Abstract
Objectives
Investigate the efficacy of a pilot longitudinal sleep education program for optimizing
sleep and minimizing depressive symptoms in nulliparous pregnant women.
Design
Early and longitudinal sleep education intervention pilot study.
Setting
Community-based convenience sample of New Zealand women.
Participants
15 nulliparous women who were involved in a pilot of a longitudinal sleep education
intervention during pregnancy (N = 15) were compared to a comparison group (n = 76) from another observational study with the same time points. Groups were matched
on depression history and parity.
Intervention
A longitudinal sleep education program was developed. Women in the intervention group
participated in three individualized and trimester specific education sessions designed
to increase sleep knowledge and improve sleep practices. The comparison group received
no sleep education.
Measurements
Self-reports of depressive symptoms and five dimensions of sleep (duration, quality,
continuity, latency, daytime sleepiness) were compared between groups using linear
mixed model analysis of variance.
Results
At the conclusion of the intervention, the intervention group had fewer depressive
symptoms with none experiencing clinically significant depressive symptoms, while
21% of the comparison group were considered to have clinically significant depressive
symptoms. The intervention group also had better sleep quality, sleep initiation and
sleep continuity than the comparison group at late pregnancy.
Conclusions
Findings suggest that a longitudinal sleep education intervention commencing early
in pregnancy may be effective in optimizing sleep and minimizing depressive symptoms
for nulliparous women with a history of depression. Further investigation of sleep
education interventions to improve maternal mental health in pregnancy and postnatally
is warranted.
Keywords
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Article info
Publication history
Published online: June 11, 2020
Identification
Copyright
© 2020 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
