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The impacts of insufficient sleep and its change during pregnancy on postpartum depression: A prospective cohort study of Korean women

Authors
 Bo Seong Yun  ;  So Hyun Shim  ;  Hee Young Cho  ;  Seok-Jae Heo  ;  Inkyung Jung  ;  Haeng Jun Jeon  ;  You Jung Han  ;  Dong Wook Kwak  ;  Min Hyung Kim  ;  Hee Jin Park  ;  Jin Hoon Chung  ;  Dong Hyun Cha  ;  Moon Young Kim  ;  Hyun Mee Ryu  ;  Sung Shin Shim  ;  Su Young Lee 
Citation
 INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, Vol.155(1) : 125-131, 2021-10 
Journal Title
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN
 0020-7292 
Issue Date
2021-10
MeSH
Depression, Postpartum* / epidemiology ; Depression, Postpartum* / etiology ; Female ; Humans ; Pregnancy ; Prospective Studies ; Republic of Korea / epidemiology ; Risk Factors ; Sleep Deprivation
Keywords
depression ; longitudinal studies ; postpartum period ; pregnancy ; sleep
Abstract
Objective: To determine the association between insufficient sleep in the prenatal period and postpartum depression (PPD), and whether changes in sleep patterns during pregnancy increase the risk of PPD. Methods: A prospective cohort study was conducted between March 2013 and November 2017. Participants completed a sleep questionnaire pre-pregnancy and at 12, 24 and 36 gestational weeks (GW). Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale (EPDS) at 4 weeks postpartum, and the cut-off score for PPD was 10 or more. Results: Of 2512 participants, 410 (16.3%) were identified as having PPD. Only insufficient sleep at 36 GW was significantly associated with PPD after adjusting for confounding factors (odds ratio 1.79, 95% confidence interval 1.40-2.27, P < 0.001). Both Group 1 (change from sufficient to insufficient) and Group 3 (sustained insufficient) demonstrated a significant risk of PPD at all starting time-points in the multivariate analysis, but no significant association was evident between Group 2 (change from insufficient to sufficient) and PPD. Conclusion: Insufficient sleep at 36 GW was associated with a significant risk of developing PPD. Additionally, regardless of whether women had sufficient sleep, a shift towards worsening sleep at 36 GW was highly associated with PPD.
Full Text
https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.13602
DOI
10.1002/ijgo.13602
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers
Yonsei Authors
Jung, Inkyung(정인경) ORCID logo https://orcid.org/0000-0003-3780-3213
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/185985
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