenings in childbearing women. Clin Nurs Res 1999; 8: 386-97. |
[24] | K. A. Lee, M. E. Zaffke, and G. McEnany. Parity and sleep patterns during and after pregnancy. Obstet Gynecol 2000; 95: 14-8. |
[25] | S. Sharma, R. Franco. Sleep and its Disorders in Pregnancy. Indian Journal of Sleep Medicine (IJSM), 2006; Vol. 1, No. 2. |
[26] | G. W. Pien, R. J. Schwab. Sleep disorders during pregnancy. SLEEP 2004; 27(7): 1405-17. |
APA Style
Dada Mobolaji Usman, Aduloju Olusola Peter, Akintayo Akinyemi, Obadeji Adetunji, Oluwole Lateef Olutoyin. (2018). Insomnia in Pregnancy: Prevalence and Predisposing Factors in a Developing Country. Central African Journal of Public Health, 4(3), 65-68. https://doi.org/10.11648/j.cajph.20180403.12
ACS Style
Dada Mobolaji Usman; Aduloju Olusola Peter; Akintayo Akinyemi; Obadeji Adetunji; Oluwole Lateef Olutoyin. Insomnia in Pregnancy: Prevalence and Predisposing Factors in a Developing Country. Cent. Afr. J. Public Health 2018, 4(3), 65-68. doi: 10.11648/j.cajph.20180403.12
AMA Style
Dada Mobolaji Usman, Aduloju Olusola Peter, Akintayo Akinyemi, Obadeji Adetunji, Oluwole Lateef Olutoyin. Insomnia in Pregnancy: Prevalence and Predisposing Factors in a Developing Country. Cent Afr J Public Health. 2018;4(3):65-68. doi: 10.11648/j.cajph.20180403.12
@article{10.11648/j.cajph.20180403.12, author = {Dada Mobolaji Usman and Aduloju Olusola Peter and Akintayo Akinyemi and Obadeji Adetunji and Oluwole Lateef Olutoyin}, title = {Insomnia in Pregnancy: Prevalence and Predisposing Factors in a Developing Country}, journal = {Central African Journal of Public Health}, volume = {4}, number = {3}, pages = {65-68}, doi = {10.11648/j.cajph.20180403.12}, url = {https://doi.org/10.11648/j.cajph.20180403.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180403.12}, abstract = {This study aimed at determining the prevalence as well as correlates of insomnia among pregnant women attending the antenatal clinic of a tertiary health centre in a developing country. Insomnia was assessed using the insomnia severity index among 237 consecutive women attending the Antenatal clinic of Ekiti State University Teaching Hospital. Other relevant data such as obstetric history and psychological morbidity were collected using structured forms and the data was analysed using SPSS version 20. Logistic regression was done to determine factors associated with insomnia. Prevalence of insomnia among the respondents was 32.5% and factors associated with insomnia included high maternal age (OR = 1.092, CI = 1.013- 1.177, P value = 0.022), and having psychological morbidity (OR= 1.218, CI= 1.067 – 1.390, P value= 0.004). Though a higher number of women in the 3rd trimester had insomnia, this was however not statistically significant. This study has shown that insomnia during pregnancy is a common occurrence most especially during the last trimester of pregnancy. Common factors associated with it include older age of the patient and having a psychological morbidity. Screening for insomnia and offering some form of management may reduce some of the medical and psychological complications that may arise in the child and mother.}, year = {2018} }
TY - JOUR T1 - Insomnia in Pregnancy: Prevalence and Predisposing Factors in a Developing Country AU - Dada Mobolaji Usman AU - Aduloju Olusola Peter AU - Akintayo Akinyemi AU - Obadeji Adetunji AU - Oluwole Lateef Olutoyin Y1 - 2018/05/17 PY - 2018 N1 - https://doi.org/10.11648/j.cajph.20180403.12 DO - 10.11648/j.cajph.20180403.12 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 65 EP - 68 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20180403.12 AB - This study aimed at determining the prevalence as well as correlates of insomnia among pregnant women attending the antenatal clinic of a tertiary health centre in a developing country. Insomnia was assessed using the insomnia severity index among 237 consecutive women attending the Antenatal clinic of Ekiti State University Teaching Hospital. Other relevant data such as obstetric history and psychological morbidity were collected using structured forms and the data was analysed using SPSS version 20. Logistic regression was done to determine factors associated with insomnia. Prevalence of insomnia among the respondents was 32.5% and factors associated with insomnia included high maternal age (OR = 1.092, CI = 1.013- 1.177, P value = 0.022), and having psychological morbidity (OR= 1.218, CI= 1.067 – 1.390, P value= 0.004). Though a higher number of women in the 3rd trimester had insomnia, this was however not statistically significant. This study has shown that insomnia during pregnancy is a common occurrence most especially during the last trimester of pregnancy. Common factors associated with it include older age of the patient and having a psychological morbidity. Screening for insomnia and offering some form of management may reduce some of the medical and psychological complications that may arise in the child and mother. VL - 4 IS - 3 ER -