Published by Oxford University Press on behalf of Sleep Research Society (SRS) 2022. Insomnia pregnancy severe maternal morbidity. Diagnosis of insomnia is an independent predictor of SMM. After adjusting for comorbidities, there remained a 24% increased likelihood of SMM for patients with insomnia.Ĭoded diagnosis of insomnia during pregnancy has increased over time, and this burden disparately affects women of low socioeconomic status. SMM increased annually by 11% (95% CI = 3.0% to 19.7%) in patients with insomnia. Prevalence of non-blood transfusion SMM was 3.6 times higher for patients with insomnia (2.4% vs. Patients with insomnia had more comorbidities, particularly neuromuscular disease, mental health disorders, asthma, and substance use disorder. The crude rate of insomnia was 6.3 times higher for non-delivery hospitalizations. The annual incidence increased from 1.8 to 8.6 per 10 000 over the study period. Of nearly 47 million delivery hospitalizations, 24 625 women had a diagnosis of insomnia, or 5.2 per 10 000 deliveries. Joinpoint regression was used to estimate trends in insomnia and SMM. We used logistic regression to assess the association between insomnia and SMM. The primary outcome was the diagnosis of SMM at delivery. Here we look at the science behind insomnia during pregnancy and find out how you can sleep more soundly without causing harm to your unborn child. ICD-9 and ICD-10 codes were used to capture diagnoses of insomnia and obstetric comorbidities during delivery and non-delivery hospitalizations. We conducted a serial cross-sectional analysis of pregnancy-related hospitalizations in the United States from the 2006 to 2017 National Inpatient Sample (NIS). In addition, we aimed to examine the interplay among insomnia, maternal comorbidities, and severe maternal morbidity (SMM). Using a large, nationally representative database, we aimed to estimate the prevalence and trends of insomnia among pregnant women over a 12-year period.
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