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Tekrarlayan gebelik kaybı ve infertilitenin rüya kaygısı ve uykusuzluk ile ilişkisi

Year 2021, Volume: 46 Issue: 1, 248 - 254, 31.03.2021

Abstract

Amaç: Kadınların gebelik döneminde fizyolojik ve psikolojik sağlığını etkileyen birçok faktör vardır. Bu çalışmada, normal gebelikler ile birincil infertilite veya tekrarlayan gebelik kayıpları öyküsü olan gebeliklerin rüya anksiyetesi ve uykusuzluk durumları arasındaki farklar araştırıldı.
Gereç ve Yöntem: Bu tanımlayıcı korelasyonel çalışma verileri İstanbul'daki özel bir hastanenin Kadın Hastalıkları Polikliniğinde toplanmıştır. Bu tanımlayıcı korelasyonel çalışma 49 sağlıklı gebe kadın, 49 infertil gebe kadın ve tekrarlayan gebelik kaybı öyküsü olan 49 gebe kadını içeriyordu. Çalışma verileri 44 maddelik Maternal Bilgi Formu (MIF), Van Dream Anksiyete Ölçeği (VDAS) ve Uykusuzluk Şiddet İndeksi (ISI) kullanılarak toplandı.
Bulgular: Primer infertilite öyküsü olan gebelerin (sırasıyla 24.9 ± 6.5 ve 11.1 ± 3.7) ve tekrarlayan gebelik kaybı öyküsü olan gebelerin (sırasıyla 26.3 ± 8.7 ve 12.6 ± 4.2) aldıkları ortalama VDAS ve ISI skorları sağlıklı gebelerden elde edilenlere göre (sırasıyla 18.7 ± 6.5 ve 7.8 ± 2.4;) istatistiksel olarak anlamlı derecede yüksekti. Primer infertilite öyküsü olan gebelerin VDAS ve ISI skorları ile tekrarlayan gebelik kaybı öyküsü olan gebelerin puanları arasında önemli bir fark yoktu.
Sonuç: Birincil kısırlık öyküsü veya tekrarlayan gebelik kayıpları olan gebe kadınlar, sağlıklı gebelikleri olan kadınlardan önemli ölçüde daha fazla rüya kaygısı ve uykusuzluk yaşadı. Sağlık uzmanları, kadınların zihinsel durumlarını değerlendirmeli ve hamilelik sırasında kadınlara uygun sağlık bakımını sağlamalıdır.

