Duration and mode of delivery: Does maternal sleep matter? Article Swipe
Hilla Parttimaa
,
E. Juulia Paavonen
,
LAURA PERASTO
,
Hasse Karlsson
,
Linnea Karlsson
,
Päivi Polo-Kantola
,
Hilla Parttimaa
,
E. Juulia Paavonen
,
LAURA PERASTO
,
Hasse Karlsson
,
Linnea Karlsson
,
Päivi Polo-Kantola
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/ijgo.70673
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/ijgo.70673
Objective Poor sleep quality in late pregnancy has been identified as a risk factor for operative deliveries. In this study, we investigated the associations between maternal sleep throughout pregnancy and its impact on both the duration and mode of delivery. Methods We enrolled 3141 mothers and assessed sleep at four time points during pregnancy (early, mid‐, and late pregnancy, and at delivery) using the Basic Nordic Sleep Questionnaire. Delivery data were obtained from the Finnish Birth Registry. Both longitudinal and cross‐sectional analyses were performed, adjusting for confounding factors. Results In mid‐pregnancy, poor sleep quality was associated with a longer first stage (436 vs. 399 min, P = 0.027) and overall duration of delivery (468 vs. 431 min, P = 0.034). In late pregnancy, short sleep duration (<6 h) (adjusted odds ratio [aOR] 2.57, 95% confidence interval [CI]: 1.15–5.72, P = 0.021) and poor sleep quality (aOR 1.68, 95% CI: 1.17–2.41, P = 0.005) were linked to an increased likelihood of unplanned cesarean section. Poor sleep quality (aOR 2.60, 95% CI: 1.52–4.46, P < 0.001) and frequent nocturnal awakenings (aOR 1.72, 95% CI: 1.01–2.89, P = 0.042) were associated with planned cesarean section, while habitual awakenings also increased the risk of vacuum extraction (aOR 1.45, 95% CI: 1.07–1.96, P = 0.018). At delivery, poor sleep quality remained associated with planned cesarean section (aOR 1.99, 95% CI: 1.04–3.82, P = 0.037). In longitudinal analyses, persistent insomnia and sleepiness were not associated with duration or mode of delivery. Conclusion Maternal sleep is associated with the mode, but not with the duration of the delivery. Poor and short sleep during late pregnancy is related to instrumental deliveries.
Related Topics
Concepts
Medicine
Odds ratio
Sleep (system call)
Confounding
Pregnancy
Confidence interval
Sleep deprivation
Duration (music)
Longitudinal study
Risk factor
Obstetrics
Insomnia
Sleep quality
Odds
Nocturnal
Pediatrics
Sleep disorder
Gestational age
Sleep Stages
Relative risk
Sleep onset latency
Logistic regression
Quality of life (healthcare)
Caesarean section
Cross-sectional study
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/ijgo.70673
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijgo.70673
- OA Status
- hybrid
- References
- 42
- OpenAlex ID
- https://openalex.org/W7106151490
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7106151490Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/ijgo.70673Digital Object Identifier
- Title
-
Duration and mode of delivery: Does maternal sleep matter?Work title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-11-20Full publication date if available
- Authors
-
Hilla Parttimaa, E. Juulia Paavonen, LAURA PERASTO, Hasse Karlsson, Linnea Karlsson, Päivi Polo-Kantola, Hilla Parttimaa, E. Juulia Paavonen, LAURA PERASTO, Hasse Karlsson, Linnea Karlsson, Päivi Polo-KantolaList of authors in order
- Landing page
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https://doi.org/10.1002/ijgo.70673Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijgo.70673Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijgo.70673Direct OA link when available
- Concepts
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Medicine, Odds ratio, Sleep (system call), Confounding, Pregnancy, Confidence interval, Sleep deprivation, Duration (music), Longitudinal study, Risk factor, Obstetrics, Insomnia, Sleep quality, Odds, Nocturnal, Pediatrics, Sleep disorder, Gestational age, Sleep Stages, Relative risk, Sleep onset latency, Logistic regression, Quality of life (healthcare), Caesarean section, Cross-sectional studyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
42Number of works referenced by this work
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| referenced_works | https://openalex.org/W2021951890, https://openalex.org/W2606907807, https://openalex.org/W1972005126, https://openalex.org/W2028702290, https://openalex.org/W2024981626, https://openalex.org/W2076126168, https://openalex.org/W2048118933, https://openalex.org/W2626806707, https://openalex.org/W102801486, https://openalex.org/W2101342410, https://openalex.org/W3016143492, https://openalex.org/W2099743191, https://openalex.org/W2341130140, https://openalex.org/W2149477905, https://openalex.org/W2067203948, https://openalex.org/W2755851316, https://openalex.org/W2344501675, https://openalex.org/W2042547737, https://openalex.org/W2999051993, https://openalex.org/W2063263894, https://openalex.org/W1994735902, https://openalex.org/W2885028383, https://openalex.org/W2046192516, https://openalex.org/W2037896236, https://openalex.org/W4225994620, https://openalex.org/W2103616339, https://openalex.org/W2566092866, https://openalex.org/W2887363915, https://openalex.org/W3045734226, https://openalex.org/W3209174002, https://openalex.org/W2591960996, https://openalex.org/W2069618248, https://openalex.org/W1609773580, https://openalex.org/W2135819461, https://openalex.org/W2036944414, https://openalex.org/W1996885616, https://openalex.org/W2074952788, https://openalex.org/W2013412868, https://openalex.org/W4214873313, https://openalex.org/W1991229541, https://openalex.org/W2939327841, https://openalex.org/W3001634602 |
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