{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:52:45Z","timestamp":1791179565180,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The present study aimed to identify sleep problems during pregnancy, evaluate coping strategies, and examine the influence of individual factors on these issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective, descriptive and cross\u2010sectional study was conducted between July 1, 2024, and February 28, 2025, at the Obstetrics and Gynecology Outpatient Clinic of Sivas Numune Hospital with a sample of 576 pregnant women. Data were collected through face\u2010to\u2010face interviews using the personal \u0131nformation form, The Sleep Problems Scale for Pregnant Women, and The Coping with Sleep Problems Scale for Pregnant Women. Data analysis was performed using SPSS 23.0, employing descriptive statistics and multiple linear regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The participants had a mean age of 28.63\u2009\u00b1\u20095.15\u2009years and a mean gestational age of 26.38\u2009\u00b1\u20099.37\u2009weeks. The average sleep problem score was 61.00\u2009\u00b1\u200910.52, while the mean coping strategy score was 54.48\u2009\u00b1\u20097.03. The most frequently reported sleep issues were related to physical symptoms and disrupted sleep patterns. The most commonly used coping strategy was \u201cestablishing sleep habits.\u201d According to the regression analysis, employment status, income level, number of pregnancies, smoking status, caffeine consumption, use of a light source while sleeping, difficulty sleeping with a different bed or pillow, and preferred room temperature had a significant effect on both sleep problems during pregnancy and the coping strategies used (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001;\n                      <jats:italic>f1<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20091.348,\n                      <jats:italic>f2<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.724). The model explained 57.4% of the variance in sleep problems and 42.0% in coping strategies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sleep problems are prevalent during pregnancy and are significantly associated with personal and lifestyle factors. It is recommended that nurses regularly assess sleep quality in pregnant women and provide individualized interventions to promote better sleep health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70483","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T05:06:21Z","timestamp":1755839181000},"page":"1063-1070","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Identification of sleep problems during pregnancy, coping strategies, and \u0131nfluencing factors: A cross\u2010sectional study"],"prefix":"10.1002","volume":"172","author":[{"given":"Nermin","family":"Altunba\u015f","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Department of Nursing Sivas Cumhuriyet University  Sivas Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"2157","volume-title":"Fundamentals of Nursing","author":"Stockert PA","year":"2017"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/NSS.S163071"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.17827\/aktd.346010"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.38136\/jgon.783541"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/CPM.0000000000000263"},{"key":"e_1_2_9_7_1","first-page":"355","volume-title":"Ruh sa\u011fl\u0131\u011f\u0131 ve hastal\u0131klar\u0131nda temel hem\u015firelik bak\u0131m\u0131","author":"Arabac\u0131 LB","year":"2020"},{"key":"e_1_2_9_8_1","first-page":"123","volume-title":"Gebelikte ve do\u011fum sonras\u0131 d\u00f6nemde ruhsal bozukluklar\u0131n sa\u011falt\u0131m k\u0131lavuzu","author":"Demet MM","year":"2021"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-24288-2.00156-2"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.4274\/tjod.galenos.2019.88899"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2019.4491"},{"key":"e_1_2_9_12_1","first-page":"1","article-title":"Gebelik s\u00fcrecinin uyku kalitesine etkisi","volume":"59","author":"K\u00f6yba\u015f\u0131 E\u015e","year":"2017","journal-title":"Gulhane Tip Derg"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-444-64240-0.00010-6"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2021.101436"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1711727"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.00000000000000770"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.13207"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15592"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2019.09.026"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.22312\/sdusbed.490651"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.18229\/kocatepetip.344658"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2019.101249"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.46483\/deuhfed.769794"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.buildenv.2018.01.020"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-16655-y"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-023-06089-0"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1746200"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/4295761"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20240180"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-056564"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.46483\/deuhfed.1012209"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2020.1851230"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijtm3010004"}],"container-title":["International Journal of Gynecology &amp; 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