European Journal of Cardiovascular Medicine

Background: Pregnancy-associated physiological and hormonal changes are known to contribute to increased prevalence and severity of sleep complaints and disorders. Aims: To evaluate the quality of sleep (according to PSQI score <5 and >5) in pregnant women and fetal outcomes. Materials and methods: The current study was conducted in the Department of Obstetrics and Gynaecology on pregnant women who visited O.P.D for antenatal visits. It is a descriptive, prospective and observational type of study. The duration of study was 1 year from 1st Jul 2017 to 30th June 2018 on all pregnant women who were in their first trimester which were further followed up to post-partum period.  Results:  APGAR at 1min, Mild Asphyxia was observed in 48.22% cases and severe Asphyxia was observed in 2.03% cases. The cases in poor quality sleep were 67.01% in 1st trimester followed by a decrease in 2nd trimester (42.13%) than again increase (84.77%) than further decrease in Postpartum period. This finding was statistically significant (P<0.001S).    Score was significantly higher in LSCS, as compared to Normal delivery (P<0.001S).  Although the PSQI score was higher in preterm as compared to Term Pregnancy. It was significant at 3rd Trimester.  PSQI score was higher in <2.5 kg baby weight at birth as compared to ≥2.5 kg weight baby (P<0.001S). APGAR score at one minute was normal (7-10) among 93.33% of the good sleep group. PSQI score was higher in cases with NICU admission as compared to absence of NICU Admission (P<0.001S). PSQI score was higher in cases with Prolonged labour(>20hrs) as compared to normal labour(<20 hrs) but it was observed significant at 3rd trimester (P=0.048S). Significant correlation was observed with PSQI Score at 1st , 2nd , 3 rd Trimesters and post partum period with birth weight (r=-262, poor, negative correlation). No Significant correlation was observed with PSQI Score at 1st , 2nd and 3 rd Trimesters and post partum period with age, gravida, parity, Period of gestation at the time of delivery and duration of labour. Conclusion: During the analysis, we have also found a significant relationship between poor quality of sleep with poor fetal outcomes: