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Sleeplessness During and After Pregnancy

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Sleepy or Sleepless

Abstract

Significant changes in sleep occur during pregnancy and the postpartum period. Several clinical sleep disorders increase in frequency during pregnancy, while poor sleep quality and sleep fragmentation peak in the postpartum period. This chapter will review common sleep problems in the perinatal period and will discuss assessment and treatment options.

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References

  1. Bourjeily G, Raker CA, Chalhoub M, Miller MA. Pregnancy and fetal outcomes of symptoms of sleep-disordered breathing. Eur Respir J. 2010;36(4):849–55.

    Article  CAS  PubMed  Google Scholar 

  2. O’Brien LM, Bullough AS, Owusu JT, Tremblay KA, Brincat CA, Kalbfleisch JD, Chervin RD. Pregnancy-onset habitual snoring, gestational hypertension, and pre-eclampsia: prospective cohort study. Am J Obstet Gynecol. 2012;207(6):487.e1–9.

    Article  Google Scholar 

  3. Peppard PE, Young T, Palta M, Dempsey J, Skatrud J. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA. 2000;284(23):3015–21.

    Article  CAS  PubMed  Google Scholar 

  4. Izci B, Martin SE, Dundas KC, Liston WA, Calder AA, Douglas NJ. Sleep complaints: snoring and daytime sleepiness in pregnant and pre-eclamptic women. Sleep Med. 2005;6(2):163–9.

    Article  PubMed  Google Scholar 

  5. O’Brien LM, Bullough A, Chames M, Shelgikar A, Armitage R, Guilleminualt C, Sullivan C, Johnson T, Chervin R. Hypertension, snoring, and obstructive sleep apnoea during pregnancy: a cohort study. BJOG. 2014;121(13):1685–93.

    Article  PubMed  Google Scholar 

  6. Dørheim SK. Insomnia and depressive symptoms in late pregnancy: a population-based study. Behav Sleep Med. 2012;10(3):152–66.

    Article  PubMed  Google Scholar 

  7. Manconi M, Govoni V, De Vito A, Economou NT, Cesnik E, Mollica G, Granieri E. Pregnancy as a risk factor for restless legs syndrome. Sleep Med. 2004;5(3):305–8.

    Article  PubMed  Google Scholar 

  8. Pamidi S, Pinto LM, Marc I, Benedetti A, Schwartzman K, Kimoff RJ. Maternal sleep-disordered breathing and adverse pregnancy outcomes: a systematic review and metaanalysis. Am J Obstet Gynecol. 2014;210(1):52.e1–14.

    Article  Google Scholar 

  9. Luque-Fernandez MA, Bain PA, Gelaye B, Redline S, Williams MA. Sleep-disordered breathing and gestational diabetes mellitus: a meta-analysis of 9,795 participants enrolled in epidemiological observational studies. Diabetes Care. 2013;36(10):3353–60.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Louis JM, Mogos MF, Salemi JL, Redline S, Salihu HM. Obstructive sleep apnea and severe maternal-infant morbidity/mortality in the United States, 1998-2009. Sleep. 2014;37(5):843–9.

    PubMed Central  PubMed  Google Scholar 

  11. O’Brien L, Bullough AS, Owusu JT, Tremblay KA, Brincat CA, Chames MC, Kalbfleisch JD, Chervin RD. Habitual snoring during pregnancy and delivery outcomes: prospective cohort study. Sleep. 2013;36(11):1625–32.

    PubMed Central  PubMed  Google Scholar 

  12. Louis J, Auckley D, Miladinovic B, Shepherd A, Mencin P, Kumar D, Mercer B, Redline S. Perinatal outcomes associated with obstructive sleep apnea in obese pregnant women. Obstet Gynecol. 2012;120(5):1085–92.

    PubMed  Google Scholar 

  13. Fung AM, Wilson DL, Lappas M, Howard M, Barnes M, O’Donoghue F, Tong S, Esdale H, Fleming G, Walker SP. Effects of maternal obstructive sleep apnoea on fetal growth: a prospective cohort study. PLoS One. 2013;8(7):e68057.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  14. O’Brien L, Owusu J, Swanson LM. Habitual snoring and depressive symptoms during pregnancy. BMC Pregnancy Childbirth. 2013;13(1):113.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Skouteris H, Germano C, Wertheim E, Paxton S, Milgrom J. Sleep quality and depression during pregnancy: a prospective study. J Sleep Res. 2008;17(2):217–20.

    Article  PubMed  Google Scholar 

  16. Lee KA, Gay CL. Sleep in late pregnancy predicts length of labor and type of delivery. Am J Obstet Gynecol. 2004;191(6):2041–6.

