بررسی ارتباط اختلالات خواب در ماه آخر بارداری با طول مدت لیبر و نوع زایمان در زنان باردار مراجعهکننده به بیمارستان طالقانی آبادان در سال 1396

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس پرستاری، دانشکده پرستاری، دانشکده علوم پزشکی آبادان، آبادان، ایران. دانشجوی کارشناسی ارشد پرستاری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

2 کارشناس پرستاری، دانشکده پرستاری، دانشکده علوم پزشکی آبادان، آبادان، ایران.

3 استادیار گروه پرستاری، دانشکده پرستاری، دانشکده علوم پزشکی آبادان، آبادان، ایران.

4 استادیار گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

5 دانشجوی کارشناسی اتاق عمل، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

6 کارشناس پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

7 استادیار گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایلام، ایلام، ایران

چکیده

مقدمه: اختلال در خواب علاوه بر داشتن عواقب فیزیکی و روانی برای زنان باردار، ممکن است بر روی طول مدت لیبر و نوع زایمان آنها تأثیر گذار باشد. مطالعه حاضر با هدف تعیین ارتباط اختلالات خواب در ماه آخر بارداری با طول مدت لیبر و نوع زایمان انجام گرفت.
روش‌کار: این مطالعه توصیفی در سال 1396 بر روی 147 نفر از زنان باردار مراجعه‌کننده به زایشگاه بیمارستان آیت‌الله طالقانی آبادان انجام شد. ابزار گردآوری داده‌ها متشکل از دو بخش اطلاعات جمعیت‌شناختی و بارداری مادر و پرسشنامه استاندارد کیفیت خواب پیتزبورگ (PSQI) بود. متغیر‌های مورد مطالعه شامل: طول لیبر، نوع زایمان و کیفیت خواب بود. داده‌ها طی 3 ماه گردآوری شدند. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) و آزمون‌های کای دو، تی مستقل و آنالیز واریانس دوطرفه انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: میانگین نمره کیفیت خواب زنان باردار 2/4±86/8 و میانگین طول مدت لیبر 1/2±53/3 ساعت بود. 47 نفر (5/64%) از زنانی که سزارین شدند، دارای اختلال خواب بودند، این درحالی است که اختلال خواب در زنان با زایمان طبیعی تنها در 26 نفر (5/35%) مشاهده شد. همچنین 74 نفر (3/50%) زایمان طبیعی و 73 نفر (7/49%) زایمان سزارین داشتند. میانگین طول مدت لیبر در زنانی که اختلال خواب داشتند، به‌طور معنی‌داری بیشتر از افراد بدون اختلال خواب بود (04/0=p). همچنین میزان زایمان طبیعی نیز به‌طور معنی‌داری در زنان بدون اختلال خواب بیشتر بود (0001/0>p).
نتیجه‌گیری: بین شیوع اختلالات خواب در دوران بارداری و افزایش طول مدت لیبر ارتباط آماری معنی‌داری وجود دارد و شیوع سزارین در زنان دارای اختلالات خواب بیشتر است.

کلیدواژه‌ها

عنوان مقاله [English]

The relationship between sleep disorders in the last month of pregnancy and the length of labor and mode of delivery in pregnant women referring to Abadan Taleghani Hospital in 2017

نویسندگان [English]

  • Zeinab Raiesifar 1
  • Salar Kamangar 2
  • Noorollah Tahery 3
  • Shahram Baraz 4
  • Seyed Ziaoodin Moosavi 2
  • Pouriya Darabiyan 5
  • Parvin Ghezebash 6
  • Afsaneh Raiesifar 7
1 BC of Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran. M.Sc. student of Nursing, Student Research Committee, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 BC of Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran.
3 Assistant professor, Department of Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran.
4 Assistant professor, Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
5 BC student of operating room, Student Research Committee, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
6 BC of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
7 Assistant professor, Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
چکیده [English]

