Maternal sleep duration and complaints of vital exhaustion during pregnancy is associated with placental abruption

• Autores: Qiu, Chunfang, Sanchez, Sixto E., Gelaye, Bizu, Enquobahrie, Daniel A., Ananth, Cande V., Williams, Michelle A.
• Formato: artículo
• Fecha de Publicación: 2015
• Institución: Universidad de San Martín de Porres
• Repositorio: USMP-Institucional
• Lenguaje: inglés
• OAI Identifier: oai:repositorio.usmp.edu.pe:20.500.12727/6295
• Enlace del recurso: https://hdl.handle.net/20.500.12727/6295
• Nivel de acceso: acceso abierto
• Materia: Sueño; Desprendimiento prematuro de la placenta; Embarazo; https://purl.org/pe-repo/ocde/ford#3.02.00

OBJECTIVE Sleep disorders are associated with cardiovascular complications and preterm delivery (PTD). Insufficient sleep results in metabolic alterations and increased inflammation, both known to contribute to placental abruption (abruption), a determinant of PTD. We examined associations of abruption with sleep duration and complaints of vital exhaustion. METHODS The study included 164 abruption cases and 160 controls in a multicenter study in Peru. Data on habitual sleep duration and vital exhaustion during the first 6 months of pregnancy were elicited during interviews conducted following delivery. Women were categorized according to short, normal and long sleep duration (≤6, 7-8 and ≥9 h); and frequency of feeling exhausted. Odds ratios (OR) and 95% confidence intervals (CI) were calculated. RESULTS Short and long sleep durations were associated with increased odds of abruption. The ORs of abruption in relation to short (≤6 h) and long (≥9 h) sleep duration were 2.0 (95%CI 1.1-3.7) and 2.1 (95%CI 1.1-4.1), compared with normal sleep duration (7-8 h). Complaints of vital exhaustion were also associated with abruption (OR=2.37; 95%CI 1.46-3.85), and were independent of sleep duration. CONCLUSION We extend the existing literature and support the thesis that maternal sleep habits and disorders should be assessed among pregnant women.