POOR SLEEP QUALITY AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE UNIT AT SHASHEMENE TOWN PUBLIC HEALTH FACILITIES, WEST ARSI ZONE, OROMIA REGION, SOUTH ETHIOPIA

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.