Why Sleep Is So Important During Pregnancy - Psychology Today Canada

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Isabel Morales-Munoz, Ph.D.


Understanding and Improving Mental Health

PREGNANCY

Why Sleep Is So
Important During
Pregnancy
Sleep problems in pregnancy can lead to poor
outcomes in the born child
Posted June 8, 2024
Reviewed by Gary Drevitch

KEY POINTS

Sleep is essential to our lives.


Pregnancy and childhood are crucial stages for sleep
problems.
Sleep problems during pregnancy may lead to the
development of a range of problems in the born child.
Sleep can be modified.

We all would agree that sleep is essential to our lives, and


that without a proper night of sleep, we would not be able to
function well the following day. However, and for some rea‐
son that I still do not understand, there are specific stages of
the life in which we all assume that having poor sleep is “nor‐
mal” and something that we should just deal with, as this is
“what it is." Examples of these stages are childhood and
pregnancy – and in this post I am going to mainly focus on
the pregnancy period.

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OPEN

I remember that when I was pregnant with my daughter, one


the first things that I heard from a lovely close friend (after
“congratulations," of course) was to forget about having prop‐
er sleep at night—and to be honest, this was not only her
message based on her own experience; it was a message I
heard repeatedly throughout my pregnancy from different
people. As a sleep researcher who studies the impact that
sleep problems have on the development of mental health
problems, I must admit that this was quite a “scary” message.
Based on my own research, this meant that by default I would
be at risk for mental health problems...

Therefore, one of the main goals I aimed to achieve through


my research is to raise awareness of how important sleep is,
but most importantly, that sleep is something we can modify
and that, by adopting good sleep hygiene practices, we can
improve our overall health, well-being and quality of life.

There is existing evidence suggesting that sleep problems


during pregnancy may lead to the development of a range of
problems in the newborn and subsequently in the develop‐
ment of the child. For example, in a couple of studies that I
conducted in Finland, we found that insomnia symptoms in
mothers during pregnancy were associated with the occur‐
rence of sleep problems in the infant at the age of 3 months;
and also that children of mothers who have an evening
chronotype (i.e., "night owls") are at highest risk of develop‐
ing sleep problems during the first two years of life. In these
two studies, we only focused on sleep problems as the devel‐
opmental aspect to explore in the born children. However, we
also expect that sleep problems during pregnancy would
have an impact on a wider range of developmental aspects
of the born child, such as emotional problems, a more difficult
temperament, or delayed motor or cognitive development.
This is something that we still need to explore more and
something that we are aiming to investigate in the next few
years; hopefully I will be able to provide further updates in
this space.

The reasons why sleep problems during pregnancy lead to


developmental problems in the child are still not clear, but
some potential biological mechanisms have been proposed
to support the relationship. For instance, disturbed sleep dur‐
ing pregnancy could interfere with the rhythm and amplitude
of melatonin secretion, which subsequently is involved in the
formation of normal foetal sleep patterns and circadian
rhythms. However, we still need further studies (especially
longitudinal studies in which mothers and their children are
followed up over a prolonged period of time) to understand in
more detail the mechanisms explaining the associations be‐
tween sleep problems during pregnancy and a child’s poor
development.

It is also important to highlight that a relevant aspect of why


sleep problems during pregnancy are of crucial importance is
that these are actually modifiable factors, which means that
we can improve our sleep and, consequently, prevent a
range of adverse effects associated with prenatal sleep prob‐
lems (such as sleep problems in their children, or mental
health problems in the mothers postnatally). For instance,
there are a number of sleep interventions (e.g., sleep hygiene
practices, behavioural interventions) that have been proven
to improve sleep; these interventions could be effective in
preventing the development of a range of adverse outcomes
in the mother (e.g., postnatal mental health problems) and in
the child (e.g., sleep problems in infancy). Following this, and
considering the negative outcomes associated with sleep
problems during pregnancy indicated above, one of our main
focuses in the next years is to implement sleep interventions
during pregnancy not only to improve sleep in pregnant
women but also to prevent and/or reduce mental health
problems and other adverse outcomes in the mothers and
their children.

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But not only would experiencing sleep problems during preg‐


nancy have an impact on the development of the born child,
but the sleep problems that the child might experience could
have a long-term effect in the development of a wide range
of poor outcomes, like mental health problems. This is a topic
for another post (or several).

THE BASICS

What Is Pregnancy?

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References

Morales-Muñoz I, Saarenpää-Heikkilä O, Kylliäinen A, Pölkki P, Pork‐


ka-Heiskanen T, Paunio T, Paavonen EJ. The effects of maternal risk
factors during pregnancy on the onset of sleep difficulties in infants
at 3 months old. J Sleep Res. 2018;27(5):e12696.

Morales-Muñoz I, Partonen T, Saarenpää-Heikkilä O, Kylliäinen A,


Pölkki P, Porkka-Heiskanen T, Paunio T, Paavonen EJ. The role of
parental circadian preference in the onset of sleep difficulties in
early childhood. Sleep Med. 2019;54:223-230.

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About the Author

Isabel Morales-Munoz, Ph.D., is Assistant


Professor in Psychology, based at the Institute
for Mental Health, School of Psychology, at
the University of Birmingham.

Online: Faculty Page, Twitter

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