Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Feb;30(1):e13207.
doi: 10.1111/jsr.13207. Epub 2020 Nov 2.

Insomnia symptoms during pregnancy: A meta-analysis

Ivan D Sedov  1 , Nina J Anderson  2 , Ashley K Dhillon  1 , Lianne M Tomfohr-Madsen  1   3   4
Affiliations
Review

Insomnia symptoms during pregnancy: A meta-analysis

Ivan D Sedov et al. J Sleep Res. 2021 Feb.

Abstract

Reports of sleep disturbances are common during pregnancy, yet estimates of prevalence of insomnia symptoms during pregnancy vary widely. The goals of the current review were to summarize the existing data on prevalence of insomnia symptoms during pregnancy and to explore potential moderators, including trimester, gestational age, maternal age, symptoms of anxiety and symptoms of depression. A systematic search of PubMed, PsycInfo and Web of Science was conducted for articles published from inception up to June 2020. In total, 24 studies with a total of 15,564 participants were included in the analysis. The overall prevalence of insomnia symptoms during pregnancy was 38.2%. Trimester was a significant moderator, such that prevalence of insomnia symptoms was higher in the third trimester (39.7%) compared to first (25.3%) and second (27.2%) trimesters. No other variables significantly moderated the prevalence of insomnia symptoms. The results of the current meta-analysis suggest that the prevalence of insomnia symptoms is higher during pregnancy, particularly in the third trimester. Future research should examine the efficacy and safety of insomnia treatments with this population.

Keywords: antepartum; prenatal; prepartum.

PubMed Disclaimer

References

REFERENCES

    1. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (DSM-5®) (5th ed.). , Washington, DC: American Psychiatric Association.
    1. Arch, J. (2013). Pregnancy-specific anxiety: Which women are highest and what are the alcohol-related risks? Comprehensive Psychiatry, 54(3), 217-228. https://doi.org/10.1016/j.comppsych.2012.07.010
    1. Belleville, G., Cousineau, H., Levrier, K., & St-Pierre-Delorme, M. (2011). Meta-analytic review of the impact of cognitive-behavior therapy for insomnia on concomitant anxiety. Clinical Psychology Review, 31(4), 638-652. https://doi.org/10.1016/j.cpr.2011.02.004
    1. Blake, M., Trinder, J., & Allen, N. (2018). Mechanisms underlying the association between insomnia, anxiety, and depression in adolescence: Implications for behavioral sleep interventions. Clinical Psychology Review, 63, 25-40. https://doi.org/10.1016/j.cpr.2018.05.006
    1. Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2014). Comprehensive meta-analysis: A computer program for research synthesis (version 3). Englewood, NJ: Biostat Inc.

LinkOut - more resources