Night sleep duration among sleep-deprived nulliparas and multiparas in their late third trimester Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Nullipara (no prior pregnancy beyond 20 weeks gestation) 2. Multipara 3. 34 – 36 weeks of gestation 4. Self-reported sleep of fewer than 6 hours 5. Singleton pregnancy
Exclusion criteria
Exclusion criteria: 1. Pre-existing sleep disorders: chronic insomnia, sleep apnea 2. Pre-existing psychiatric disorders: depression, schizophrenia etc 3. Pre-existing medical disorders: systemic lupus erythematosus, thyroid disorders, epilepsy, heart diseases etc. 4. Any ear/eye injury resulting in the participant not being able to wear the earplugs/eye-mask 5. Active smoker 6. Current alcohol consumption 7. Obesity >class II (body mass index >35) 8. Multipara with co-sleeping child/children 9. Night shift workers 10. Night care-taker of other family members 11. Gross fetal anomalies 12. Intrauterine fetal death
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Night sleep duration measured using the Actigraph wGT3X-BT device at the end of Week 1 (baseline) and Week 2 (intervention) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Labour outcomes retrieved from patients’ records post-delivery: 1.1. Mode of delivery 1.2. Need for labour induction (mechanical induction, prostaglandin, amniotomy) 1.3. Peri-delivery blood loss 1.4. Epidural requirement 2. Neonatal outcomes retrieved from patients’ records post-delivery: 2.1. Birth weight 2.2. Cord pH and base excess 2.3. Apgar score at 5 minutes 2.4. Neonatal admission and indication 3. Subjects’ sleep satisfaction with the sleep aid measured using the Pittsburgh Sleep Quality Index (PSQI) during recruitment, and the modified Pittsburgh Sleep Quality Index at the end of Week 2 (after intervention) | — |
Countries
Malaysia