ArticleSleep health2019
Sleep quality across pregnancy and postpartum: effects of parity and race.
Article in Sleep health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06851286 (The Effect of Laughter Therapy Given to Mothers in The Postpartum Period on Their Perceived Stress, Sleep Quality and Breastfeeding Self-Efficacy Level; Randomized Controlled Trial), which is not on this map. Cited by 65 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Laughter Therapy Given to Mothers in The Postpartum Period on Their Perceived Stress, Sleep Quality and Breastfeeding Self-Efficacy Level; Randomized Controlled Trial
Who cites it
65 citing papers in PubMed, 107 citations in OpenAlex.
- The Effect of Early-Initiated Half-Swaddling and Kangaroo Care Practices on Maternal Sleep Quality and Postpartum Depression in Term Infants: A Randomized Controlled Trial.Nursing & health sciences · 2025Trial
- The Effect of Sleep Enhancement Educational Program on Maternal Sleep Quality for Nulliparous Pregnant Women: A Randomized-Controlled Trial.International journal of behavioral medicine · 2025Trial
- Evaluation of the Effect of Supervised Group Exercise on Self-Reported Sleep Quality in Pregnant Women with or at High Risk of Depression: A Secondary Analysis of a Randomized Controlled Trial.International journal of environmental research and public health · 2022Trial
- Sleep trajectories in pregnancy: associations with trauma exposure, PTSD, and postpartum depression.Journal of behavioral medicine · 2026Article
- Differential trajectories of depression symptoms during pregnancy and prospective associations with postpartum eating disorder symptoms and cardiovascular health behaviors.Archives of women's mental health · 2026Article
- Beyond 'Baby Brain': Memory and Sleep Health During Pregnancy-A Biopsychosocial Perspective.Brain sciences · 2026Review
- Sleep Quality by Reproductive Stage Among Women Living With HIV in the United States Enrolled in the Health Outcomes Around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) Study.Journal of acquired immune deficiency syndromes (1999) · 2026Observational
- Associations Between Sleep Health and Diet Quality and Dietary Intake During Pregnancy: Evidence From Two Australian Cohorts.Maternal & child nutrition · 2026Article
- Short and disrupted sleep is related to perceptions of neighborhood in pregnant African American women of low socioeconomic status.Public health in practice (Oxford, England) · 2026Article
- Association between mental health and sleep quality among Forcibly Displaced Rohingya pregnant women living in Cox's Bazar, Bangladesh: a cross-sectional observation.BMC psychiatry · 2026Observational
- Sleep Matters for Intimacy: Impact of Sleep Quality and Psychosocial Context on Female Sexual Function During Pregnancy.Medicina (Kaunas, Lithuania) · 2026Article
- Association between parity and female depression: the mediative role of sleep duration.BMC women's health · 2025Article
- Poor quality of sleep and associated factors among pregnant women attending antenatal clinic in Woldia Comprehensive Specialized Hospital, Ethiopia, 2023.BMC pregnancy and childbirth · 2025Article
- Predictive model of sleep disorders in pregnant women using machine learning and SHAP analysis.BMC pregnancy and childbirth · 2025Article
- Is there a relationship between sleep quality, dietary intake and weight gain in Turkish pregnant women?BMC pregnancy and childbirth · 2025Article
- Factors associated with poor sleep quality on the Pittsburgh Sleep Quality Index among hospitalized Ghanaian obstetrical patients.AJOG global reports · 2025Article
- Review
- Pregnancy Rhinitis: Pathophysiological Mechanisms, Diagnostic Challenges, and Management Strategies-A Narrative Review.Life (Basel, Switzerland) · 2025Review
- Sleeping for two: a cross-sectional study on associations between objectively measured sleep during early to mid-pregnancy and maternal and fetal outcomes and inflammatory biomarker profiles.BMC pregnancy and childbirth · 2025Article
- Pregnant women's sleep quality and its associated factors among antenatal care attendants in Bahir Dar City, Northwest Ethiopia.Scientific reports · 2025Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDespite high prevalence and clinical implications of disturbed sleep during pregnancy, information on changes in sleep across pregnancy and postpartum is incomplete. Moreover, predictors of differential patterns of sleep quality across the perinatal period are poorly defined.
methodsThis study examined subjective sleep quality using the Pittsburgh Sleep Quality Index during each trimester of pregnancy and at 4-11 weeks postpartum among 133 women inclusive of nulliparous and multiparous African Americans and Whites.
resultsAt any given assessment, 53%-71% of women reported poor overall sleep quality (Pittsburgh Sleep Quality Index total score > 5). Moreover, 92% reported poor overall sleep quality during at least 1 assessment, including 88% at some time during gestation. Compared to nulliparous women, multiparous women reported poorer overall sleep quality, shorter sleep duration, and poorer sleep efficiency during the first trimester; poorer overall sleep quality and longer sleep latency in the second trimester; and more frequent sleep disturbances (eg, night time and early morning awakenings) during the third trimester. Among nulliparous as well as multiparous women, specific aspects of sleep (eg, subjective sleep quality, sleep disturbances, sleep efficiency) were poorer in African American compared to White women at different time points during pregnancy. No effects of race or parity were observed on sleep parameters at postpartum.
conclusionsPoor sleep quality during pregnancy as well as early postpartum is highly prevalent among both African American and White women. Both multiparous status and African American race are associated with more disturbed sleep at some time points during pregnancy. These individual differences should be considered in future research and clinical efforts to promote perinatal sleep health.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.