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Obstetrics & Gynecology 2000;95:14-18
© 2000 by The American College of Obstetricians and Gynecologists
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ORIGINAL RESEARCH

Parity and Sleep Patterns During and After Pregnancy

KATHRYN A. LEE, RN, PhD, MARY ELLEN ZAFFKE, RN, PhD and GEOFFRY MCENANY, RN, PhD

From the Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco, San Francisco, California.

Address reprint requests to: Kathryn A. Lee, RN, PhD, Department of Family Health Care Nursing, University of California, San Francisco, Box 0606, San Francisco, CA 94143-0606, E-mail: kathy.lee{at}nursing.ucsf.edu

Objective: To describe changes in women’s sleep patterns from prepregnancy to postpartum.

Methods: Polysomnography was done in women’s homes for 2 consecutive nights. Forty-five women were studied during the follicular and luteal phases of their menstrual cycles, and 33 conceived and were studied during each trimester of pregnancy. Twenty-nine were studied at 1 and 3 months postpartum.

Results: Compared with prepregnant sleep characteristics, significant changes in sleep patterns were evident by 11–12 weeks’ gestation, with a significant increase in total sleep time but less deep sleep and more awakening during sleep. By the third month postpartum, there was improvement in sleep characteristics; however, sleep efficiency remained significantly lower than baseline prepregnancy values.

Conclusion: Sleep disturbance was greatest during the first postpartum month, particularly for first-time mothers.




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