{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T06:03:51Z","timestamp":1783577031185,"version":"3.55.0"},"reference-count":71,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T00:00:00Z","timestamp":1746316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T00:00:00Z","timestamp":1746316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"DOI":"10.1038\/s41598-025-00288-9","type":"journal-article","created":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T21:34:34Z","timestamp":1746394474000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Pregnant women\u2019s sleep quality and its associated factors among antenatal care attendants in Bahir Dar City, Northwest Ethiopia"],"prefix":"10.1038","volume":"15","author":[{"given":"Samuel","family":"Awlachew","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assefa","family":"Desalew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usmael","family":"Jibro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abera Kenay","family":"Tura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,4]]},"reference":[{"issue":"1","key":"288_CR1","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/j.yfpn.2022.11.012","volume":"5","author":"A Sheehan","year":"2023","unstructured":"Sheehan, A. The importance of sleep for normal growth and development. Adv. Family Pract. Nurs. 5(1), 193\u2013205 (2023).","journal-title":"Adv. Family Pract. Nurs."},{"issue":"5","key":"288_CR2","doi-asserted-by":"publisher","first-page":"1158","DOI":"10.18203\/2349-3933.ijam20183821","volume":"5","author":"L Venugopal","year":"2018","unstructured":"Venugopal, L., Rajendran, P. & VP, A. A study on rate pressure product in South Indian pregnant women with anaemia. Int. J. Adv. Med. 5(5), 1158 (2018).","journal-title":"Int. J. Adv. Med."},{"issue":"1","key":"288_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.anr.2020.01.003","volume":"14","author":"SY Yang","year":"2020","unstructured":"Yang, S. Y. et al. Effects of exercise on sleep quality in pregnant women: A systematic review and meta-analysis of randomized controlled trials. Asian Nurs. Res. 14(1), 1\u201310 (2020).","journal-title":"Asian Nurs. Res."},{"issue":"11","key":"288_CR4","first-page":"e6183","volume":"11","author":"LJ Silva-Perez","year":"2019","unstructured":"Silva-Perez, L. J. et al. Socioeconomic status in pregnant women and sleep quality during pregnancy. Cureus 11(11), e6183 (2019).","journal-title":"Cureus"},{"issue":"2","key":"288_CR5","doi-asserted-by":"publisher","first-page":"235","DOI":"10.5664\/jcsm.7624","volume":"15","author":"C Stepnowsky","year":"2019","unstructured":"Stepnowsky, C. et al. Comorbidities, health-Related quality of life, and work productivity among people with obstructive sleep apnea with excessive sleepiness: Findings from the 2016 US National health and wellness survey. J. Clin. Sleep. Med. 15(2), 235\u2013243 (2019).","journal-title":"J. Clin. Sleep. Med."},{"issue":"8","key":"288_CR6","doi-asserted-by":"publisher","first-page":"2666","DOI":"10.1111\/jog.14872","volume":"47","author":"S \u00c7olak","year":"2021","unstructured":"\u00c7olak, S. et al. The level of depression, anxiety, and sleep quality in pregnancy during coronavirus disease 2019 pandemic. J. Obstet. Gynaecol. Res. 47(8), 2666\u20132676 (2021).","journal-title":"J. Obstet. Gynaecol. Res."},{"issue":"3","key":"288_CR7","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1016\/j.jsmc.2006.06.006","volume":"1","author":"EO Johnson","year":"2006","unstructured":"Johnson, E. O. Epidemiology of insomnia: From adolescence to old age. Sleep Med. Clin. 1(3), 305\u2013317 (2006).","journal-title":"Sleep Med. Clin."},{"issue":"1","key":"288_CR8","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.ajog.2013.11.020","volume":"210","author":"R Romero","year":"2014","unstructured":"Romero, R. & Badr, M. S. A role for sleep disorders in pregnancy complications: Challenges and opportunities. Am. J. Obstet. Gynecol. 210(1), 3\u201311 (2014).","journal-title":"Am. J. Obstet. Gynecol."},{"key":"288_CR9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/JPN.0000000000000149","volume":"30","author":"H Sut","year":"2016","unstructured":"Sut, H., A\u015fci, \u00d6. & Topac, N. Sleep quality and Health-Related quality of life in pregnancy. J. Perinat. Neonatal Nurs. 30, 1 (2016).","journal-title":"J. Perinat. Neonatal Nurs."