بررسی ارتباط اختلال خواب دوران بارداری با تولد زودرس و وزن کم هنگام تولد نوزاد

نوع مقاله: اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، مرکز تحقیقات ارتقاء سلامت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

2 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شاپور اهواز، اهواز، ایران.

3 کارشناسی ارشد آمار، دانشکده بهداشت، دانشگاه علوم پزشکی شاپور اهواز، اهواز، ایران.

چکیده

مقدمه: بارداری، یکی از شایع‌ترین عوامل زمینه‌ساز اختلالات خواب می­باشد. اختلالات خواب می­تواند باعث ایجاد مشکلات جسمی و روانی در مادران باردار شود و ممکن است برای جنین نیز مشکلاتی به وجود آورد. مطالعه حاضر با هدف تعیین ارتباط بین اختلالات خواب دوران بارداری با تولد زودرس و وزن کم هنگام تولد نوزاد انجام شد.
روش‌کار: این مطالعه مقطعی تحلیلی در سال 1391 بر روی 400 زن باردار در سه ماهه سوم بارداری که به صورت مستمر به بیمارستان گنجویان شهرستان دزفول مراجعه کردند، انجام شد. ابزار گردآوری داده‌ها شامل پرسشنامه اطلاعات فردی و مامایی و پرسشنامه­های استاندارد شدت بی‌خوابی مقیاس خواب آلودگی و شاخص کیفیت خواب پتیس بورگبود که توسط مادر تکمیل و سپس با حضور پژوهشگر در هنگام زایمان وضعیت وزن نوزاد و سن حاملگی در چک لیست ثبت می­شد. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 19) و آزمون‌ کای اسکوئر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: فراوانی اختلالات خواب در سه ماهه سوم بارداری 63% بود که این اختلالات خواب با زایمان زودرس ارتباط معنی‌داری داشت (038/0=p)، ولی با وزن کم هنگام تولد ارتباط معنی‌داری نداشت (617/0=p).
نتیجه‌گیری: اختلالات خواب سه ماهه سوم بارداری با برخی پیامدهای نامطلوب بارداری از جمله زایمان زودرس در ارتباط می­باشند، لذا با انجام تدابیر لازم جهت رفع اختلالات خواب می­توان از این گونه پیامدهای بارداری جلوگیری کرد.

کلیدواژه‌ها


عنوان مقاله [English]

The relationship between sleep disorders during pregnancy and premature labor and low birth weight

نویسندگان [English]

  • Shahnaz Najar 1
  • Fatemeh Sharafi 2
  • Poorandokht Afshari 1
  • Mohamad Hosein Haghighizadeh 3
1 M.Sc. of Midwifery, Reproductive Health Promotion Research Center, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 M.Sc. of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 M.Sc. of Statistics, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
چکیده [English]

Introduction: Pregnancy is one of the most common background factors of sleep disorders. Sleep disorders can cause physical and psychological problems in pregnant women and may also cause some problems for fetus. This study was performed with aim to determine the relationship between sleep disorders during pregnancy with premature labor and low birth weight (LBW).
Methods: This analytical cross-sectional study was performed in 2012 on 400 pregnant women at third trimester who continuously referred to the Ganjavian hospital in Dezful. Data collection tools were the questionnaire of demographic and obstetrics information and the standard questionnaires of Intensity Sleepiness Index, Sleepiness Scale, Pitisburgh Sleep Quality Index. Data were analyzed by SPSS software (version 19) and Chi-square test. P<0.05 was considered significant.
Results: The frequency of sleep disorders at third trimester of pregnancy was 63% that significant relationship was found between sleep disorders at third trimester of pregnancy and preterm labor (p=0.038), but there was no significant relationship with LBW (p=0.617).
Conclusion: There is a relationship between sleep disorders at third trimester of pregnancy and some undesirable outcomes of pregnancy such as preterm labor, so performing the needed measurements to treat sleep disorders can avoid these kinds of pregnancy outcomes.

کلیدواژه‌ها [English]

  • Low birth weight
  • Premature labor
  • Sleep disorders in pregnancy
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