In particular, insomnia may affect more that 50% of the pregnant women reaching until the 80% of women during the third trimester (Swanson et al.
Most common problems during all three trimesters include short sleep duration, poor sleep quality, conditions of sleep loss, and insomnia (Palagini et al. 2014 Balserak and Lee 2017 Kay-Stacey and Attarian 2017 Baglioni et al. 2017) with 75–98%, of during the third trimester of pregnancy (Palagini et al. With the physical and hormonal adaptations in pregnancy, changes in sleep are reported by 66 to 97% of women (Balserak and Lee 2017 Kay-Stacey et al. Women’s sleep during pregnancy and post-partum is altered by anatomical, endocrinology, physiological, psychological, behavioral, socioeconomic, and cultural factors (Pengo et al. 2019) and sleep is commonly impaired during peripartum (Palagini et al. Consistently, sleep problems are recognized as a major risk factor for mental and physical health problems (Palagini et al. Sleep is an important regulatory psychophysiological behavior in life, influencing mood, emotion, and impulse behaviors, which are key mediators of stress adjustments so commonly needed in the perinatal period (Baglioni et al. Pharmacological treatment may be considered when women who present with severe forms of insomnia symptoms do not respond to nonpharmacologic therapy. Cognitive behavioral therapy for insomnia (CBT-I), as for insomnia patients, should be the preferred treatment choice during peripartum, and it may be useful to also improve mood, anxiety symptoms, and fatigue. Evaluation of insomnia during peripartum, as for insomnia patients, may be conducted at least throughout a clinical interview, but specific rating scales are available and may be useful for assessment. According to the inclusion/exclusion criteria, 41 articles were selected for the evaluation part and 22 on the treatment part, including the most recent meta-analyses and systematic reviews. The PubMed, PsycINFO, and Embase electronic databases were searched for literature published according to the PRISMA guidance with several combinations of search terms “insomnia” and “perinatal period” or “pregnancy” or “post partum” or “lactation” or “breastfeeding” and “evaluation” and “treatment.” Based on this search, 136 articles about insomnia evaluation and 335 articles on insomnia treatment were found and we conducted at the end a narrative review. The literature review was carried out between January 2000 and May 2021 on the evaluation and treatment of insomnia during the peripartum period. The aim of this paper was to conduct a systematic review on insomnia evaluation and treatment during peripartum which may be useful for clinicians. Assessing and treating insomnia and related conditions of sleep loss during peripartum should be a priority in the clinical practice. If you think you may have a medical emergency, call your physician or 911 immediately.Insomnia symptoms are frequent during peripartum and are considered risk factors for peripartum psychopathology. By using this Site you agree to the following Terms and Conditions. We offer this Site AS IS and without any warranties. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site.
#First trimester insomnia help professional
We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only.
0 kommentar(er)
