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Correlation Between Sleep Quality of Third-Trimester Pregnancy and Postpartum Depression

Meifen Wu, Xiaoyi Li, Bin Feng, Hao Wu, Chunbo Qiu, Weifeng Zhang

Department of Obstetrics and Gynecology, Shangyu People's Hospital, Shangyu, Zhejiang, China (mainland)

Med Sci Monit 2014; 20:2740-2745

DOI: 10.12659/MSM.891222

Available online:

Published: 2014-12-20

Background: The aim of this study was to investigate whether poor sleep quality of third-trimester pregnancy is a risk factor for postpartum depression.
Material and Methods: Third-trimester pregnant women (T0, n=293) were tested using the first socio-demographic, Pittsburgh Sleep Quality Index, and Edinburgh Postnatal Depression Scale assessments, and received a diagnosis of depression. Three months (T1, n=223) after delivery, scale filling was finished and the structured interview was performed again.
Results: We found that 73 persons (32.7%) were low income, 84 persons (37.7%) were middle-income, and 66 persons (29.6%) were higher income. The overall prevalence of postpartum depression was 9.4% (21 persons). After controlling for other factors, age, household income, marital satisfaction, and sleep quality were significantly related to postpartum depression, in which age and sleep quality scores (a higher score was associated with poorer sleep quality) were positively related to postpartum depression, and household income and marital satisfaction were negatively related to postpartum depression. Moreover, third-trimester sleep quality score was positively related to postpartum depressive symptoms.
Conclusions: Poor third-trimester subjective sleep quality is a risk factor for postpartum depression.

Keywords: Demography, Adult, Depression, Postpartum - physiopathology, Logistic Models, Multivariate Analysis, Pregnancy, Pregnancy Trimester, Third - physiology, Prevalence, Sleep - physiology, Sleep Deprivation - physiopathology, young adult