Evidence map›Paper›PMID 41961792›Full record

ArticlePloS one2026

Maternal sleep quality during pregnancy and neonatal outcomes: A study from Riyadh, Saudi Arabia.

Wjdan A Almutairi, Waleed M Alshehri, Bader M Almutairy, Thurayya Eid, Ashwaq A Almutairi, Abdulaziz M Alodhailah

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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Wjdan A AlmutairiCollege of Nursing, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia.
Waleed M AlshehriDepartment of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia.
Bader M AlmutairyDepartment of Community and Psychiatric Mental Health Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0009-0007-2266-0121
Thurayya EidDepartment of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0003-3613-1099
Ashwaq A AlmutairiMonash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
Abdulaziz M AlodhailahDepartment of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0009-0002-1643-2599

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor sleep quality during pregnancy has been increasingly associated with adverse neonatal outcomes and heightened maternal psychological distress. However, evidence from Middle Eastern populations remains limited, particularly in Saudi Arabia where cultural and environmental factors may influence sleep during pregnancy.

aimTo examine the association between maternal sleep quality during pregnancy and adverse neonatal outcomes (ANO), including preterm birth, low Apgar scores, and neonatal intensive care unit (NICU) admission, among postpartum women in Riyadh, Saudi Arabia.

methodsThis cross-sectional study recruited 223 postpartum women via online platforms; 145 met inclusion criteria and were included in the final analysis. Sleep quality was assessed using a culturally adapted 10-item Arabic Maternal Sleep Quality (MSQ) scale, a culturally adapted 10-item Arabic Maternal Sleep Quality (MSQ) scale that underwent expert review and demonstrated strong internal consistency (Cronbach's α = 0.88). Maternal psychological well-being and neonatal outcomes were self-reported. Multivariate logistic regression was conducted to identify predictors of ANO, adjusting for confounders.

resultsApproximately 38.1% of women reported poor sleep quality, and 18.0% experienced at least one adverse neonatal outcome. Poor maternal sleep quality was associated with higher odds of ANO (adjusted OR = 1.75, 95% CI: 1.18-2.59, p = 0.005). A strong positive correlation was found between poor sleep and postpartum psychological distress (r = 0.52, p < .001).

conclusionsPoor maternal sleep quality is significantly associated with adverse neonatal outcomes and increased maternal psychological burden. These findings support consideration of routine sleep screening and culturally sensitive sleep-health counseling within antenatal nursing care in Saudi Arabia.

Indexed as

Pregnancy OutcomeSleepSleep QualityAdultCross-Sectional StudiesFemaleHumansInfant, NewbornPregnancyPremature BirthSaudi ArabiaYoung Adult

Identifiers

PMID41961792
PMCPMC13068226

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