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Assessment of Sleep Quality in Spanish Twin Pregnancy: An Observational Single-Center Study

Published online by Cambridge University Press:  20 March 2024

María de la Calle ,
Jose L. Bartha ,
Abigail Martin Mens ,
Silvia M. Arribas  and
David Ramiro-Cortijo Open the ORCID record for David Ramiro-Cortijo [Opens in a new window]
María de la Calle
Affiliation:
Obstetric and Gynecology Service, Hospital Universitario La Paz, Madrid, Spain
Jose L. Bartha
Affiliation:
Obstetric and Gynecology Service, Hospital Universitario La Paz, Madrid, Spain
Abigail Martin Mens
Affiliation:
Obstetric and Gynecology Service, Hospital Universitario La Paz, Madrid, Spain
Silvia M. Arribas
Affiliation:
Department of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain Instituto Universitario de Estudios de la Mujer, Universidad Autónoma de Madrid, Madrid, Spain Grupo de investigación en Alimentación, Estrés Oxidativo y Salud Cardiovascular (FOSCH), Instituto de Investigación Sanitaria del Hospital Universitario La Paz (IdiPAZ), Madrid, Spain
David Ramiro-Cortijo*
Affiliation:
Department of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain Instituto Universitario de Estudios de la Mujer, Universidad Autónoma de Madrid, Madrid, Spain Grupo de investigación en Alimentación, Estrés Oxidativo y Salud Cardiovascular (FOSCH), Instituto de Investigación Sanitaria del Hospital Universitario La Paz (IdiPAZ), Madrid, Spain
*
Corresponding author: David Ramiro-Cortijo; Email: david.ramiro@uam.es
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Abstract

Women with twin pregnancies experience greater sleep disturbance compared to women with singleton pregnancies. The aims of this study were to explore the sleep quality in women with twin pregnancies and to compare their sleep dimensions with coetaneous single pregnancies. This was an observational study in which women were enrolled at the end of pregnancy in the Obstetric Service of Hospital La Paz (Spain). The women were classified as single (n = 143) or twin pregnancy (n = 62). Pregnant women responded to the Pittsburgh Sleep Quality Index to evaluate sleep quality, latency, duration, efficiency, perturbance, use of medication, and daytime dysfunction. The higher the index, the greater the alteration of sleep quality. Without statistical differences, a poor sleep quality was higher in women with single (66.7%) than women with twin pregnancies (22.8%). The good sleeper slept 6.8 h/day in single pregnancy and 7.3 h/day in twin pregnancy. The sleep perturbation and dysfunctionality were higher in women with twin than single pregnancies. The use of medication to sleep was significantly lower in women with twin than single pregnancies. In women with twin pregnancy, the body weight gain during first trimester had a positive correlation with worse sleep quality and sleep perturbations. Twin pregnancy needed more than 7 h/day to have a high sleep quality, showing greater sleep perturbations and daytime dysfunction than single pregnancies. The control of gestational body weight can improve the sleep quality, disturbances, and duration in twin gestations. Sleep screening during pregnancy would be necessary to handle sleep issues and increase benefits in twin gestational outcomes.

Keywords

Sleep qualityWomen mental healthGestational weight gainHealthy habits
Type
Article
Information
Twin Research and Human Genetics , First View , pp. 1 - 8
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Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of International Society for Twin Studies

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