Postpartum depressive symptoms and its association to daytime sleepiness and restless legs during pregnancy
2016 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, 137Article in journal (Refereed) Published
Purpose: To investigate the possible association between depressive symptoms in the postpartum period and sleep related problems during pregnancy, using screening instruments.
Methods: In a prospective study 293 women in the last trimester of pregnancy answered a questionnaire about sleep related problems in terms of symptoms of restless legs, snoring and daytime sleepiness. They also completed the Epworth Sleepiness Scale (ESS). The same women were screened for depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS) four to ten weeks after giving birth. Additional information about social data, pregnancy and delivery was received from the medical charts.
Results: Women with postpartum depressive symptoms had higher prevalence of sleep related problems including excessive daytime sleepiness defined as ESS score ≥10 (OR 3.84, CI 1.57-9.39), and restless legs syndrome (OR 2.837 CI 1.18-6.84) in last trimester of pregnancy, when adjusted for sociodemographic factors and obstetric risk factors.
Conclusions: Depressive symptoms after childbirth are preceded by disturbed sleep already during pregnancy. The results from Epworth Sleepiness Scale completed during pregnancy might be used for detecting women at risk, enabling preventive interventions.
Place, publisher, year, edition, pages
BioMed Central, 2016. 137
Postnatal depression, sleep, restless legs syndrome, pregnancy, Epworth Sleepiness Scale
Public Health, Global Health, Social Medicine and Epidemiology
IdentifiersURN: urn:nbn:se:liu:diva-117867DOI: 10.1186/s12884-016-0917-9ISI: 000377160400001OAI: oai:DiVA.org:liu-117867DiVA: diva2:811469
Funding agencies: This investigation was supported by grants from The Regional Council of Ostergotland, Sweden.
Vid tiden för disputationen förelåg publikationen endast som manuskript2015-05-122015-05-122016-06-23Bibliographically approved