},{"issue":"3","key":"288_CR10","doi-asserted-by":"publisher","first-page":"232","DOI":"10.5935\/1984-0063.20190098","volume":"12","author":"R Silvestri","year":"2019","unstructured":"Silvestri, R. & Aric\u00f2, I. Sleep disorders in pregnancy. Sleep. Sci. 12(3), 232\u2013239 (2019).","journal-title":"Sleep. Sci."},{"issue":"3","key":"288_CR11","doi-asserted-by":"publisher","first-page":"183","DOI":"10.3390\/jpm11030183","volume":"11","author":"D Ramiro-Cortijo","year":"2021","unstructured":"Ramiro-Cortijo, D. et al. Maternal psychological and biological factors associated to gestational complications. J. Personalized Med. 11(3), 183 (2021).","journal-title":"J. Personalized Med."},{"key":"288_CR12","doi-asserted-by":"publisher","first-page":"93433","DOI":"10.1109\/ACCESS.2019.2927781","volume":"7","author":"I Azimi","year":"2019","unstructured":"Azimi, I. et al. Personalized maternal sleep quality assessment: An objective iot-based longitudinal study. IEEE Access. 7, 93433\u201393447 (2019).","journal-title":"IEEE Access."},{"key":"288_CR13","doi-asserted-by":"publisher","first-page":"103966","DOI":"10.1016\/j.ijnurstu.2021.103966","volume":"120","author":"SY Tsai","year":"2021","unstructured":"Tsai, S. Y. et al. Objective sleep efficiency but not subjective sleep quality is associated with longitudinal risk of depression in pregnant women: A prospective observational cohort study. Int. J. Nurs. Stud. 120, 103966 (2021).","journal-title":"Int. J. Nurs. Stud."},{"issue":"2","key":"288_CR14","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1111\/aogs.13056","volume":"96","author":"P Polo-Kantola","year":"2017","unstructured":"Polo-Kantola, P. et al. Sleep quality during pregnancy: Associations with depressive and anxiety symptoms. Acta Obstet. Gynecol. Scand. 96(2), 198\u2013206 (2017).","journal-title":"Acta Obstet. Gynecol. Scand."},{"issue":"4","key":"288_CR15","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1016\/j.sleep.2014.12.006","volume":"16","author":"JA Mindell","year":"2015","unstructured":"Mindell, J. A., Cook, R. A. & Nikolovski, J. Sleep patterns and sleep disturbances across pregnancy. Sleep Med. 16(4), 483\u2013488 (2015).","journal-title":"Sleep Med."},{"issue":"3","key":"288_CR16","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1016\/j.ccm.2014.06.012","volume":"35","author":"D Oyiengo","year":"2014","unstructured":"Oyiengo, D. et al. Sleep disorders in pregnancy. Clin. Chest Med. 35(3), 571\u2013587 (2014).","journal-title":"Clin. Chest Med."},{"issue":"4","key":"288_CR17","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1093\/sleep\/34.4.519","volume":"34","author":"S Deurveilher","year":"2011","unstructured":"Deurveilher, S., Rusak, B. & Semba, K. Female reproductive hormones alter sleep architecture in ovariectomized rats. Sleep 34(4), 519\u2013530 (2011).","journal-title":"Sleep"},{"issue":"12","key":"288_CR18","first-page":"1349","volume":"9","author":"A Haney","year":"2013","unstructured":"Haney, A., Buysse, D. J. & Okun, M. Sleep and pregnancy-induced hypertension: A possible target for intervention? J. Clin. Sleep. Medicine: JCSM : Official Publication Am. Acad. Sleep. Med. 9(12), 1349\u20131356 (2013).","journal-title":"J. Clin. Sleep. Medicine: JCSM : Official Publication Am. Acad. Sleep. Med."},{"issue":"6","key":"288_CR19","doi-asserted-by":"publisher","first-page":"593","DOI":"10.5664\/jcsm.4760","volume":"11","author":"CH Won","year":"2015","unstructured":"Won, C. H. Sleeping for two: The great paradox of sleep in pregnancy. J. Clin. Sleep. Med. 11(6), 593\u2013594 (2015).","journal-title":"J. Clin. Sleep. Med."},{"issue":"2","key":"288_CR20","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1111\/birt.12215","volume":"43","author":"SY Tsai","year":"2016","unstructured":"Tsai, S. Y. et al. Sleep disturbances and symptoms of depression and daytime sleepiness in pregnant women. Birth 43(2), 176\u2013183 (2016).","journal-title":"Birth"},{"issue":"2","key":"288_CR21","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.smrv.2009.05.001","volume":"14","author":"JJ Chang","year":"2010","unstructured":"Chang, J. J. et al. Sleep deprivation during pregnancy and maternal and fetal outcomes: Is there a relationship? Sleep. Med. Rev. 14(2), 107\u2013114 (2010).","journal-title":"Sleep. Med. Rev."