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Prolonged antepartum hospitalization: no time for rest

Journal of Perinatology volume 38, pages 1151–1156 (2018)Cite this article

Subjects

Abstract

Objective

To characterize sleep patterns among pregnant women undergoing prolonged antepartum hospitalization.

Study design

We conducted a prospective cohort study of women undergoing prolonged antepartum hospitalization after 20 weeks’ gestation. Women were recruited to wear an Actigraph, complete a sleep log for 7 consecutive days, and complete a sleep survey at the end of the study period. Actigraphy was used to determine rest and sleep intervals, sleep onset latency, and wake time after sleep onset.

Results

A total of 40 participants were recruited, and 28 had ≥ 5 nights of data for a total of 177 nights of antepartum sleep data. Mean gestational age was 30 weeks. Median sleep duration was 7.05 h ± 1.71 h. In all, 43.5% of women had an average sleep duration of <7 h per night. In all, 28.2% of the study nights had a bedtime between midnight and 5 am. Going to bed between midnight and 5 am was significantly associated with sleep durations of <7 h (70.7 vs. 32.5%, p < .001). Participants reported an average of 2.4 awakenings per night due to hospital-related events.

Conclusions

Prolonged antepartum hospitalization has a negative impact on sleep duration and quality.

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Funding:

K12HD043441 from NIH/NICHD (Federal)

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Authors and Affiliations

  1. Magee-Womens Research Institute, Department of Obstetrics and Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Stephanie M. Spehar, John F. Mission & Francesca L. Facco

  2. University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Amanda Shupe

Authors
  1. Stephanie M. Spehar
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  2. John F. Mission
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  3. Amanda Shupe
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  4. Francesca L. Facco
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Corresponding author

Correspondence to Francesca L. Facco.

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The authors declare that they have no conflict of interest.

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Spehar, S.M., Mission, J.F., Amanda Shupe et al. Prolonged antepartum hospitalization: no time for rest. J Perinatol 38, 1151–1156 (2018). https://doi.org/10.1038/s41372-018-0155-2

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  • DOI: https://doi.org/10.1038/s41372-018-0155-2

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