Postpartum depressive symptoms and its association to daytime sleepiness and restless legs during pregnancy

BMC Pregnancy and Childbirth

Research Article

Eva Svanborg¹  Marie Bladh²  Ann Josefsson²  Maria Sarberg² 

[1] Department of Clinical Neurophysiology, Linköping University, Linköping, Sweden;Department of Obstetrics and Gynaecology, University Hospital and Linköping University, SE−581 85, Linköping, Sweden;Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden;

关键词: Postnatal depression;    Sleep;    Restless legs syndrome;    Pregnancy;    Epworth Sleepiness Scale;   

DOI  :  10.1186/s12884-016-0917-9

 received in 2015-10-15, accepted in 2016-05-25,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPostpartum depression is a common condition, which consequences might be harmful for both mother and child. Since sleep and depression are closely related it is possible that women who suffer from sleep related problems during pregnancy are more likely to develop depression in the postpartum period. This study aims to investigate the possible association between depressive symptoms in the postpartum period and sleep related problems during pregnancy.MethodsIn this study 293 women in the last trimester of pregnancy answered a questionnaire about symptoms of restless legs, snoring and daytime sleepiness. They also completed the Epworth Sleepiness Scale (ESS). The same women were screened for depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS) four to ten weeks after giving birth. Additional information about social data, pregnancy and delivery was received from the medical charts.ResultsWomen with postpartum depressive symptoms had higher prevalence of excessive daytime sleepiness defined as ESS score ≥10 (OR 3.84, CI 1.57–9.39), and restless legs syndrome (OR 2.837 CI 1.18–6.84) in last trimester of pregnancy, when adjusted for socio-demographic factors and obstetric risk factors. No association was found between postpartum depressive symptoms and snoring.ConclusionsDepressive symptoms after childbirth are preceded by sleep related problems such as daytime sleepiness and restless legs, already during pregnancy. The results from Epworth Sleepiness Scale and a questionnaire concerning Restless Legs Syndrome completed during pregnancy might be a valuable contribution for detecting women at risk for postpartum depression, enabling preventive interventions.

【 授权许可】

CC BY   
© The Author(s). 2016