Supporting Institution

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Project Number

Reference number:10840098-604.01.01-E-54018

Thanks

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References

  • 1. Goddijn M, Christiansen OB, Elson J, et al. Recurrent pregnancy loss. ESHRE Guidelines, 2017 (November).
  • 2. Herz-Picciotto I, Samuels SJ. Incidence of early pregnancy losses of pregnancy. N. Engl. J. Med, 1998;319:1483-1484.
  • 3. Royal College Obstetricians and Gynaecologists (RCOG). The investigation and treatment of couples with recurrent first-trimester and second-trimester miscarriage. R. Coll. Obstet. Gynaecol 2011;17:1–18.
  • 4. Bashiri A, Borick JL. Recurrent pregnancy loss: Definitions, epidemiology, and prognosis. In: Harlev, Agarwei A, editors. Recurrent Pregnancy Loss. Springer, 2016.
  • 5. Van P, Cage T, Shannon M. Big dreams, little sleep: Dreams during pregnancy after prior pregnancy loss. Holist. Nurs. Pract, 2014;18(6): 284–292.
  • 6. Lee KA, Caughey AB Chapter 15: Evaluating insomnia during pregnancy and postpartum. In: Attarian HP, editor. Sleep Disorders in Women: A Guide to Practical Management. Totowa: Humana Press, Totowa; 2006. p. 185–198.
  • 7. Bardos J, Hercz D, Friedenthal J, Missmer SA, Williams Z. A national survey on public perceptions of miscarriage. Obstet. Gynecol 2015;125(6):1313–1320.
  • 8. Alihosseini E, Najar S, Haghighizadeh MH. The relationship between sleep disorders during pregnancy and miscarriage. Jundishapur Journal of Chronic Disease Care 2017; 6(2): 413-440
  • 9. Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, Mouzon JD, Sokol R, et al. The international glossary on infertility and fertility care. Fertil. Steril. 2017;108(3): 393-406.
  • 10. Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens G National, regional, and global trends in infertility prevalence since 1990: A systematic analysis of 277 health surveys. PLoS Med 2012; 9(12):100-1356.
  • 11. Eugster A, Vingerhoets AJJM Psychological aspects of in vitro fertilization: A review. Soc. Sci. Med 1999;48:575-589.
  • 12. O’Brien LM Sleep disruption and adverse pregnancy outcomes. BMC Pregnancy Childbirth 2012;12(1):A11.
  • 13. Lin JL, Lin YH, Chueh KH Somatic symptoms, psychological distress and sleep disturbance among infertile women with intrauterine insemination treatment. J. Clin. Nurs 2014;23(11–12):1677–1684.
  • 14. Ying L, Wu LH, Loke AY Gender differences in emotional reactions to in vitro fertilization treatment: A systematic review. J. Assist. Reprod. Genet 2016;33(2):167-179.
  • 15. Wang ID, Liu YL, Peng CK, Chung CH, Chang SY, Tsao CH, et al. Non-apnea sleep disorder increases the risk of subsequent female infertility—A nationwide population-based cohort study. Sleep 2017; 41(1):186.
  • 16. Cartwright, R. Principles and Practice of Sleep Medicine: Dreaming as a Mood-Regulation System. Philadelphia: Elsevier Saunders; 2005. p. 565–72.
  • 17. Lara-Carrasco J, Simard V, Saint-Onge K, Lamoureux-Tremblay V, Nielsen T Maternal representations in the dreams of pregnant women: A prospective comparative study. Front. Psychol 2013;27:551.
  • 18. Nielsen TA, Kuiken D, Alain G, et al. Immediate and delayed in corporations of events into dreams: further replication and implications for dream function. J Sleep Res 2014;13:327– 36.
  • 19. Blake R, Reimann J. The pregnancy-related dreams of pregnant women. J. Am. Board Fam. Pract 1993;6(2):117–122.
  • 20. Mancuso A, De Vivo A, Fanara G, Settineri S, Giacobbe A, Pizzo A. Emotional state and dreams in pregnant women. Psychiatry Res 2008;160:380–386.
  • 21. American Academy of Sleep Medicine. (2005). ICSD-II international classification of sleep disorders: Diagnostic and coding manual. Chicago: American Academy of Sleep Medicine.
  • 22. Selvi Y, Aydin A, Gumrukcuoglu HA, Gulec M, Besiroglu L, Ozdemir PG, et al. Dream anxiety is an emotional trigger for acute myocardial infarction. Psychosomatics 2011;52:544–549.
  • 23. Cetin O, Guzel Ozdemir P, Kurdoglu Z, Sahin HG Investigation of maternal psychopathological symptoms, dream anxiety and insomnia in preeclampsia. J. Matern. Fetal Neonatal Med 2017; 30(20):2510–2515.
  • 24. Agargun MY, Kara H, Bilici M, Cilli AS, Telci M, Semiz UB, et al. The Van Dream Anxiety Scale: A subjective measure of dream anxiety in nightmare sufferers. Sleep Hypn 1999;4: 204–211.
  • 25. Simor P, Csóka S, Bódizs R Nightmares and bad dreams in patients with borderline personality disorder: fantasy as a coping skill? Eur J Psychiat 2010;24:28–37.
  • 26. Semiz UB, Basoglu C, Ebrinc S, et al. Nightmare disorder, dream anxiety, and subjective sleep quality in patients with borderline personality disorder. Psychiatry Clin Neurosci 2018;62:48– 55.
  • 27. Bastien CH, Vallieres A, Morin CM Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med 2001;2:297–307.
  • 28. Boysan M, Güleç M, Beşiroğlu L, et al. Psychometric properties of the Insomnia Severity Index in Turkish sample. Anatolian Journal of Psychiatry 2010;11:248-52.
  • 29. Volkovich E, Tikotzky L, Manber R Objective and subjective sleep during pregnancy: Links with depressive and anxiety symptoms. Arch. Wom. Ment. Health 2016;19(1):173-181.
  • 30. Huang LH, Kuo CP, Lu YC, Lee MS, Lee SH Association of emotional distress and quality of sleep among women receiving in-vitro fertilization treatment. Taiwan. J. Obstet. Gynecol 2019; 58(1):168–172.
  • 31. Kloss JD, Perlis ML, Zamzow JA, Culnan EJ, Gracia CR Sleep, sleep disturbance, and fertility in women. Sleep Med Rev 2015;22:78-87.
  • 32. Ablon SL, Lara-Carrasco J, Simard V et al. Disturbed dreaming during the third trimester of pregnancy. Sleep Med 2014;15:694–700.