    Article  PubMed  Google Scholar 

  17. Micheli K, Komninos I, Bagkeris E, Roumeliotaki T, Koutis A, Kogevinas M, Chatzi L. Sleep patterns in late pregnancy and risk of preterm birth and fetal growth restriction. Epidemiology. 2011;22(5):738–44.

    Article  PubMed  Google Scholar 

  18. Okun ML, Hall M, Coussons-Read ME. Sleep disturbances increase interleukin-6 production during pregnancy: implications for pregnancy complications. Reprod Sci. 2007;14(6):560–7.

    Article  CAS  PubMed  Google Scholar 

  19. Edwards N, Blyton DM, Kirjavainen T, Kesby GJ, Sullivan CE. Nasal continuous positive airway pressure reduces sleep-induced blood pressure increments in preeclampsia. Am J Respir Crit Care Med. 2000;162(1):252–7.

    Article  CAS  PubMed  Google Scholar 

  20. Poyares D, Guilleminault C, Hachul H, Fujita L, Takaoka S, Tufik S, Sass N. Pre-eclampsia and nasal CPAP: part 2. Hypertension during pregnancy, chronic snoring, and early nasal CPAP intervention. Sleep Med. 2007;9(1):15–21.

    Article  PubMed  Google Scholar 

  21. Blyton DM, Skilton MR, Edwards N, Hennessy A, Celemajer DS, Sullivan CE. Treatment of sleep disordered breathing reverses low fetal activity levels in preeclampsia. Sleep. 2013;36(1):15–21.

    PubMed Central  PubMed  Google Scholar 

  22. Wang LH, Lin HC, Lin CC, Chen YH. Increased risk of adverse pregnancy outcomes in women receiving zolpidem during pregnancy. Clin Pharmacol Ther. 2010;88(3):369–74.

    Article  CAS  PubMed  Google Scholar 

  23. Hollenbach D, Broker R, Herlehy S, Stuber K. Non-pharmacological interventions for sleep quality and insomnia during pregnancy: a systematic review. J Can Chiropr Assoc. 2013;57(3):260–70.

    PubMed Central  PubMed  Google Scholar 

  24. Montgomery-Downs HE, Clawges HM, Santy EE. Infant feeding methods and maternal sleep and daytime functioning. Pediatrics. 2010;126(6):e1562–8.

    Article  PubMed  Google Scholar 

  25. Doan T, Gay CL, Kennedy HP, Newman J, Lee KA. Nighttime breastfeeding behavior is associated with more nocturnal sleep among first-time mothers at one month postpartum. J Clin Sleep Med. 2014;10(3):313–9.

    PubMed Central  PubMed  Google Scholar 

  26. Swanson LM, Pickett SM, Flynn H, Armitage R. Relationships among depression, anxiety, and insomnia symptoms in perinatal women seeking mental health treatment. J Womens Health (Larchmt). 2011;20(4):553–8.

    Article  Google Scholar 

  27. Okun M, Hanusa B, Hall M, Wisner K. Sleep complaints in late pregnancy and the recurrence of postpartum depression. Behav Sleep Med. 2009;7(2):106–17.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Swanson LM, Flynn H, Adams-Mundy JD, Armitage R, Arnedt JT. An open pilot of cognitive-behavioral therapy for insomnia in women with postpartum depression. Behav Sleep Med. 2013;11(4):297–307.

    Article  PubMed  Google Scholar 

  29. Stremler R, Hodnett E, Lee K, MacMillan S, Mill C, Ongcangco L, Willan A. A behavioral-educational intervention to promote maternal and infant sleep: a pilot randomized, controlled trial. Sleep. 2006;29(12):1609–15.

    PubMed  Google Scholar 

  30. Stremler R, Hodnett E, Kenton L, Lee K, Weiss S, Weston J, Willan A. Effect of behavioural-educational intervention on sleep for primiparous women and their infants in early postpartum: multisite randomised controlled trial. BMJ. 2013;346:f1164.

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to Louise M. O’Brien Ph.D., M.S. .

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© 2015 Springer International Publishing Switzerland

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O’Brien, L.M., Swanson, L.M. (2015). Sleeplessness During and After Pregnancy. In: Malhotra, R. (eds) Sleepy or Sleepless. Springer, Cham. https://doi.org/10.1007/978-3-319-18054-0_15

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  • DOI: https://doi.org/10.1007/978-3-319-18054-0_15

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18053-3

  • Online ISBN: 978-3-319-18054-0

  • eBook Packages: MedicineMedicine (R0)

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