Introduction: Sleep disorders in addition to physical and psychological consequences for pregnant women may affect their labor duration and mode of delivery. This study was performed with aim to determine the relationship between sleep disorders in the last month of pregnancy with labor duration and mode of delivery.
Methods: This descriptive study was performed on 147 pregnant women referred to the maternity of Abadan Ayatollah Taleghani Hospital in 2017. Data collecting tools included two section of demographic and pregnancy information, and Pittsburgh sleep quality (PSQI). The variables of this study were labor length, mode of delivery and quality of sleep. Data were collected during 3 months. Data were analyzed using SPSS software (version 18) and Chi-square, Independent T-test and ANOVA tests. P<0.05 was considered statistically significant.
Results: The mean score of sleep quality in pregnant women was 8.86 ± 4.2 and mean length of labor was 3.53±2.1 h. Also, 74 women (50.3%) had vaginal delivery and 73 (49.7%) had cesarean delivery. Moreover, 47 (64.5%) of women with cesarean section had sleep disorder, while sleep disorders were observed only in 35.5% (26) of women with vaginal delivery. Mean duration of labor in women who have had sleep disorder was significantly higher than those without sleep disorder (p= 0.04). Also, vaginal delivery was significantly higher in women without sleep disorder (p <0.0001).
Conclusion: There was statistically significant relationship between sleep disorders in pregnancy and duration of labor, also the prevalence of cesarean delivery was higher in women with sleep disorders.

کلیدواژه‌ها [English]