Relation of recurrent pregnancy loss and infertility on dream anxiety and insomnia

Year 2021, Volume: 46 Issue: 1, 248 - 254, 31.03.2021

Abstract

Purpose: There are many factors affecting the physiological and psychological health of women during pregnancy. This study investigated the differences between dream anxiety and insomnia statuses of normal pregnancies and pregnancies with histories of primary infertility or recurrent pregnancy losses.
Materials and Methods: This descriptive correlational study data was collected in the Obstetrics Outpatient clinic of a private hospital located in Istanbul. This descriptive correlational study included 49 healthy pregnant women, 49 infertile pregnant women, 49 pregnant women with histories of recurrent pregnancy losses. The study data was collected using the 44-item Maternal Information Form (MIF), the Van Dream Anxiety Scale (VDAS), and the Insomnia Severity Index (ISI).
Results: The mean VDAS and ISI scores obtained by pregnant women with histories of primary infertility (24.9 ± 6.5 and 11.1 ± 3.7, respectively) and pregnant women with histories of recurrent pregnancy losses (26.3 ± 8.7 and 12.6 ± 4.2, respectively) were statistically significantly higher than those obtained by healthy pregnant women (18.7 ± 6.5 and 7.8 ± 2.4, respectively). There were no significant differences between the VDAS and ISI scores of pregnant women with histories of primary infertility and those of the pregnant women with histories of recurrent pregnancy losses.
Conclusion: Pregnant women with histories of primary infertility or recurrent pregnancy losses experienced significantly more dream anxiety and insomnia than women with healthy pregnancies. Healthcare professionals should assess women's mental statuses and provide appropriate health care to women during pregnancy.

