Abstract:
During pregnancy combination of hormonal, and mechanical effects due to an
enlarging uterus and the circulatory changes causes significant alteration in sleep quality. Sleep
becomes more restless and fragmentary as pregnancy advances and thus sleep quality worsens.
Quality sleep during pregnancy is essential for the health of the women and newborns, therefore
it is essential to quantify the sleep quality of pregnant women in the study area.
Objective: To assess the magnitude of poor sleep quality and associated factors among pregnant
women attending antenatal care at Shashemene town public health facilities, West Arsi zone,
Oromia region, South Ethiopia, from July 10 to August 10, 2023
Methods: An Institution-based cross-sectional study was employed among systematically
selected 445 pregnant women. Data was collected using a semi-structured and pretested
interviewer-administered questionnaire and chart review, Data was entered into Epi-Data version
4.6 and exported to SPSS version 26 for analysis. Binary logistic regression and multivariable
logistic regression analysis were used to identify the factors associated with sleep quality. Model
fitness was checked using the Hosmer-Lemeshow goodness of fit test. Adjusted odds ratio at 95%
confidence interval and p-values < 0.05 were used to declare significant association.
Result: In this study from 428 pregnant women who were used in the analysis, the overall
prevalence of poor sleep quality was 45.1% (95% CI:40.4,49.8).Third trimester pregnancy
[AOR=2.36,95%CI:(1.04,5.37)],history of abortion [AOR=2.95,95%CI(1.37,6.35)],unplanned
pregnancy [AOR=3.40,95%CI:(1.35,8.55)],poor sleep hygiene[AOR=4.59,95%CI(2.62,8.04)]
and probable depression [AOR=2.24,95%CI(1.23,4.07)] were statically associated with poor sleep
quality.
Conclusion: In this study, almost half of of pregnant women experienced poor sleep quality.
Factors such as Third-trimester pregnancy, history of abortion, unplanned pregnancy, poor sleep
hygiene practice, and probable depression were factors associated with poor sleep quality. Public
health facilities better to introduce screening for sleep quality as part of routine antenatal
assessments and Health workers should have to give more attention to pregnant women in third
trimester, who had an unplanned pregnancy, and previous abortion. And also, effectively counsel
pregnant women with poor sleep hygiene practices about good sleep hygiene practice.
