Sleep trajectories of women undergoing elective cesarean section: Effects on body weight and psychological well-being

Ya Ling Tzeng, Shu Ling Chen, Chuen Fei Chen, Fong Chen Wang, Shu Yu Kuo

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: After cesarean section (CS), women may be at great risk for sleep disturbance, but little is known about temporal changes in their sleep patterns and characteristics. We had two aims: 1) to identify distinct classes of sleep-disturbance trajectories in women considering elective CS from third-trimester pregnancy to 6 months post-CS and 2) to examine associations of sleep trajectories with body mass index (BMI), depressive symptoms, and fatigue scores. Methods: We analyzed data from a prospective cohort study of 139 Taiwanese pregnant women who elected CS. Sleep components were assessed using the Pittsburgh Sleep Quality Index in third-trimester pregnancy, 1 day, 1 week, 1 month, and 6 months post-CS. Data were collected on depressive symptoms, fatigue symptoms, and BMI. Sleep-quality trajectories were identified by group-based trajectory modeling. Results: We identified three distinct trajectories: stable poor sleep (50 women, 36.0%), progressively worse sleep (67 women, 48.2%), and persistently poor sleep (22 women, 15.8%). Poor sleep was significantly associated with pre-pregnancy BMI and more baseline (thirdtrimester pregnancy) depressive and fatigue symptoms. At 6 months post-CS, women classified as progressively worse or persistently poor sleepers showed a trend toward higher BMI (p

Original languageEnglish
Article numbere0129094
JournalPLoS One
Volume10
Issue number6
DOIs
Publication statusPublished - Jun 12 2015

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Fingerprint Dive into the research topics of 'Sleep trajectories of women undergoing elective cesarean section: Effects on body weight and psychological well-being'. Together they form a unique fingerprint.

  • Cite this