{"id":3620,"date":"2023-10-09T14:08:26","date_gmt":"2023-10-09T18:08:26","guid":{"rendered":"https:\/\/www.med.unc.edu\/ncmatters\/?post_type=provider-tool&#038;p=3620"},"modified":"2023-10-09T14:09:42","modified_gmt":"2023-10-09T18:09:42","slug":"maternal-sleep-toolkit","status":"publish","type":"provider-tool","link":"https:\/\/www.med.unc.edu\/ncmatters\/provider-tool\/maternal-sleep-toolkit\/","title":{"rendered":"Maternal Sleep Toolkit"},"content":{"rendered":"<h3>KEY FACTS<\/h3>\n<p><a href=\"https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/10\/AdobeStock_386912205-scaled.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3598 alignleft\" src=\"https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/10\/AdobeStock_386912205-scaled.jpeg\" alt=\"\" width=\"372\" height=\"443\" srcset=\"https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/10\/AdobeStock_386912205-scaled.jpeg 2149w, https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/10\/AdobeStock_386912205-252x300.jpeg 252w, https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/10\/AdobeStock_386912205-860x1024.jpeg 860w, https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/10\/AdobeStock_386912205-768x915.jpeg 768w, https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/10\/AdobeStock_386912205-1290x1536.jpeg 1290w, https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/10\/AdobeStock_386912205-1720x2048.jpeg 1720w, https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/10\/AdobeStock_386912205-600x715.jpeg 600w\" sizes=\"auto, (max-width: 372px) 100vw, 372px\" \/><\/a><\/p>\n<ul>\n<li>Physiologic changes of pregnancy can make sleep more difficult. Sleep disturbances affect 75% of pregnant people, peaking in the third trimester.<\/li>\n<li>Insomnia (38%), restless leg syndrome (20%), and sleep apnea (15%) are the most common sleep disturbances affecting pregnant people.<\/li>\n<li>Insomnia and sleep disturbances during pregnancy are associated with gestational diabetes, hypertension, preterm birth, cesarean delivery, and preeclampsia\/gestational hypertension.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h4><span style=\"color: #330066\">COURSE OF ACTION<\/span><\/h4>\n<ol>\n<li><strong>Identify etiologies \u2192 <\/strong>use the Global Sleep Questionnaire to identify possible causes (page 2), incorporate health disparity and pregnancy-specific considerations (page 3)<\/li>\n<li><strong>Implement treatment based on etiology<\/strong><\/li>\n<li><strong>Provide resources and monitor outcomes<\/strong><\/li>\n<\/ol>\n<table style=\"border-collapse: collapse;width: 92.252%;height: 208px\">\n<tbody>\n<tr>\n<td style=\"width: 92.252%;text-align: center\" colspan=\"4\">\n<h4><span style=\"color: #337de9\">COMMON ETIOLOGIES FOR POOR SLEEP DURING PREGNANCY<\/span><\/h4>\n<\/td>\n<\/tr>\n<tr style=\"height: 23px\">\n<td style=\"width: 33.3333%;height: 23px\"><\/td>\n<td style=\"height: 23px;text-align: center;width: 33.3334%\" colspan=\"2\"><strong><span style=\"color: #337de9\">MEDICAL<\/span><\/strong><strong><span style=\"color: #337de9\"><br \/>\n<\/span><\/strong><\/td>\n<td style=\"width: 25.5853%;height: 23px;text-align: center\"><span style=\"color: #330066\"><strong>PSYCHIATRIC<\/strong><\/span><\/td>\n<\/tr>\n<tr style=\"height: 139px\">\n<td style=\"width: 33.3333%;height: 139px\"><strong>COMMON RISK FACTORS &amp; COMORBIDITIES<\/strong><\/td>\n<td style=\"width: 16.6667%;height: 139px;background-color: #d6e5fb\">\n<ul>\n<li>Thyroid disorder<\/li>\n<li>Diabetes<\/li>\n<li>Renal disease<\/li>\n<li>Anemia<\/li>\n<li>Fibromyalgia<\/li>\n<li>GERD<\/li>\n<li>Migraines<\/li>\n<\/ul>\n<\/td>\n<td style=\"width: 16.6667%;background-color: #d6e5fb;height: 139px\">\n<ul>\n<li>Epilepsy<\/li>\n<li>Bruxism<\/li>\n<li>Obstructive sleep apnea<\/li>\n<li>Asthma<\/li>\n<li>Restless leg syndrome<\/li>\n<li>Chronic pain<\/li>\n<\/ul>\n<\/td>\n<td style=\"width: 25.5853%;height: 139px;background-color: #ede2fa\">\n<ul>\n<li>Depression<\/li>\n<li>Anxiety<\/li>\n<li>PTSD<\/li>\n<li>OCD<\/li>\n<li>Bipolar<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 23px\">\n<td style=\"width: 33.3333%;height: 23px\"><strong>REVIEW MED LIST FOR CULPRITS<\/strong><\/p>\n<p>(meds that might cause or exacerbate sleep disturbances)<\/td>\n<td style=\"height: 23px;background-color: #fff9dc;width: 33.3334%\" colspan=\"2\">\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Central nervous system stimulants<\/li>\n<li>Central nervous system depressant<\/li>\n<li>Bronchodilators<\/li>\n<li>Antidepressants<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<td style=\"background-color: #fff9dc;width: 25.5853%;height: 23px\">\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li>Beta antagonist<\/li>\n<li>Diuretics<\/li>\n<li>Glucocorticoids<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 23px\">\n<td style=\"width: 33.3333%;height: 23px\"><strong>ORDERS &amp; REFERRALS TO CONSIDER<\/strong><\/p>\n<p>(for diagnostic clarity)<\/td>\n<td style=\"width: 16.6667%;height: 23px;background-color: #d6e5fb\">\n<ul>\n<li>Thyroid function test (TFT)<\/li>\n<li>Blood sugar &amp; HbA1c<\/li>\n<li>BUN &amp; creatinine<\/li>\n<\/ul>\n<\/td>\n<td style=\"width: 16.6667%;background-color: #d6e5fb;height: 23px\">\n<ul>\n<li>Iron studies<\/li>\n<li>Sleep consult or polysomnogram (PSG)<\/li>\n<\/ul>\n<\/td>\n<td style=\"width: 25.5853%;height: 23px;background-color: #ede2fa\">\n<ul>\n<li>History taking<\/li>\n<li>Screeners<\/li>\n<li>NC MATTERS consult for diagnostic clarity<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>To read more, download our <a href=\"https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/10\/22-6996-MED-MaternalSleepToolkit_Final.pdf\">Maternal Sleep Toolkit.<\/a><\/p>\n","protected":false},"template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","_links_to":"","_links_to_target":""},"provider-tools-category":[],"class_list":["post-3620","provider-tool","type-provider-tool","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Maternal Sleep Toolkit | NC Maternal Mental Health MATTERS<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/ncmatters\/provider-tool\/maternal-sleep-toolkit\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Maternal Sleep Toolkit | NC Maternal Mental Health MATTERS\" \/>\n<meta property=\"og:description\" content=\"KEY FACTS Physiologic changes of pregnancy can make sleep more difficult. 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