},{"issue":"1","key":"288_CR22","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1183\/20734735.0343-2018","volume":"15","author":"A Perkins","year":"2019","unstructured":"Perkins, A. & Einion, A. Pregnant pause: Should we screen for sleep disordered breathing in pregnancy? Breathe 15(1), 36\u201344 (2019).","journal-title":"Breathe"},{"key":"288_CR23","unstructured":"Ahmed, N. et al. Prevalence of Sleep Disturbances During Pregnancy -A Pilot Study. 2: p. 019. (2019)."},{"issue":"1","key":"288_CR24","doi-asserted-by":"publisher","first-page":"41","DOI":"10.5664\/jcsm.27391","volume":"5","author":"ML Okun","year":"2009","unstructured":"Okun, M. L. et al. Psychometric evaluation of the insomnia symptom questionnaire: A self-report measure to identify chronic insomnia. J. Clin. Sleep. Med. 5(1), 41\u201351 (2009).","journal-title":"J. Clin. Sleep. Med."},{"issue":"2","key":"288_CR25","first-page":"220004","volume":"18","author":"PF Wong","year":"2022","unstructured":"Wong, P. F., D\u2019Cruz, R. & Hare, A. Sleep. Disorders Pregnancy Breathe, 18(2): 220004. (2022).","journal-title":"Sleep. Disorders Pregnancy Breathe"},{"key":"288_CR26","doi-asserted-by":"publisher","first-page":"161","DOI":"10.3389\/fpsyt.2020.00161","volume":"11","author":"Y Yang","year":"2020","unstructured":"Yang, Y. et al. Prevalence of poor sleep quality in perinatal and postnatal women: A comprehensive meta-analysis of observational studies. Front. Psychiatry 11, 161 (2020).","journal-title":"Front. Psychiatry"},{"key":"288_CR27","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.sleep.2020.12.040","volume":"79","author":"M Du","year":"2021","unstructured":"Du, M. et al. Maternal sleep quality during early pregnancy, risk factors and its impact on pregnancy outcomes: A prospective cohort study. Sleep Med. 79, 11\u201318 (2021).","journal-title":"Sleep Med."},{"key":"288_CR28","doi-asserted-by":"publisher","first-page":"101436","DOI":"10.1016\/j.smrv.2021.101436","volume":"58","author":"Q Lu","year":"2021","unstructured":"Lu, Q. et al. Sleep disturbances during pregnancy and adverse maternal and fetal outcomes: A systematic review and meta-analysis. Sleep. Med. Rev. 58, 101436 (2021).","journal-title":"Sleep. Med. Rev."},{"issue":"7","key":"288_CR29","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1080\/07420528.2021.1902338","volume":"38","author":"AN Teoh","year":"2021","unstructured":"Teoh, A. N. et al. Psychological state during pregnancy is associated with sleep quality: Preliminary findings from MY-CARE cohort study. Chronobiol Int. 38(7), 959\u2013970 (2021).","journal-title":"Chronobiol Int."},{"issue":"23","key":"288_CR30","doi-asserted-by":"publisher","first-page":"4534","DOI":"10.1080\/14767058.2020.1854718","volume":"35","author":"C Baglioni","year":"2022","unstructured":"Baglioni, C. et al. Insomnia and poor sleep quality during peripartum: A family issue with potential long term consequences on mental health. J. Matern Fetal Neonatal Med. 35(23), 4534\u20134542 (2022).","journal-title":"J. Matern Fetal Neonatal Med."},{"issue":"2","key":"288_CR31","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1097\/AOG.0000000000004866","volume":"140","author":"FL Facco","year":"2022","unstructured":"Facco, F. L., Chan, M. & Patel, S. R. Common sleep disorders in pregnancy. Obstet. Gynecol. 140(2), 321\u2013339 (2022).","journal-title":"Obstet. Gynecol."},{"issue":"1","key":"288_CR32","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1186\/s12884-024-06830-3","volume":"24","author":"E Mislu","year":"2024","unstructured":"Mislu, E. et al. Sleep quality disparities in different pregnancy trimesters in low- and middle-income countries: A systematic review and meta-analysis. BMC Pregnancy Childbirth. 24(1), 627 (2024).","journal-title":"BMC Pregnancy Childbirth"},{"issue":"5","key":"288_CR33","doi-asserted-by":"publisher","first-page":"e0250985","DOI":"10.1371\/journal.pone.0250985","volume":"16","author":"T Jemere","year":"2021","unstructured":"Jemere, T. et al. Poor sleep quality and its associated factors among pregnant women in Northern Ethiopia, 2020: A cross sectional study. PLoS One. 16(5), e0250985 (2021).","journal-title":"PLoS One"},{"issue":"2","key":"288_CR34","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","volume":"28","author":"DJ Buysse","year":"1989","unstructured":"Buysse, D. J. et al. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res. 28(2), 193\u2013213 (1989).","journal-title":"Psychiatry Res."