Sleep hygiene: This should be taught to the patient, such as a dark environment, avoiding all triggers for arousal, napping only before noon if required, and exercising at least 4 hours before bedtime, as well as limiting fluids after 5 pm to avoid having to visit the bathroom too often during sleep hours. Non-Pharmacologic Therapyīehavioral therapy is the leading nonpharmacologic modality for insomnia, and includes: Managementīoth non-pharmacologic and pharmacologic measures may be used to help overcome sleep disturbances.
The other disorders include obstructive sleep apnea-hyperpnea, restless legs syndrome (which is in turn linked to labor aberrations, increased sensitivity to labor pain, higher incidence of C-section and preterm labor, and a proinflammatory state if left untreated). It is necessary to screen such women for anxiety disorders, mood disorders and other sleep disorders. Others include the insomnia severity index and the insomnia symptoms questionnaire.
One such is the Pittsburgh Sleep Quality Index. The environment and emotional makeup of the patient should also be understood.Ī reliable sleep questionnaire may be used to document sleep in a comparable and accurate fashion especially in a research setting. The precise nature of the problem, such as difficulty in initiating, or maintaining sleep, or waking too early, should be noted by specific questioning. Diagnosis is usually based on the clinical history, which means keeping a sleep diary, noting times, such as last meal, bedtime, exercise workout time, times of waking, and nap times if any. Sleep disturbances in pregnancy should diagnosed early in order to institute early treatment so as to avoid unnecessary adverse outcomes as the above.
An increase of one point on the PSQI in early and late pregnancy is associated with a 25% and 18% increase in the risk of preterm birth, respectively. Late rises in blood pressure in the third trimester are also noted, as is the risk of gestational diabetes. Busy Americans get the least sleep at age 40, study reportsīlood glucose levels increase by about 4% per hour of lost sleep in pregnancy.Pioneering research receives prestigious grant to improve treatment for insomnia and anxiety.New Oxford study examines the effectiveness of pharmacological treatments for insomnia.It has been found that oxytocin levels increase just before labor and this is related to increased insomnia at this time. These adverse effects are possibly related to an elevated level of pro-inflammatory cytokines, interleukin 6, and C-reactive protein. Babies born to mothers who had less than 8 hours of sleep had low birth weights more often, on average. Difficult Delivery and Low Birth WeightĬ-sections were performed 4.5 times more often in women who slept less than 6 hours a night. The possibility of depression in late pregnancy or postpartum is also more likely in these women. Insomnia in pregnancy can result in daytime sleepiness, tiredness, mood changes, negative feelings towards the partner, and even towards the baby following birth. This causes the quality of life to slip, is a risk factor for mood disorders, and has been found to have a negative impact upon labor duration and mode of delivery. Pregnancy is a time of anxiety for the expectant mother in many cases, and this may be exacerbated by poor sleep.
#Insomnia early pregnancy how to#
How to Treat Insomnia during Pregnancy | Insomnia Play Risks of Insomnia in Pregnancy
0 kommentar(er)
