ArticleSleep2022
Insomnia during pregnancy and severe maternal morbidity in the united states: nationally representative data from 2006 to 2017.
Article in Sleep, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The prevalence of mental health-related multimorbidity during pregnancy: a systematic review and meta-analysis.BMC public health · 2026Pooled it
- Association between gestational hypnotic benzodiazepine receptor agonists exposure and adverse pregnancy outcomes: a systematic review and meta-analysis.Archives of women's mental health · 2025Pooled it
- Evaluating the global prevalence of insomnia during pregnancy through standardized questionnaires and diagnostic criteria: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- A Systematic Review of Studies Examining Associations between Sleep Characteristics with Dietary Intake and Eating Behaviors during Pregnancy.Nutrients · 2023Pooled it
- Ischemic Placental Disease and Severe Morbidity in Pregnant Patients With Sleep Disorders.JAMA network open · 2025Article
- Socioeconomic status and sleep duration among a representative, cross-sectional sample of US adults.BMC public health · 2024Article
- Prevalence and associated factors of insomnia symptoms among pregnant women in the third trimester in a moderately developing region of China.BMC public health · 2023Article
- Association of Insomnia with 30-Day Postpartum Readmission: A Retrospective Analysis.International journal of environmental research and public health · 2023Article
- Self perceived health and stress in the pregnancy during the COVID-19 pandemic.Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
STUDY
objectivesUsing a large, nationally representative database, we aimed to estimate the prevalence and trends of insomnia among pregnant women over a 12-year period. In addition, we aimed to examine the interplay among insomnia, maternal comorbidities, and severe maternal morbidity (SMM).
methodsWe conducted a serial cross-sectional analysis of pregnancy-related hospitalizations in the United States from the 2006 to 2017 National Inpatient Sample (NIS). ICD-9 and ICD-10 codes were used to capture diagnoses of insomnia and obstetric comorbidities during delivery and non-delivery hospitalizations. The primary outcome was the diagnosis of SMM at delivery. We used logistic regression to assess the association between insomnia and SMM. Joinpoint regression was used to estimate trends in insomnia and SMM.
resultsOf nearly 47 million delivery hospitalizations, 24 625 women had a diagnosis of insomnia, or 5.2 per 10 000 deliveries. The annual incidence increased from 1.8 to 8.6 per 10 000 over the study period. The crude rate of insomnia was 6.3 times higher for non-delivery hospitalizations. Patients with insomnia had more comorbidities, particularly neuromuscular disease, mental health disorders, asthma, and substance use disorder. Prevalence of non-blood transfusion SMM was 3.6 times higher for patients with insomnia (2.4% vs. 0.7%). SMM increased annually by 11% (95% CI = 3.0% to 19.7%) in patients with insomnia. After adjusting for comorbidities, there remained a 24% increased likelihood of SMM for patients with insomnia.
conclusionsCoded diagnosis of insomnia during pregnancy has increased over time, and this burden disparately affects women of low socioeconomic status. Diagnosis of insomnia is an independent predictor of SMM.
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