Ayşe Rabia KANBAK, Zeynep Yapan EMREN
Cardiovascular Surgery and Interventions - 2026;13(2):72-76
Objectives: Sleep disturbances are common during pregnancy and are increasingly associated with adverse maternal outcomes, including hypertensive disorders. However, direct comparisons of sleep quality and quality of life between normotensive and hypertensive pregnant women remain limited. The aim of this study is to compare sleep quality, daytime dysfunction, quality of life (QOL), and clinical parameters between normotensive and hypertensive pregnant women. Patients and methods: This cross-sectional analytical study included 100 pregnant women attending an obstetrics outpatient clinic. Participants were divided into two groups of 50 each: Normotensive and hypertensive. Socio-demographic and clinical data were recorded. Sleep quality was assessed using the Pittsburgh sleep quality index (PSQI), and QOL was evaluated using the QOL-gravidarum scale. Laboratory parameters, including hemoglobin, platelet count, urea, creatinine, and glomerular filtration rate (GFR), were analyzed. Statistical analyses were performed using the independent-samples t-test, the Mann-Whitney U test, and the chi-square test; p<0.05 was considered significant. Results: Hypertensive pregnant women had significantly higher systolic and diastolic blood pressure (p<0.001). They exhibited longer sleep latency, shorter sleep duration, and lower sleep efficiency (all p<0.001). PSQI total scores were significantly higher in the hypertensive group (p<0.001), indicating poorer sleep quality. Sleep disturbances and daytime dysfunction were more frequent (p<0.001), and QOL scores were significantly worse (p<0.001). In hypertensive pregnancies, urea and creatinine levels were higher, while GFR was lower (p<0.001). Conclusion: Hypertensive pregnant women demonstrate significantly poorer sleep quality, increased daytime dysfunction, and reduced QOL. These findings highlight the importance of incorporating sleep assessment into routine clinical evaluation of hypertensive pregnancies.
