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21UDC: 618.2.616.8-009: 618.3 ANALYSIS OF WOMEN'S SLEEP QUALITY DURING PREGNANCY
TUKSANOVA DILBARISMATOVNA
Dsc, Head of the Department of Obstetrics and Gynecology, Bukhara State Medical Institute named after Abu Ali Ibn Sino, Bukhara, Republic of Uzbekistan. ORCID ID 0000-0002-7626-0410
GAFUROVA MADINA SHOKIROVNA Master student of the Department of Obstetrics and Gynecology
No. 2, Bukhara State Medical Institute named after Abu Ali ibn Sino, Uzbekistan, Bukhara ORCID ID 0000-0002-3028-4513 ABSTRACT
Purpose of work: assessment of the quality of sleep in women during pregnancy. The study included 100 pregnant women aged 18 to 35 years, gestational age from 8 to 38 weeks. The survey was conducted using the Pittsburgh Questionnaire. The assessment was carried out on a point system from 0 to 3 points. And the following parameters were taken into account: time, duration, sleep efficiency, as well as the use of medications to maintain sleep. All pregnant women should be questioned to identify sleep disorders. Who will have deviations from the norm according to the results of the questionnaire should be included in the risk group. Including to introduce them together with somnologists to clarify the diagnosis and, with a view to selecting corrective therapy. This will reduce complications during pregnancy and childbirth, as well as reduce perinatal pathology in the fetus.
Key words: disturbed sleep, pregnancy, Sleep disturbances, Subjective sleep quality
АНАЛИЗ КАЧЕСТВА СНА ЖЕНЩИН ВО ВРЕМЯ БЕРЕМЕННОСТИ
ТУКСАНОВА ДИЛБАР ИСМАТОВНА
Доктор медицинских наук, заведующая кафедрой акушерства
и гинекологии Бухарского государственного медицинского института имени Абу Али ибн Сино, Бухара, Республика Узбекистан. ОЯСЮ Ю 0000-0002-7626-0410 ГАФУРОВА МАДИНА ШОКИРОВНА магистрант кафедры акушерства и гинекологии № 2 Бухарского государственного медицинского института имени Абу Али ибн Сино, Бухара, Узбекистан ОИСЮ Ю 0000-0002-3028-4513 АННОТАЦИЯ
Цель работы: оценка качества сна у женщин во время беременности. В исследование были включены 100 беременных женщин в возрасте от 18 до 35 лет, гестационный возраст от 8 до 38 недель. Опрос проводился с использованием вопросника Питтсбурга. Оценка проводилась по балльной системе от 0 до 3 баллов. И учитывались следующие параметры: время, продолжительность, эффективность сна, а также использование лекарств для поддержания сна. Все беременные женщины должны быть допрошены для выявления нарушений сна. Кто будет иметь отклонения от нормы по результатам анкетирования, должен быть включен в группу риска. В том числе ввести их совместно с сомнологами для уточнения диагноза и с целью подбора коррекционной терапии. Это позволит снизить осложнения во время беременности и родов, а также снизить перинатальную патологию у плода.
Ключевые слова: нарушенный сон, беременность, нарушения сна, субъективное качество сна
ХОМИЛАДОРЛИК ПАЙТИДА АЁЛЛАРНИНГ УЙКУСИ СИФАТИ
ТАХЛИЛИ ТУКСАНОВА ДИЛБАР ИСМАТОВНА
тиббиёт фанлари доктори, акушерлик ва гинекология кафедраси мудири, Бухоро давлат тиббиёт институти, Бухоро,
Узбекистон. ОЯСЮ Ю 0000-0002-7626-0410 ГАФУРОВА МАДИНА ШОКИРОВНА акушерлик ва гинекология кафедраси магистри, Бухоро давлат тиббиёт институти, Бухоро, Узбекистон.
ОИСЮ Ю 0000-0002-3028-4513 АННОТАЦИЯ
Таднинот мансади: аёлларда цомиладорлик пайтида уйнунинг сифатини бацолаш. Таднинотда 18-35 ёшдаги 8-38 цафталик 100 та цомиладор аёл иштирок этди. Суров Питтсбург суровномаси асосида утказилди. Бацолаш 0 дан 3 баллгача булган балл тизими асосида утказилди. ^уйидаги курсаткичлар эътиборга олинди: вант, давомийлик, уйнуу эффективлиги, уйнуни нуллаб нувватлаш учун дори воситаларини нуллаш. Барча цомиладор аёллар уйнунинг бузилиши буйича суровномадан утказилганлар. Анкета натижа-лари буйича нормадан огганлар хавф гуруцига киритилдилар. Сомнологлар билан маслацатлашган цолда коррекцион терапия утказилди. Бу цомиладорлик ва тугрун вантида асоратларни, шунингдек, цомилада перинатал патологияни камайтиришга имкон беради.
