Document Detail

Sleep in late pregnancy predicts length of labor and type of delivery.
MedLine Citation:
PMID:  15592289     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to test the hypothesis that fatigue and sleep disturbance in late pregnancy are associated with labor duration and delivery type. STUDY DESIGN: In a prospective observational study of 131 women in their ninth month of pregnancy, objective (48-hour wrist actigraphy) and subjective (sleep logs and questionnaires) measures were used to predict labor outcomes using analysis of variance and logistic regression. RESULTS: Controlling for infant birth weight, women who slept less than 6 hours at night had longer labors and were 4.5 times more likely to have cesarean deliveries. Women with severely disrupted sleep had longer labors and were 5.2 times more likely to have cesarean deliveries. Fatigue was unrelated to labor outcomes. CONCLUSION: Health care providers should prescribe 8 hours of bed time during pregnancy to assure adequate sleep and should include sleep quantity and quality in prenatal assessments as potential predictors of labor duration and delivery type.
Kathryn A Lee; Caryl L Gay
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  191     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-13     Completed Date:  2005-01-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2041-6     Citation Subset:  AIM; IM    
University of California-San Francisco, School of Nursing, Box 0606, San Francisco, CA 94143, USA.
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MeSH Terms
Cesarean Section
Cohort Studies
Delivery, Obstetric / methods*
Labor Stage, First
Labor Stage, Second
Labor, Obstetric
Logistic Models
Multivariate Analysis
Predictive Value of Tests
Pregnancy Complications / diagnosis*
Pregnancy Outcome*
Pregnancy Trimester, Third
Prospective Studies
Risk Assessment
Sensitivity and Specificity
Sleep Disorders / diagnosis*,  epidemiology
Time Factors
Grant Support
1R01 NR45345/NR/NINR NIH HHS; R01 NR005345-01/NR/NINR NIH HHS
Comment In:
Am J Obstet Gynecol. 2005 Sep;193(3 Pt 2):1286; author reply 1286-7   [PMID:  16157154 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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