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PROFILES AND OUTCOMES OF PREGNANCY AND LABOUR AMONG EXPECTANT MOTHERS WITH SLEEP DISORDERS IN ALEX EKWUEME FEDERAL UNIVERSITY TEACHING HOSPITAL ABAKALIKI (AE-FUTHA

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Supervisor: DR. ODIDIKA U. J. UMEORA. DR. CHIDI O.U. ESIKE
Faculty: OBSTETRICS AND GYNAECOLOGY
Month: 11
Year: 2018

Abstract

Background: Sleep disorders in pregnant women are of an increasing Public Health concern especially following reports on their deleterious effects on pregnancy outcomes. Objective: This study assessed the labour profile and outcomes among expectant mothers with selfreported sleep disorders at the Alex Ekwueme Federal University Teaching Hospital Abakaliki (AE-FUTHA) Methodology: It was a cross-sectional comparative study. Participants were recruited using a random sampling technique. A structured questionnaire was used to obtain information on their sociodemographic indices and daytime sleepiness through Epworth Sleepiness Scale for expectant mothers. Outcome measures included labour outcome, APGAR score, weight at birth and head and chest circumference at birth. The analysis was done with International Business Machine Statistical Package for Social Sciences (IBM SPSS) version 22. Descriptive statistics used for socio-demographic characteristics was expressed in percentage. Mean ± Standard deviation (SD) was used to represent continuous variables data. Analysis of variance (ANOVA) and Chi square test (X 2 ) were used for comparison of continuous and categorical variables respectively. Significance level for this study was set at p <0.05. Results: Maternal socio-demographic characteristics, gestational age and labour outcomes had no statistically significant association with daytime sleepiness. Spontaneous, caesarean section, induction/ stimulation, augmentation and instrumental delivery types of labour were observed to occur in subjects with self-reported daytime in decreasing order of 30.2%, 11.0%, 6.6%, 5.5% and 0.5%. Though control groups had long duration of labour in first and second stages, there was no significant difference between control and study group in the first (P = 0.55) and second (P = 0.11) stages of duration of labour. No statistically significant difference was observed in weight at birth, APGAR score at 1st minute and APGAR score at 5th minute, chest circumference and length of the baby at birth. However, there was significant difference in the head circumference at birth between neonate of daytime sleepiness subjects and control. However, the study design could not determine causality.

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