Sleep Disruption, Psychological Stress, and Preeclampsia in High-Risk Pregnancies During the COVID-19 Era
Rattachement africain : ro. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Sleep disturbance and psychosocial stress are emerging contributors to hypertensive disorders of pregnancy. The present cohort was recruited during the COVID-19 period, a time marked by substantial changes in prenatal care delivery, social support, and daily routines, which may have influenced maternal sleep and stress burden. OBJECTIVE: This study aimed to evaluate the independent and integrated associations between maternal sleep quality, psychological stress, and pregnancy outcomes in women at moderate to high risk for preeclampsia. METHODS: In a single-center observational cohort of 170 pregnant women enrolled at 16 weeks' gestation, sleep was assessed using the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Fitbit Sense 2™ wearable data, while stress was measured through the Perceived Stress Scale (PSS-10), Generalized Anxiety Disorder-7 (GAD-7), and morning salivary cortisol. Associations with preeclampsia, birth weight, gestational age, and NICU admission were analyzed using multivariate regression and receiver operating characteristic (ROC) models. The COVID-19 period was treated as the contextual background of recruitment rather than as a directly compared exposure. RESULTS: = 0.015) more accurately than individual domains, achieving an ROC-AUC of 0.86 (95% CI: 0.78-0.92). CONCLUSIONS: In high-risk pregnancies, integrated evaluation of sleep and stress parameters may improve the prediction of fetal growth impairment and preeclampsia beyond single-domain models. These findings support the incorporation of psychosocial and behavioral markers into antenatal risk stratification. Because no pre-pandemic or post-pandemic comparator group was included, the COVID-19 period should be interpreted as the contextual background of the study rather than as an independently tested exposure.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Sleep Disruption, Psychological Stress, and Preeclampsia in High-Risk Pregnancies During the COVID-19 Era
- Date Crossref
- 05/04/2026
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Victor Babeș University of Medicine and Pharmacy Timișoara pays non établi dans la noticeUniversité ou école supérieure
-
Vasile Goldis Western University of Arad pays non établi dans la noticeUniversité ou école supérieure
-
University of Medicine and Pharmacy of Craiova Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
-
“Victor Babeş” University of Medicine and Pharmacy Timisoara Department VI-Cardiology pays non établi dans la noticeUniversité ou école supérieure
-
“Louis Ţurcanu” Children Emergency Hospital Neonatology and Preterm Department pays non établi dans la noticeÉtablissement de santé
-
“Vasile Goldis” Western University Department of General Medicine pays non établi dans la noticeUniversité ou école supérieure
Victor Babeș University of Medicine and Pharmacy Timișoara, Vasile Goldis Western University of Arad et Department of Surgery — University of Medicine and Pharmacy of Craiova, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.