Sleep Disturbances and Symptoms of XXXX and Daytime Sleepiness in Pregnant @entity1 .

@entity1 @entity308 @entity25
BACKGROUND: Sleep disturbance, @entity308 , and @entity25 are among the most prevalent symptoms reported by @entity1 during pregnancy. However, available data on the association between @entity25 and symptoms of @entity308 and @entity25 in pregnant @entity1 are sparse and methodological limitations have been acknowledged. The purpose of the study was to examine objective and self-reported @entity25 and symptoms of @entity308 and @entity25 in a group of healthy pregnant @entity1 . METHODS: A total of 274 third-trimester pregnant @entity1 wore a wrist actigraph continuously for 7 days to assess objective sleep quality and quantity. Self-reported sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI), with self-reported poor sleep quality defined as a PSQI score more than 5. The Center for Epidemiologic Studies- @entity308 Scale (CES-D) and Epworth Sleepiness Scale were used to evaluate symptoms of @entity308 and @entity25 , respectively. RESULTS: Sixty-four (23.4%) @entity1 were at risk for clinical @entity308 and 69 (25.2%) had @entity25 . Risk of clinically meaningful depressive symptomatology was significantly increased in @entity1 with objective total nighttime sleep less than 6 hours (OR 2.53 [95% CI 1.26-5.08]) and self-reported poor sleep quality (OR 3.31 [95% CI 1.74-6.30]), even after multiple adjustment. Neither objective nor self-reported @entity25 increased @entity25 in this group of pregnant @entity1 . DISCUSSION: Both objective nighttime sleep less than 6 hours and self-reported poor sleep quality in healthy third-trimester pregnant @entity1 is associated with significant risks for clinical @entity308 . Improving sleep would likely be associated with a reduction in @entity308 symptom severity and an attenuation of the prevalence of @entity308 in pregnant @entity1 .