  • Delivery
  • Labor
  • Pregnancy
  • Sleep disorder

مراجع

  1. Ghaneian MA, Kazemi-Zahrani H. Prevalence of sleep disturbance and neuropsychological learning disabilities in preschool children in Isfahan City. J Shahid Sadoughi Univ Med Sci 2016; 24(6):501-12. (Persian).
  2. Gunduz S, Kosger H, Aldemir S, Akcal B, Tevrizci H, Hizli D, et al. Sleep deprivation in the last trimester of pregnancy and inadequate vitamin D: is there a relationship? J Chin Med Assoc 2016; 79(1):34-8.
  3. Abbott SM, Attarian H, Zee PC. Sleep disorders in perinatal women. Best Pract Res Clin Obstet Gynaecol 2014; 28(1):159-68.
  4. Buxton OM, Marcelli E. Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States. Soc Sci Med 2010; 71(5):1027-36.
  5. Chen X, Wang R, Zee P, Lutsey PL, Javaheri S, Alcántara C, et al. Racial/ethnic differences in sleep disturbances: the multi-ethnic study of atherosclerosis (MESA). Sleep 2015; 38(6):877-88.
  6. Smaldone A, Honig JC, Byrne MW. Sleepless in America: inadequate sleep and relationships to health and well-being of our nation's children. Pediatrics 2007; 119(Suppl 1):S29-37.
  7. Gupta R, Dhyani M, Kendzerska T, Pandi-Perumal SR, BaHammam AS, Srivanitchapoom P, et al. Restless legs syndrome and pregnancy: prevalence, possible pathophysiological mechanisms and treatment. Acta Neurol Scand 2016; 133(5):320-9.
  8. Meharaban Z, Yahya S, Sadegniiat K. Restless legs syndrome during pregnancy and preterm birth in women referred to health centers of Ardabil. Iran Red Crescent Med J 2015; 17:e24438.
  9. Kocsis I, Szilágyi T, Turos J, Bakó A, Frigy A. Effect of a gymnastics program on sleep characteristics in pregnant women. Taiwan J Obstet Gynecol 2017; 56(2):204-9.
  10. America Psychiatric Association. Help the diagnostic and statistical of mental disorders. 5th ed. Trans: Mohammadi J. Tehran: Tehran Press Mental Publication; 2013. (Persian).
  11. American Academy of Sleep Medicine. International classification of sleep disorders, revised: diagnostic and coding manual. Chicago, Illinois: American Academy of Sleep Medicine; 2001.
  12. Mindell JA, Cook RA, Nikolovski J. Sleep patterns and sleep disturbances across pregnancy. Sleep Med 2015; 16(4):483-8.
  13. Hutchison BL, Stone PR, McCowan LM, Stewart AW, Thompson JM, Mitchell EA. A postal survey of maternal sleep in late pregnancy. BMC Pregnancy Childbirth 2012; 12:144.
  14. Chang JJ, Pien GW, Duntley SP, Macones GA. Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship? Sleep Med Rev 2010; 14(2):107-14.
  15. Kipnis GJ, Lee K. Late pregnancy sleep: does altitude effect length of labor and cesarean rates? J Obstet Gynecol Neonatal Nurs 2015; 44(S1):S69-70.
  16. Alipour Z, Lamyian M, Hajizadeh E. Fear of childbirth, trait anxiety and quality sleep in pregnancy and birth outcomes in nulliparous woman. Iran J Obstet Gynecol Infertil 2012; 15(28):21-30. (Persian).
  17. Miladinia M, Baraz S, Shariati A, Malehi AS. Effects of slow-stroke back massage on symptom cluster in adult patients with acute leukemia: supportive care in cancer nursing. Cancer Nurs 2017; 40(1):31-8.
  18. Farrahi Moghaddam J, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A. Reliability and validity of the Persian version of the Pittsburgh sleep quality index (PSQI-P). Sleep Breath 2012; 16(1):79-82.
  19. Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep Breath 2012; 16(3):803-12.
  20. Shojaeisourk S, Askarizadeh G, Mousavinasab H. The effectiveness of relaxation training on general health and sleep quality of pregnant women in the last trimester of pregnancy. J Shahid Sadoughi Univ Med Sci 2017; 24(11):887-98. (Persian).
  21. Facco F, Karmer J, Ho KH, Zee PC, Grobman WA. Sleep disturbances in pregnancy. Obstet Gynecol 2010; 115(1):77-83.
  22. Okun ML, Coussons-Read ME. Sleep disruption during pregnancy: how does it influence serum cytokines? J Reprod Immunol 2007; 73(2):158-65.
  23. Ibrahim S, Foldvary-Schaefer N. Sleep disorders in pregnancy: implications, evaluation, and treatment. Neurol Clin 2012; 30(3):925-36.
  24. Malekzadgan A, Moradkhani M, Ashayeri H, Haghani H. Effect of relaxation on insomnia during third trimester among pregnant women. Iran J Nurs 2010; 23(64):52-8. (Persian).
  25. Bondad R, Abedian Z, Hassanabady H, Esmaeili H. The relationship between sleep pattern and depression in pregnant women in the third trimester. J Kermanshah Univ Med Sci 2005; 9(2):41-51. (Persian).
  26. Kerkhof GA. Epidemiology of sleep and sleep disorders in The Netherlands. Sleep Med 2017; 30:229-39.
  27. Oyiengo D, Louis M, Hott B, Bourjeily G. Sleep disorders in pregnancy. Clin Chest Med 2014; 35(3):571-87.
  28. DeCherney AH. Current obstetric and gynecologic and treatment. Trans: Alizade Soory A, Hosini Jenab V, Postindooz AM. 8th ed. Tehran: Teimoor Zadeh Publication-Tabib; 2001. (Persian).
  29. Naghi I, Keypour F, Ahari SB, Tavalai SA, Khak M. Sleep disturbance in late pregnancy and type and duration of labour. J Obstet Gynaecol 2011; 31(6):489-91.
  30. Amir AA, Boluri B, Sadegh KH, Alavi MH. Impacts of sleeping disturbances in the last month of pregnancy on the length of labor and way of delivery in women referring to the health centers of Saghez, 2006. J Ilam Univ Med Sci 2007; 15(3):8-14. (Persian).
  31. Evans ML, Dick MJ, Clark AS. Sleep during the week before labor: relationship to labor outcomes. Clin Nurs Res 1995; 4(3):238-42.
  32. Bonica JJ, Mcdonald JS. The pain of childbirth. Manag Pain 1990; 2:1313-43.
  33. Lee KA, Zaffke ME, McEnany G. Parity and sleep patterns during and after pregnancy. Obstetr Gynecol 2000; 95(1):14-8.
  34. Nazarpour S. Sleep disorders in pregnancy and its effect on the length of the labor and type of delivery in Firuzabadi Hospital in Tehran in 2006. Iran J Nurs 2007; 20(52):63-73. (Persian).
  35. Rad P, Amir Ali Akbari S, Sadeghniiat K, Alavi Majd H. Relationship between sleep disorder and pregnancy depression in primigravidae referring to health–treatment centers of Ahvaz Jundishapur University of Medical Sciences in 2010. J Shahid Sadoughi Univ Med Sci 2011; 19(4):454-62. (Persian).
مجله زنان، مامایی و نازایی ایران
دوره 22، شماره 1
فروردین 1398
صفحه 53-59

فایل ها

هم رسانی

ارجاع به این مقاله

آمار