ArticleReproductive biology and endocrinology : RB&E2025
Association between sleep during pregnancy and birth outcomes: a prospective cohort study.
Article in Reproductive biology and endocrinology : RB&E, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- The association between sleep duration and mental health among pregnant women in rural northwest China.BMC public health · 2026Article
- Sleep Disruption, Psychological Stress, and Preeclampsia in High-Risk Pregnancies During the COVID-19 Era.Life (Basel, Switzerland) · 2026Article
- A qualitative study on sleep experiences in late pregnancy among women with a history of perinatal loss.PloS one · 2026Article
- Maternal sleep quality during pregnancy and neonatal outcomes: A study from Riyadh, Saudi Arabia.PloS one · 2026Article
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Authors and funding
10 authors.
Funding
Abstract
objectiveA prospective cohort study was conducted to investigate sleep status during the early and second trimester of pregnancy in pregnant women on adverse birth outcome, such as preterm birth, low birth weight and small for gestational age.
methodsMultivariable logistic regression models were used to analyze the association of sleep status during the early and second trimester of pregnancy with adverse birth outcomes and generated the odds ratio and 95% confidence interval.
results5,418 pregnant women were included in the analysis. In the multivariable model, compared with 7.1-8 h/night, sleep ≤ 7 h/night during second trimester increases the risk of preterm birth (OR: 1.43, 95% CI: 1.12,1.85), and the risk of preterm birth was decreased in pregnant women who slept > 9 h/night (OR: 0.79, 95% CI: 0.53,0.93). Sleep quality, and sleep changes in the early and second trimesters, and sleep duration in the early pregnancy were not statistically associated with preterm birth, low birth weight and small for gestational age.
conclusionsShort sleep duration during pregnancy is associated with a higher risk of preterm birth and longer sleep duration at night is associated with a lower risk of preterm birth, but the latter needs further verification. Sleep status during pregnancy was not associated with low birth weight and small for gestational age. In order to reduce risk of adverse birth outcomes, sleep problems in pregnant women should be strengthened during pregnancy care. CLINICAL TRIAL NUMBER: Not applicable.
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