Калит сузлар: уйнунинг бузилиши, цомиладорлик, бузилган уйну, уйнунинг субъектив сифати
Pregnancy is the most sensitive and most enjoyable part of a woman's life - [13]. Sleep patterns, the ability to perform daily tasks, and the quality of life of a pregnant woman are influenced by systematic
fluctuations caused by hormonal, emotional, mental and physical factors -[5, 7]. Sleep changes during pregnancy can increase from 13 to 80 percent in the first trimester, and then from 66 to 97 percent in the third trimester [2,6]. According to National Sleep (2007), 79% of pregnant women suffer from sleep disorders. More than 72 percent of pregnant women often wake up at night - [1, 11]. Changes in sleep patterns lead to daily dysfunction, maternal fatigue, loss of family well-being, and an increase in car accidents. In addition, the decrease in psychological relaxation that causes insomnia leads to increased anxiety, as well as fear of caring for a child and accepting a mother's role in the family. Lack of sleep leads to decreased function of the immune system, hypothalamus, pituitary, and adrenal glands. Thus, it leads to a reduction in glucose tolerance, hypertension and the ability of individuals, and indirectly increases the risk of cardiovascular events - [10, 12].
Lack of sleep can make you sleepy during the day and exacerbate social and work problems. In addition, irritability, aggressive behavior and less social interaction among people suffering from sleep deprivation are significantly higher than among other people - [3]. In this regard, a review of studies reflecting sleep disturbances during pregnancy indicates an increased risk of premature birth, low birth weight.
Increased complications during pregnancy and childbirth, protracted labor, instrumental delivery, caesarean section, depression during pregnancy and after childbirth (postpartum blues), and negative effects on family and society - [4, 8]. In addition, many efforts to reduce maternal mortality in developed countries have led to the expansion of antenatal care. According to the World Health Organization (WHO), health and wellness means the absence of disease and disability caused by physical, mental and social causes. However, antenatal care in developing countries is superior to traditional care in the prevention, diagnosis and management of problems that affect maternal and child health; In addition,
it provides extensive help to support and encourage families to cope with the psychological aspects of birth and social awareness in the area of childbirth. This expanded support is a reflection of the improvement in quality of life that relates to a comprehensive health assessment - [9, 10].
There is another aspect of changing quality of life in terms of health, physical, emotional and social comfort that is important for policymakers and the medical community when planning the care of mothers and babies. It is necessary to consider some factors that improve the quality of sleep, such as the needs for behavioral characteristics of people, daily activities, as well as environmental factors, physical and psychological health - [12, 13].
Until now, the problem of sleep in pregnant women has not been studied in obstetric and gynecological practice in Uzbekistan.
One of the most recognized sleep quality questionnaires in the scientific community is the Pittsburgh Sleep Quality Questionnaire. It allows you to assess subjective sleep quality, sleep latency, sleep duration, normal sleep efficiency. Its sensitivity is 98.7%, specificity is 84.4% - [4].
Purpose of work: assessment of the quality of sleep in women during pregnancy.
Material and methods
The study included 100 pregnant women aged 18 to 35 years, gestational age from 8 to 38 weeks. The survey was conducted using the Pittsburgh Questionnaire. The assessment was carried out on a point system from 0 to 3 points. And the following parameters were taken into account: time, duration, sleep efficiency, as well as the use of medications to maintain sleep.
Research results and their discussion
As a result of data processing, it was revealed that 29.7% of the interviewed pregnant women had varying degrees of severity of sleep
disorders. Moreover, before pregnancy, only 9.75% had sleep disturbances (p <0.05). The subjective quality of sleep was impaired in 70.3% of pregnant women; before pregnancy this indicator was 54% (p <0.05). Sleep latency changed to a lesser extent - from 77.7% before pregnancy to 80% (p <0.05) after gestation. Sleep duration and normal sleep efficiency remained the same.
