Authors

María José Gómez Gutiérrez

Position

Especialista en Enfermería Obstétrico-Ginecológica. Centro de Salud Virgen de las Viñas. Tomelloso (Ciudad Real)

Contact address

María José Gómez Gutiérrez. C/ La Mata, 37. 13004 Ciudad Real.

Contact email: Sleep quality; pregnant woman; miscarriage; Pittsburgh Sleep

Abstract

Objective: to understand the quality of sleep in pregnant women during their first trimester of pregnancy, and the influence of a past history of first trimester miscarriage in previous pregnancies.
Method: a cross-sectional descriptive study in women from Ciudad Real in their 5-to-12 weeks of pregnancy. Information was collected about the pregnant women profiles, and the Pittsburgh Sleep Quality Index (PSQI) was used, which includes seven areas: subjective quality of sleep, sleep latency, sleep duration, typical sleep efficiency, sleep alterations, use of sleeping medications, and daytime dysfunction. There was descriptive and analytical data analysis; differences were considered significant if p< 0.05.
Results: the study included 110 pregnant women. The PSQI showed that 85% of women without personal history of first trimester miscarriage (n= 47) had a PSQI< 7 or ease sleeping; 13% (n= 7) presented PSQI= 8-14 or intermediate difficulty, and 2% (n= 1) presented PSQI> 15 or severe difficulties to sleep. Regarding those with a history of first trimester miscarriage, 65% (n= 36) had a PSQI< 7, 31% (n= 17) presented a PSQI= 8-14, and 4% (n= 2) reached a PSQI> 15. There were statistically significant differences (p< 0.05) in all PSQI areas, except in the use of sleep medication.
Conclusions: the quality of sleep was better in pregnant women without a history of first trimester miscarriage than in those who presented it. The current health status of the pregnant woman, stressful events, toxic habits during pregnancy and a history of sleep alterations were the variables which determined the quality of sleep in the study sample.

Keywords:

Sleep quality; pregnant woman; miscarriage; Pittsburgh Sleep Quality Index

Versión en Español

Título:

Calidad del sueño de las mujeres gestantes en el primer trimestre del embarazo