Factors associated with poor sleep quality on the Pittsburgh Sleep Quality Index among hospitalized Ghanaian obstetrical patients
Abstract
BACKGROUND Sleep is crucial for overall health, especially during the transformative pregnancy period. However, pregnancy is associated with numerous changes that disrupt sleep patterns and quality. A decrease in sleep quality during the antenatal period is associated with negative fetal and maternal outcomes, including perinatal depression and hypertensive disorders of pregnancy (leading cause of maternal mortality in Ghana). There are limited studies from the sub-Saharan African region, including Ghana, that explored this subject. This study therefore sought to investigate sleep quality and the associated factors among antepartum and postpartum in-patients at the largest tertiary referral center in Ghana. OBJECTIVE To determine the sleep quality and associated factors among obstetric inpatients in Ghana. STUDY DESIGN This was a facility-based, cross-sectional study of obstetrical patients who were admitted to the Korle Bu Teaching Hospital in Ghana between November 20 and December 22, 2023. Antenatal and postpartum in-patients who were aged 18 years and older were included. Those critically ill or younger than 18 years were excluded. Using a structured questionnaire, we collected data on the participants’ sociodemographic characteristics, medical and obstetrical history, and current pregnancy or postpartum presentation and outcomes. We subsequently administered the validated Pittsburgh Sleep Quality Index tool to measure sleep quality, followed by pregnancy distress and…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 420 participants or records.
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