THE RELATIONSHIP BETWEEN PREGNANCY STRESS AND SLEEP QUALITY WITH TRIMESTER

Abstract

This study was conducted to evaluate pregnancy stress and sleep quality according to trimester. The study, which was planned as a descriptive cross-sectional type, was carried out with 148 pregnant women. Data were collected using a personal information form, PSAS-36 and PSQI. Descriptive statistics, One Way ANOVA, Kruskal Wallis, Mann Whitney U, Independent Two Sample Test and were used in the analysis of the data. The total of 33.1% of the pregnant women were in the first trimester, 33.1% were in the 2nd trimester and 33.8% were in the 3rd trimester. There was no statistically significant difference between the mean PSAS-36 total scores of the pregnant women according to the trimester (p < 0.05). However, it was observed that there was a statistically significant difference between the mean PSQI scores of pregnant women according to trimester (p < 0.001). Poor sleep quality rates were 44.9% in the 1st trimester, 38.8% in the 2nd trimester & 64% in the 3rd trimester. A positive and significant correlation was found between the PSAS-36 and the total PSQI score (r: 0.246; p < 0.05). Increased total pregnancy stress score and being in the 3rd trimester of pregnancy is significantly increases the total score of PSQI (p: 0.001, p: 0.005). It was determined that the stress level of pregnant women was high in all three trimesters, and the worst sleep quality was experienced in the third trimester. Sleep quality decreases as the level of pregnancy stress increases and in the third trimester of pregnancy. It is recommended that midwives and nurses evaluate stress and sleep quality during pregnancy with objective tests and take interventions to reduce the stress level of pregnant women and increase sleep quality.