A STUDY ON THE PREVALENCE, ASSOCIATED FACTORS, AND PREGNANCY OUTCOMES OF WOMEN WITH SLEEP DISORDERS IN THE THIRD TRIMESTER AND POSTPARTUM AT CANTHO CITY OBSTETRICS AND GYNECOLOGY HOSPITAL, 2024–2026

Vo Ngoc Bao Chau1, Nguyen Quoc Tuan1, Pham Thi Linh2, Tran Tieu Vy2
1 Cantho University of Medicine and Pharmacy
2 Cantho city Obstetrics and Gynecology Hospital

Main Article Content

Abstract

Background: Sleep disorders during pregnancy are a significant concern due to their effects on maternal health, fetal development, and postpartum recovery.


Objectives: To determine the prevalence, associated factors, and pregnancy outcomes of women with sleep disorders during the third trimester and postpartum period at Can Tho City Obstetrics and Gynecology Hospital.


Methods: A cross-sectional study was conducted on 380 women in the third trimester (28–41 + 6 weeks) who delivered and received postpartum care at the hospital. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI > 5 indicating sleep disorder). Data were analyzed with SPSS 20.0 using descriptive statistics, χ² tests, and multivariable logistic regression (p ≤ 0.05 considered significant).


Results: The prevalence of sleep disorders was 61.8% during the third trimester and 74.2% postpartum. Nine factors were significantly associated: parity, medical or pregnancy complications, pregnancy intention, maternal self-confidence, body image pressure, occupational stress, spousal support, husband’s smoking, and alcohol use (p < 0.05). The rate of cesarean section was 50.2% among women with sleep disorders versus 52.4% among those without (p > 0.05), indicating no statistically significant difference.


Conclusion: Sleep disorders are common among women in late pregnancy and increase postpartum. Although no significant association was found between sleep disorders and delivery outcomes, early screening and psychosocial support are essential to enhance maternal well-being and postpartum recovery.

Article Details

References

[1] Huỳnh Nguyễn Phương Thảo, Huỳnh Nguyễn Phương Quang, Nguyễn Xuân Thảo. Rối loạn giấc ngủ và một số yếu tố liên quan ở thai phụ ba tháng cuối thai kỳ tại Bệnh viện Phụ Sản Thành phố Cần Thơ năm 2021. Tạp chí Y Dược học Cần Thơ. 2022;45:70-76.DOI:10.51298/vmj.v535i1B.8447
[2] Trần Khánh Nga, Nguyễn Minh Phương, Lê Thị Kim Định. Tình hình rối loạn giấc ngủ ở phụ nữ mang thai tại khoa Khám bệnh, Bệnh viện Phụ Sản Thành phố Cần Thơ năm 2023. Tạp chí Y Học Việt Nam. 2024;535(1B):289-293.
[3] Yuan Y. Prevalence of poor sleep quality in perinatal and postnatal women: A comprehensive meta-analysis of observational studies. Front Psychiatry. 2020;11:1-10.DOI: 10.3389/fpsyt.2020.00161
[4] Nguyễn Thị Ngọc Thơ, Hoàng Thị Diễm Tuyết. Rối loạn giấc ngủ và các yếu tố liên quan ở thai phụ nguy cơ cao tiền sản giật trong ba tháng giữa thai kỳ tại Bệnh viện Hùng Vương Thành phố Hồ Chí Minh. Tạp chí Y Dược học Phạm Ngọc Thạch. 2025;4:158-165.DOI: 10.59715/pntjmp.4.4.19
[5] Nguyễn Hữu Trung, Huỳnh Thành Nhân. Tỷ lệ mất ngủ ở phụ nữ mang thai trong ba tháng cuối thai kỳ và các yếu tố liên quan. Tạp chí Y Học Việt Nam. 2025;550(2):238-242.DOI: 10.51298/vmj.v550i2.14247
[6] Jemere T, Tadele F, Kefale B. Poor sleep quality and its associated factors among pregnant women in Northern Ethiopia: A cross-sectional study. 2021;16(5).DOI: 10.1371/journal.pone.0250985
[7] Shiho U. Characteristics of sleep/wake problems and delivery outcomes among pregnant Japanese women without gestational complications. BMC Pregnancy Childbirth. 2020;20(1):179.DOI: 10.1186/s12884-020-02868-1
[8] Mauro M, van der Gaag LC, Francesca M, Corrado G. Sleep and sleep disorders during pregnancy and postpartum: The Life-On study. Sleep Med. 2024;113:1-8.DOI: 10.1016/j.sleep.2023.10.021
[9] Paine SJ, Signal L, Sweeney B. Maternal sleep disturbances in late pregnancy and the association with emergency caesarean section: A prospective cohort study. Sleep Health. 2020;6(1):65-70.DOI: 10.1016/j.sleh.2019.11.004