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Sleeping problems during pregnancy
It is known that pregnant women struggle with sleep during pregnancy for many reasons such as: hormonal fluctuations, growing belly and emotional changes
the prevalence of sleep disturbance in pregnancy ranges between 65-75%.
What are the causes of sleep difficulties during pregnancy?
** progesterone and estrogen hormonal changes that lead to drowsiness and night sweats.
** urinary frequency due to the pressure applied on the urinary bladder by the enlarging uterus.
** increased weight leading to back and hip pain.
** increased gastric acid reflux while lying down
** tingling sensation in the legs that worsen during the night
** difficulty breathing when lying down because of the pressure applied by the growing uterus on diaphragm.
** anxiety due to fear of childbirth and the responsibility of motherhood.
Do hormonal changes in pregnancy cause nightmares?
Yes, they lead to vivid dreams.
How does sleep deprivation impact maternal health?
It leads to increased risk of the following:
** hypertension
** gestational diabetes
** mood swings which might affect her social and family life in addition to her career
** problems with concentration
** fatigue and malaise
** preterm labor and birth
Interventions that help pregnant women get enough sleep:
** sleeping on the left side
** avoid heavy or spicy food at least 2 hours before going to bed
** reduce fluid intake 2-3 hours before going to bed in order to reduce urination frequency at night
** magnesium supplements
** limit caffeine intake
** relaxation techniques like yoga and deep breathing
** warm shower before going to bed
** use PPIs for severe heartburn
** sleep in a quiet dark room and keep your mobile phone away
Dr Najeeb Layyous F.R.C.O.G
Consultant Obstetrician, Gynecologist and Infertility Specialist
