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Sleep quality of high-risk pregnant women in a Public Hospital Maternity


Sleep is essential in life, a very well organized and structured activity that depends on both personal and environmental factors, different and specific to each phase of human life. Insufficient or poor sleep quality during pregnancy may lead to several casualties as a higher risk of complications during pregnancy. A high-risk pregnancy is characterized by disorders that threaten the health of both mother and fetus and often leads women to hospital admission. Usually, people who have been admitted to a hospital have two hours less sleep than at home and poorer sleep since they are often disturbed at night.


To evaluate the quality of sleep of high-risk pregnant women in a public hospital maternity ward.


This is a cross-sectional and observational study that evaluated the quality of sleep of 67 high-risk pregnant women hospitalized in a public hospital maternity ward. Data to assess the quality of sleep of pregnant women were collected from the Brazilian version of the Pittsburgh Sleep Quality Index (PSQI-BR).


It was obtained an average of 31 ± 35 minutes to fall asleep, and 5.3 ± 1.8 hours of sleep a night. It was also possible to analyze that these pregnant women go to bed at approximately 9 p.m. and wake up at 5:30 a.m. The total sum of PSQI-BR showed poor sleep quality (total scores > 5) in 59 of the 67 participants, 88.0% of the total, and sleep disturbance (scores > 10) in 33 pregnant women, 49,3% of the total surveyed. The average PSQI score was 10 ± 3.8. The hospital factors that negatively interfered with sleep quality as reported by pregnant women were: number of people sharing the ward; each ward had 6 beds, the arrival of professionals late at night and the fact that they usually leave the lights on after performing the procedures were also causes of sleep disturbance, as well as uncomfortable beds, noise at night and homesickness.


The majority of hospitalized pregnant women assessed by the study have poor sleep quality or sleep disorders.


Sleep. Pregnant woman. Hospitalization.


Área Clínica


Jéssica Aparecida Guimarães Costa, Alessandra Rabêlo Viana, Marina Daniele Sousa Alves, Whelen Sousa Moreira, Andréa Conceição Gomes Lima, Daisy Satomi Ykeda