ArticleNature and science of sleep2021
Prevalence of and Risk Factors for Poor Sleep During Different Trimesters of Pregnancy Among Women in China: A Cross-Sectional Study.
Article in Nature and science of sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Sleep quality and its associated factors among women of reproductive age in Ethiopia: a systematic review and meta-analysis.Frontiers in psychiatry · 2026Pooled it
- Sleep quality disparities in different pregnancy trimesters in low- and middle-income countries: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- 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
- Sleep quality and its determinants among pregnant women in Northwest India: A cross-sectional study.Indian journal of psychiatry · 2026Article
- Sleep quality during pregnancy: the role of anxiety, fear of childbirth, and obstetric factors - a multicenter cross-sectional study.BMC public 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
- Pregnant women's sleep quality and its associated factors among antenatal care attendants in Bahir Dar City, Northwest Ethiopia.Scientific reports · 2025Article
- Family Support Moderates the Relationship Between Pregnancy Stress, Depressive Symptoms, and Insomnia.Nature and science of sleep · 2025Article
- Maternal Sleeping Problems Before and After Childbirth - A Systematic Review.International journal of women's health · 2024Review
- Article
- Determinants of Poor Sleep Quality During the COVID-19 Pandemic Among Women Attending Antenatal Care Services at the Health Facilities of Debre Berhan Town, Ethiopia: An Institutional-Based Cross-Sectional Study.Frontiers in psychiatry · 2022Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe management of poor sleep during pregnancy is important for maternal and foetal health. The aim of the present study was to investigate the prevalence of poor sleep quality and risk factors for poor sleep during different trimesters of pregnancy for better management of sleep during pregnancy.
methodsA cross-sectional study was conducted among pregnant women in Foshan Women's and Children's Hospital. In total, 2281 pregnant women were analysed, and the Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. Cluster logistic regression was used to analyse the risk factors for poor sleep among all participants, and logistic regression models were built to identify potential risk factors for poor sleep quality in different trimesters of pregnancy.
resultsOver half of the participants reported poor sleep quality (51.8%). The rate of poor sleep was lowest in the second trimester. Women who were unmarried had >12 years of education, exercised <3 days/week, were in the third trimester, had a high level of nausea and vomiting during pregnancy (NVP) and had a history of infertility had a higher risk of poor sleep. Pregnancy-related factors contributed most to poor sleep. In the first trimester, the main risk factors for poor sleep were a history of infertility and a high level of NVP. In the second trimester, only a high level of NVP was a risk factor for poor sleep. In the last trimester, the risk factors for poor sleep were more education years, exercise <3 days/week and high levels of NVP.
conclusionThe prevalence and risk factors for poor sleep were different in different trimesters. Clinicians should screen and address poor sleep prior to the first and, especially, the third trimester of pregnancy. Management of poor sleep should be consistent throughout pregnancy and be adjusted in different trimesters.
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