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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Association of maternal sleep practices with pre-eclampsia, low birth weight, and stillbirth among Ghanaian women
International Journal of Gynecology and Obstetrics, Volume 121, No. 3, Year 2013
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Description
Objective To assess sleep practices, and investigate their relationship with maternal and fetal outcomes, among pregnant Ghanaian women. Methods In a cross-sectional study conducted at Korle Bu Teaching Hospital, Accra, Ghana, between June and July 2011, postpartum women were interviewed within 48 hours of delivery about sleep quality and practices during pregnancy. Interviews were coupled with a systematic review of participants' medical charts for key outcomes including maternal hypertension, pre-eclampsia, premature delivery, low birth weight, and stillbirth. Results Most women reported poor sleep quality during pregnancy. Snoring during pregnancy was independently associated with pre-eclampsia (odds ratio [OR], 3.5; 95% confidence interval [CI], 1.4-8.5; P = 0.007). The newborns of women who reported supine sleep during pregnancy were at increased risk of low birth weight (OR, 5.0; 95% CI, 1.2-20.2; P = 0.025) and stillbirth (OR, 8.0; 95% CI, 1.5-43.2; P = 0.016). Low birth weight was found to mediate the relationship between supine sleep and stillbirth. Conclusion The present findings in an African population demonstrate that maternal sleep, a modifiable risk factor, has a significant role in pre-eclampsia, low birth weight, and subsequently stillbirth. © 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Authors & Co-Authors
Owusu, Jocelynn T.
United States, Ann Arbor
University of Michigan, Ann Arbor
Anderson, Frank W.J.
United States, Ann Arbor
University of Michigan, Ann Arbor
Coleman, Jerry
Ghana, Accra
Korle bu Teaching Hospital
Oppong, Samuel A.
Ghana, Accra
Korle bu Teaching Hospital
Seffah, Joseph D.
Ghana, Accra
Korle bu Teaching Hospital
Aikins, Alfred
Ghana, Accra
Korle bu Teaching Hospital
O'Brien, Louise M.
United States, Ann Arbor
University of Michigan, Ann Arbor
Statistics
Citations: 108
Authors: 7
Affiliations: 2
Identifiers
Doi:
10.1016/j.ijgo.2013.01.013
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Health System And Policy
Maternal And Child Health
Noncommunicable Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Case-Control Study
Study Approach
Quantitative
Systematic review
Study Locations
Ghana
Participants Gender
Female