Relationship between Fatigue, Sleep Disturbance, and Gestational Stress among Pregnant Women in the Late Stages

Mi-Young Chung; Kyung-Hye Hwang; Ok-Hee Cho

doi:10.4069/kjwhn.2014.20.3.195

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Chung, Hwang, and Cho: Relationship between Fatigue, Sleep Disturbance, and Gestational Stress among Pregnant Women in the Late Stages

Original Article

Korean Journal of Women Health Nursing 2014; 20(3): 195-203.

Published online: 30 September 2014

DOI: https://doi.org/10.4069/kjwhn.2014.20.3.195

Relationship between Fatigue, Sleep Disturbance, and Gestational Stress among Pregnant Women in the Late Stages

Mi-Young Chung¹, Kyung-Hye Hwang², Ok-Hee Cho³

¹Department of Nursing Science, Sunmoon University, Asan, Korea.

²Department of Nursing, Suwon Science College, Hwaseong, Korea.

³College of Nursing, Jeju National University, Jeju, Korea.

Corresponding author: Cho, Ok-Hee. College of Nursing, Jeju National University, 102 Jejudaehak-no, Jeju 690-756, Korea. Tel: +82-64-754-3887, Fax: +82-64-702-2686, ohcho@jejunu.ac.kr

Received 2 June 2014 Revised 7 July 2014 Accepted 5 August 2014

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The objective of this study was to investigate the relationship between fatigue, sleep disturbance, and gestational stress in women during late stage of pregnancy.

Methods

This study was conducted with 113 healthy pregnant women at gestational age greater than 27 weeks who were registered at community health centers and received prenatal care. A structured questionnaire regarding fatigue, sleep disturbance, and gestational stress was used. The data was analyzed using a t-test, an ANOVA, and Pearson correlation coefficients.

Results

The subjects with unplanned pregnancies and irregular exercise patterns showed a higher level of fatigue than those with planned pregnancies and regular exercise patterns. Pregnant women with caffeine intake manifested higher levels of gestational stress and sleep disturbance than those without. The levels of sleep disturbance and gestational stress increased as the fatigue levels increased. The fatigue levels increased with increased levels of sleep disturbance.

Conclusion

Planned pregnancy, regular exercise patterns, and caffeine intake were related with fatigue, sleep disturbance, and gestational stress in women during late stages of pregnancy. Fatigue, sleep disturbance, and gestational stress had close associations to each other. In the future, such results should guide development of nursing intervention programs for women in late stages of pregnancy.

Keywords: Pregnant women, Fatigue, Sleep disorders, Stress

Figures and Tables

Table 1

Differences of Fatigue in General Characteristics of Subjects (N=113)

Table 2

Levels of Fatigue, Sleep Disturbance, and Gestational Stress (N=113)

Table 3

Differences of Sleep Disturbance and Gestational Stress in General Characteristics of Subjects (N=113)

Table 4

Relationships among Fatigue, Sleep Disturbance, and Gestational Stress (N=113)

Summary Statement

▪ What is already known about this topic?

Fatigue and sleep disturbance are symptoms of pregnant women. The risk of insomnia was higher for those who had depression than those who did not, and gestational stress levels are high in late stages of pregnancy.

▪ What this paper adds?

Planned pregnancy, regular exercise, and caffeine intake were related with fatigue, sleep disturbance, and gestational stress in women during late stages of pregnancy. Fatigue, sleep disturbance, and gestational stress had close associations to each other.

▪ Implications for practice, education and/or policy

Results of this study should guide the development of nursing intervention programs for women in late stages of pregnancy.

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