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September 5, 2026BMC Pregnancy and ChildbirthOpen Access

Patterns of sleep duration, quality, and midpoint across pregnancy in a longitudinal cohort study

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Authors

ALAmir J. LuethDSDanielle R. StevensSGSymielle A. Gaston

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Overview

Longitudinal cohort study reveals widespread declines in sleep quality and high rates of short sleep across pregnancy, highlighting the need for routine prenatal sleep screening.

Key Points

  • To characterize longitudinal trajectories of sleep duration, quality, and midpoint across pregnancy and identify maternal factors associated with adverse sleep profiles.
  • Analyzed longitudinal data from 303 pregnant individuals enrolled in the Human Placenta and Phthalates Study in Virginia and Texas across up to eight visits between 13 and 36 gestational weeks.
  • Evaluated repeated measures of self-reported sleep duration, quality, and midpoint using generalized estimating equations and identified multi-trajectory profiles via group-based trajectory modeling.
  • Over the course of pregnancy, the rate of short sleep (< 7 hours) increased and perceived sleep quality declined, while sleep midpoint remained relatively stable across racial and ethnic groups.
  • Non-Hispanic Black individuals were 8% more likely to report short sleep than non-Hispanic White individuals, whereas Hispanic/Latina individuals reported superior sleep quality.
  • Trajectory modeling identified three groups: 'Worst Sleepers' (60.7%), 'Restless Sleepers' (25.4%), and 'Best Sleepers' (13.9%), with adverse profiles enriched among non-Hispanic Black participants (64%), nulliparous individuals (53%), and those with higher BMI or government insurance.

Cite This Study

Lueth et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4126b95aff0620eb776https://doi.org/10.1186/s12884-026-09869-6
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Also Consider

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  1. 10827 Sleep Health Trajectories Across Pregnancy and Their Association with Adverse Pregnancy Outcomes: The Pregnancy 24/7 Cohort Study2026
  2. 21978-LB: Sleep Duration during Pregnancy and Cardiometabolic Biomarkers—A Multiracial Pregnancy Cohort2024 · 1 citations
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  4. 40224 Multidimensional Sleep Health During Pregnancy and the Postpartum Period2026
  5. 5The effect of maternal sleep quality in late pregnancy on prenatal, birth and early postnatal outcomes2024 · 5 citations