Sleep Quality and Associated Factors during Pregnancy
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Abstract
Objectives: To assess the prevalence of poor sleep quality among Thai pregnant women and associated factors.
Materials and Methods: A multicenter cross-sectional study was conducted between October 2021 and June 2022. The sleep quality was evaluated using the Thai version of the Pittsburgh Sleep Quality Index (T-PSQI). Factors associated with poor sleep quality (T-PSQI score > 5) were determined using logistic regression analyses.
Results: This study included 414 participants. Prevalence of poor sleep quality was 43.2% (95% confidence interval 38.4% to 48.2%). Prevalence of poor sleep quality was the highest among pregnant women in the third trimester (37.6%, 35.3%, and 51.0% for women in the first, second, and third trimesters, respectively). In multivariate analyses, only gestational trimesters were independently associated with poor sleep quality. There were no significant associations between poor sleep quality and maternal age, pre-pregnancy body mass index, or the number of prior conceptions.
Conclusion: Approximately 43% of Thai pregnant women in this study encountered poor sleep quality. The prevalence of poor sleep quality was the highest among pregnant women in the third trimester.
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