ArticleBMC pregnancy and childbirth2014
Sleep duration, vital exhaustion, and odds of spontaneous preterm birth: a case-control study.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Maternal sleep during pregnancy and adverse pregnancy outcomes: A systematic review and meta-analysis.Journal of diabetes investigation · 2022Pooled it
- Association between maternal sleep duration and quality, and the risk of preterm birth: a systematic review and meta-analysis of observational studies.BMC pregnancy and childbirth · 2020Pooled it
- Pooled it
- Glycemic response to acute high-intensity interval versus moderate-intensity continuous exercise during pregnancy.Physiological reports · 2022Trial
- Factors Affecting Sleep Quality in Pregnant Women During the Second Trimester and Its Association with Birth Outcomes.Nature and science of sleep · 2026Article
- Association between sleep during pregnancy and birth outcomes: a prospective cohort study.Reproductive biology and endocrinology : RB&E · 2025Article
- The effect of healthy life behaviors in pregnancy on pregnant sleep quality.Revista da Associacao Medica Brasileira (1992) · 2025Article
- Association of sleep duration in pregnancy with preterm birth in China: a cross-sectional survey.Frontiers in pediatrics · 2025Article
- Association Between Sleep Quality and Duration During Pregnancy and Risk of Infant Being Small for Gestational Age: Prospective Birth Cohort Study.Healthcare (Basel, Switzerland) · 2024Article
- Effects of sleep quality in early pregnancy on pregnancy outcomes and mood state.Sleep & breathing = Schlaf & Atmung · 2024Article
- Association between sleep disturbances during pregnancy and adverse perinatal outcomes.American journal of translational research · 2024Article
- The impact of air pollution on neurocognitive development: Adverse effects and health disparities.Developmental psychobiology · 2023Review
- Poor sleep Quality and Obstructive Sleep Apnea are Associated with Maternal Mood, and Anxiety Disorders in Pregnancy.Maternal and child health journal · 2022Article
- Poor sleep is associated with higher blood pressure and uterine artery pulsatility index in pregnancy: a prospective cohort study.BJOG : an international journal of obstetrics and gynaecology · 2021Article
- At the forefront of psychoneuroimmunology in pregnancy: Implications for racial disparities in birth outcomes PART 1: Behavioral risks factors.Neuroscience and biobehavioral reviews · 2020Review
- Later sleep timing is associated with an increased risk of preterm birth in nulliparous women.American journal of obstetrics & gynecology MFM · 2019Article
- Exploring associations of maternal sleep during periconceptional period with congenital heart disease in offspring.Birth defects research · 2019Article
- Maternal sleep practices and stillbirth: Findings from an international case-control study.Birth (Berkeley, Calif.) · 2019Article
- Selection of Higher Risk Pregnancies into Veterans Health Administration Programs: Discoveries from Linked Department of Veterans Affairs and California Birth Data.Health services research · 2018Observational
- Deployment and Preterm Birth Among US Army Soldiers.American journal of epidemiology · 2018Article
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7 authors.
Funding
Abstract
backgroundPreterm birth is a leading cause of perinatal morbidity and mortality worldwide, resulting in a pressing need to identify risk factors leading to effective interventions. Limited evidence suggests potential relationships between maternal sleep or vital exhaustion and preterm birth, yet the literature is generally inconclusive.
methodsWe examined the relationship between maternal sleep duration and vital exhaustion in the first six months of pregnancy and spontaneous (non-medically indicated) preterm birth among 479 Peruvian women who delivered a preterm singleton infant (<37 weeks gestation) and 480 term controls who delivered a singleton infant at term (≥37 weeks gestation). Maternal nightly sleep and reports of vital exhaustion were ascertained through in-person interviews. Spontaneous preterm birth cases were further categorized as those following either spontaneous preterm labor or preterm premature rupture of membranes. In addition, cases were categorized as very (<32 weeks), moderate (32-33 weeks), and late (34- <37 weeks) preterm birth for additional analyses. Logistic regression was used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (CIs).
resultsAfter adjusting for confounders, we found that short sleep duration (≤6 hours) was significantly associated with preterm birth (aOR = 1.56; 95% CI 1.11-2.19) compared to 7-8 hours of sleep. Vital exhaustion was also associated with increased odds of preterm birth (aOR = 2.41; 95% CI 1.79-3.23) compared to no exhaustion (Ptrend <0.001). These associations remained significant for spontaneous preterm labor and preterm premature rupture of membranes. We also found evidence of joint effects of sleep duration and vital exhaustion on the odds of spontaneous preterm birth.
conclusionsThe results of this case-control study suggest maternal sleep duration, particularly short sleep duration, and vital exhaustion may be risk factors for spontaneous preterm birth. These findings call for increased clinical attention to maternal sleep and the study of potential intervention strategies to improve sleep in early pregnancy with the aim of decreasing risk of preterm birth.
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