Project Number

Reference number:10840098-604.01.01-E-54018

References

  • 1. Goddijn M, Christiansen OB, Elson J, et al. Recurrent pregnancy loss. ESHRE Guidelines, 2017 (November).
  • 2. Herz-Picciotto I, Samuels SJ. Incidence of early pregnancy losses of pregnancy. N. Engl. J. Med, 1998;319:1483-1484.
  • 3. Royal College Obstetricians and Gynaecologists (RCOG). The investigation and treatment of couples with recurrent first-trimester and second-trimester miscarriage. R. Coll. Obstet. Gynaecol 2011;17:1–18.
  • 4. Bashiri A, Borick JL. Recurrent pregnancy loss: Definitions, epidemiology, and prognosis. In: Harlev, Agarwei A, editors. Recurrent Pregnancy Loss. Springer, 2016.
  • 5. Van P, Cage T, Shannon M. Big dreams, little sleep: Dreams during pregnancy after prior pregnancy loss. Holist. Nurs. Pract, 2014;18(6): 284–292.
  • 6. Lee KA, Caughey AB Chapter 15: Evaluating insomnia during pregnancy and postpartum. In: Attarian HP, editor. Sleep Disorders in Women: A Guide to Practical Management. Totowa: Humana Press, Totowa; 2006. p. 185–198.
  • 7. Bardos J, Hercz D, Friedenthal J, Missmer SA, Williams Z. A national survey on public perceptions of miscarriage. Obstet. Gynecol 2015;125(6):1313–1320.
  • 8. Alihosseini E, Najar S, Haghighizadeh MH. The relationship between sleep disorders during pregnancy and miscarriage. Jundishapur Journal of Chronic Disease Care 2017; 6(2): 413-440
  • 9. Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, Mouzon JD, Sokol R, et al. The international glossary on infertility and fertility care. Fertil. Steril. 2017;108(3): 393-406.
  • 10. Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens G National, regional, and global trends in infertility prevalence since 1990: A systematic analysis of 277 health surveys. PLoS Med 2012; 9(12):100-1356.
  • 11. Eugster A, Vingerhoets AJJM Psychological aspects of in vitro fertilization: A review. Soc. Sci. Med 1999;48:575-589.
  • 12. O’Brien LM Sleep disruption and adverse pregnancy outcomes. BMC Pregnancy Childbirth 2012;12(1):A11.
  • 13. Lin JL, Lin YH, Chueh KH Somatic symptoms, psychological distress and sleep disturbance among infertile women with intrauterine insemination treatment. J. Clin. Nurs 2014;23(11–12):1677–1684.
  • 14. Ying L, Wu LH, Loke AY Gender differences in emotional reactions to in vitro fertilization treatment: A systematic review. J. Assist. Reprod. Genet 2016;33(2):167-179.
  • 15. Wang ID, Liu YL, Peng CK, Chung CH, Chang SY, Tsao CH, et al. Non-apnea sleep disorder increases the risk of subsequent female infertility—A nationwide population-based cohort study. Sleep 2017; 41(1):186.
  • 16. Cartwright, R. Principles and Practice of Sleep Medicine: Dreaming as a Mood-Regulation System. Philadelphia: Elsevier Saunders; 2005. p. 565–72.
  • 17. Lara-Carrasco J, Simard V, Saint-Onge K, Lamoureux-Tremblay V, Nielsen T Maternal representations in the dreams of pregnant women: A prospective comparative study. Front. Psychol 2013;27:551.
  • 18. Nielsen TA, Kuiken D, Alain G, et al. Immediate and delayed in corporations of events into dreams: further replication and implications for dream function. J Sleep Res 2014;13:327– 36.
  • 19. Blake R, Reimann J. The pregnancy-related dreams of pregnant women. J. Am. Board Fam. Pract 1993;6(2):117–122.
  • 20. Mancuso A, De Vivo A, Fanara G, Settineri S, Giacobbe A, Pizzo A. Emotional state and dreams in pregnant women. Psychiatry Res 2008;160:380–386.
  • 21. American Academy of Sleep Medicine. (2005). ICSD-II international classification of sleep disorders: Diagnostic and coding manual. Chicago: American Academy of Sleep Medicine.
  • 22. Selvi Y, Aydin A, Gumrukcuoglu HA, Gulec M, Besiroglu L, Ozdemir PG, et al. Dream anxiety is an emotional trigger for acute myocardial infarction. Psychosomatics 2011;52:544–549.
  • 23. Cetin O, Guzel Ozdemir P, Kurdoglu Z, Sahin HG Investigation of maternal psychopathological symptoms, dream anxiety and insomnia in preeclampsia. J. Matern. Fetal Neonatal Med 2017; 30(20):2510–2515.
  • 24. Agargun MY, Kara H, Bilici M, Cilli AS, Telci M, Semiz UB, et al. The Van Dream Anxiety Scale: A subjective measure of dream anxiety in nightmare sufferers. Sleep Hypn 1999;4: 204–211.
  • 25. Simor P, Csóka S, Bódizs R Nightmares and bad dreams in patients with borderline personality disorder: fantasy as a coping skill? Eur J Psychiat 2010;24:28–37.
  • 26. Semiz UB, Basoglu C, Ebrinc S, et al. Nightmare disorder, dream anxiety, and subjective sleep quality in patients with borderline personality disorder. Psychiatry Clin Neurosci 2018;62:48– 55.
  • 27. Bastien CH, Vallieres A, Morin CM Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med 2001;2:297–307.
  • 28. Boysan M, Güleç M, Beşiroğlu L, et al. Psychometric properties of the Insomnia Severity Index in Turkish sample. Anatolian Journal of Psychiatry 2010;11:248-52.
  • 29. Volkovich E, Tikotzky L, Manber R Objective and subjective sleep during pregnancy: Links with depressive and anxiety symptoms. Arch. Wom. Ment. Health 2016;19(1):173-181.
  • 30. Huang LH, Kuo CP, Lu YC, Lee MS, Lee SH Association of emotional distress and quality of sleep among women receiving in-vitro fertilization treatment. Taiwan. J. Obstet. Gynecol 2019; 58(1):168–172.
  • 31. Kloss JD, Perlis ML, Zamzow JA, Culnan EJ, Gracia CR Sleep, sleep disturbance, and fertility in women. Sleep Med Rev 2015;22:78-87.
  • 32. Ablon SL, Lara-Carrasco J, Simard V et al. Disturbed dreaming during the third trimester of pregnancy. Sleep Med 2014;15:694–700.
There are 32 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynaecology
Journal Section Research
Authors

Derya Kanza Gül 0000-0001-8879-9299

Ayça Şolt 0000-0001-6733-5348

Project Number Reference number:10840098-604.01.01-E-54018
Publication Date March 31, 2021
Acceptance Date January 3, 2021
Published in Issue Year 2021 Volume: 46 Issue: 1

Cite

MLA Kanza Gül, Derya and Ayça Şolt. “Relation of Recurrent Pregnancy Loss and Infertility on Dream Anxiety and Insomnia”. Cukurova Medical Journal, vol. 46, no. 1, 2021, pp. 248-54.