Health-care utilisation amongst pregnant women who experience sleeping problems and/ or tiredness or fatigue: secondary analysis of a cross-sectional survey of 1835 pregnant women

Romy Lauche, Helen Hall, Jon Adams, Amie Steel, Alex Broom, David Sibbritt

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6 Citations (Scopus)


Introduction: Sleeping problems and fatigue in pregnancy are often accepted as a normal part of pregnancy; however, these conditions can be linked to serious consequences for both the mother and child. Despite established links between sleeping disturbance and a wide range of pregnancy complications, little is known about the health-care utilisation of women experiencing sleeping problems and fatigue. This study addresses the existing gap in the literature by examining cross-sectional data to identify health service utilisation patterns of pregnant women experiencing sleeping problems and/or tiredness or fatigue. Methods: In 2010, a sub-study of the Australian Longitudinal Study on Women’s Health was conducted as a cross-sectional survey of 2445 women who had recently given birth. Associations between reported symptoms of sleeplessness and/or tiredness or fatigue and health service utilisation were determined using logistic regression analysis. Results: During their pregnancy, 15.2 % of women experienced sleeping problems while 35.4 % experienced tiredness or fatigue. Women most commonly consulted with an obstetrician (n = 96) or a general practitioner (GP) (n = 74) for their tiredness or fatigue rather than a midwife (n = 56). A substantial number of women sought help from a complementary and alternative medicine (CAM) practitioner for sleeping problems (33 %) or tiredness/fatigue (28 %). Discussion: Sleeping problems and/or tiredness or fatigue is reported by a reasonable percentage of pregnant women, and women obtain assistance from conventional and CAM practitioners for their symptoms, but not all seek help. Given the serious implications of untreated sleep- and fatigue-related symptoms for mother and baby, this area of research deserves and requires more attention.
Original languageEnglish
Pages (from-to)355-362
Number of pages8
JournalSleep and Breathing
Issue number1
Publication statusPublished - 1 Mar 2016


  • complementary therapies
  • fatigue
  • pregnancy
  • sleep initiation and maintenance disorders

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