Of all the respondents, only 3 pregnant women used drugs to maintain sleep. Daytime sleepiness in one way or another disturbed 63% of pregnant women. Before pregnancy, this figure was 62.15% (p <0.05) (Fig. 1). Before pregnancy, the average sleep disorder score was 2.85 out of 27. At the same time, after the onset of pregnancy, this score increased to 7.4 (p <0.05) (Fig. 2).
Figure: 1. Changes in sleep parameters after pregnancy
Our findings show the prevalence of sleep disorders in pregnant women according to the Pittsburgh Sleep Quality Questionnaire, and also indicate that many women still suffered from sleep disorders outside of pregnancy. These sleep disorders can be detected prior to pregnancy to reduce complications during pregnancy and childbirth.
Figure: 2. Change in the average score of sleep disorders after
pregnancy
Thus, all pregnant women need to be questioned in order to identify their sleep disorders. Who will have deviations from the norm according to the results of the questionnaire should be included in the risk group. Including to introduce them together with somnologists to clarify the diagnosis and, with a view to selecting corrective therapy. This will reduce complications during pregnancy and childbirth, as well as reduce perinatal pathology in the fetus.
Conclusions
1. 29.7% of the interviewed pregnant women had varying degrees of severity of sleep disorders. Moreover, before pregnancy, sleep was disturbed only in 9.75% (p <0.05);
2. Before pregnancy, the average score for sleep disorders was 2.85 out of 27 possible; after pregnancy, this score increased to 7.4 (p <0.05).
References:
1. Akhmedov F.K. Peculiarities of cardiac hemodynamic in pregnant women with mild preeclampsia // Europen Science Review. - Austria, Vienna. 2015. -№4-5 -. C 56-58.
2. Akhmedov F.K. Features of renal function and some indicators of homeostasis in women with mild preeclampsia // Europen Science Review. Austria, Vienna, 2015. - №4-5. С 58-60.
3. Ashurova N.G. Pregravidary preparation of women with a high group of perinatal risks and inflammatory diseases of the genitals. // European Journal of Research. 2017. № 9-10.-P.63-65
4. Ashurova N.G, Bobokulova S.B, Jumayeva M.M. Multiple pregnancy as a factor of obstetric complication. // Новый день в медицине. A new day in medicine. 2020.-№3 (31) -С. 271-274
5. Burchakov D.I., Tardov M.V. Sleep disorders during pregnancy. // Effective pharmacotherapy. Neurology. Special issue "Sleep and its disorders - 2016. - No. 19.
6. Vertkin A.L., Alymov G.V., Krivtsova E.V., Lyubshina O.V., Vigant M.V., Tkacheva O.N. Clinical significance of sleep disorders in pregnant women // Russian medical journal, vol. 12, No. 1 (201), 2014. P.18-19.
7. Rakhmatullaeva M.M. Clinical and epidemiological features of bacterial vaginosis// The American Journal of Medical Sciences and Pharmaceutical Research. 2020; 02(8):140-145. doi:10.37547/TAJMSPR/Volume02Issue08-21
8. Negmatulleva M.N., Tuksanova D.I., Nosirova M.Sh., Akhmedov F.K. Features of the state of the circulatory system mother and fetus in the second trimester ofpregnancy in women with mitral stenosis ofrheumatic etiology// European Journal of Biomedical and Pharmaceutical sciences. - 2020. - № 7(6). - P. 100 - 103.
9. Tuksanova D.I. Characteristics of the functional state of the liver in postpartum women undergoing preeclampsia // European Science Review. - Aus-tria, Vienna, 2015. - №4-5. - С. 83-84.
10. Tuksanova D.I. Effects of flow period preeclampsia the outcome of pregnancy and childbirth// European Science Review. -Austria, Vienna, 2015. -№4-5. - С.85-87.
11. Telyanov V.N., Bartosh L.F., Tipikin V.A., Chernova K.V., Uvarov D.S. Analysis of the quality of sleep in women before and during pregnancy // Penza Institute for Advanced Medical Education. - 2013.
12. Khalkhaeva, N.L. Sleep and pregnancy / N.L. Khalkhaeva, A.E. Khazheeva // Siberian medical journal. - 2015. - No. 56. - S. 15-19.
13. Khatamova M.T., Rakhmatullaeva M.M. To the question of the frequency of iron deficiency anemia in women using intrauterine contraceptives. // Problems of Biology and Medicine 2016. No. 4. P.101.