},{"issue":"1","key":"288_CR35","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1186\/s12888-021-03483-w","volume":"21","author":"T Anbesaw","year":"2021","unstructured":"Anbesaw, T. et al. Sleep quality and associated factors among pregnant women attending antenatal care at Jimma medical center, Jimma, Southwest Ethiopia, 2020: Cross-sectional study. BMC Psychiatry. 21(1), 469 (2021).","journal-title":"BMC Psychiatry"},{"key":"288_CR36","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1016\/B978-0-444-64240-0.00010-6","volume":"172","author":"R Gupta","year":"2020","unstructured":"Gupta, R. & Rawat, V. S. Sleep and sleep disorders in pregnancy. Handb. Clin. Neurol. 172, 169\u2013186 (2020).","journal-title":"Handb. Clin. Neurol."},{"issue":"2","key":"288_CR37","doi-asserted-by":"publisher","first-page":"e13458","DOI":"10.1111\/apha.13458","volume":"229","author":"EC Johns","year":"2020","unstructured":"Johns, E. C., Denison, F. C. & Reynolds, R. M. Sleep disordered breathing in pregnancy: A review of the pathophysiology of adverse pregnancy outcomes. Acta Physiol. 229(2), e13458 (2020).","journal-title":"Acta Physiol."},{"issue":"2","key":"288_CR38","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1080\/13548506.2018.1549738","volume":"25","author":"H Zhou","year":"2020","unstructured":"Zhou, H., Li, W. & Ren, Y. Poor sleep quality of third trimester exacerbates the risk of experiencing postnatal depression. Psychol. Health Med. 25(2), 229\u2013238 (2020).","journal-title":"Psychol. Health Med."},{"key":"288_CR39","doi-asserted-by":"publisher","first-page":"811","DOI":"10.2147\/NSS.S303763","volume":"13","author":"H Zhang","year":"2021","unstructured":"Zhang, H. et al. Prevalence of and risk factors for poor sleep during different trimesters of pregnancy among women in China: A Cross-Sectional study. Nat. Sci. Sleep. 13, 811\u2013820 (2021).","journal-title":"Nat. Sci. Sleep."},{"key":"288_CR40","unstructured":"Choquez-Millan, L. & Soto, A. Sleep Quality and Perinatal Depression in Pregnant Women Treated in a Primary Care Centre in Lima, Peru (Rev Colomb Psiquiatr (Engl Ed), 2021)."},{"issue":"1","key":"288_CR41","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/s41606-022-00076-8","volume":"6","author":"JT Tasisa","year":"2022","unstructured":"Tasisa, J. T. et al. Poor sleep quality and associated factors among pregnant women on antenatal care follow up at Nekemte referral hospital and Wollega university hospital, Nekemte, Ethiopia, 2019: A cross-sectional study. Sleep. Sci. Pract. 6(1), 7 (2022).","journal-title":"Sleep. Sci. Pract."},{"issue":"6","key":"288_CR42","doi-asserted-by":"publisher","first-page":"238","DOI":"10.11648\/j.ajhr.20210906.14","volume":"9","author":"A Dule","year":"2021","unstructured":"Dule, A. et al. Sleep quality among pregnant women amidst COVID-19: Association with mental wellbeing and Self-efficacy. Am. J. Health Res. 9(6), 238\u2013245 (2021).","journal-title":"Am. J. Health Res."},{"issue":"4","key":"288_CR43","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1016\/j.sleh.2019.03.005","volume":"5","author":"LM Christian","year":"2019","unstructured":"Christian, L. M. et al. Sleep quality across pregnancy and postpartum: Effects of parity and race. Sleep. Health. 5(4), 327\u2013334 (2019).","journal-title":"Sleep. Health"},{"issue":"3","key":"288_CR44","first-page":"359","volume":"16","author":"A Ghante","year":"2021","unstructured":"Ghante, A. et al. Prevalence and predictors of sleep deprivation and poor sleep quality and their associated perinatal outcomes during the third trimester of pregnancy. J. Taibah Univ. Med. Sci. 16(3), 359\u2013364 (2021).","journal-title":"J. Taibah Univ. Med. Sci."},{"issue":"4","key":"288_CR45","doi-asserted-by":"publisher","first-page":"360","DOI":"10.33160\/yam.2020.11.016","volume":"63","author":"S Alan","year":"2020","unstructured":"Alan, S. et al. The effects of COVID-19 pandemic on pregnant women: Perceived stress, social support and sleep quality. Yonago Acta Med. 63(4), 360\u2013367 (2020).","journal-title":"Yonago Acta Med."},{"key":"288_CR46","doi-asserted-by":"publisher","first-page":"841097","DOI":"10.3389\/fpsyt.2022.841097","volume":"13","author":"NS Amare","year":"2022","unstructured":"Amare, N. S., Chekol, B. & Aemro, A. Determinants of poor sleep quality during the COVID-19 pandemic among women attending antenatal care services at the health facilities of Debre Berhan town, Ethiopia: An Institutional-Based Cross-Sectional study. Front. Psychiatry 13, 841097 (2022).","journal-title":"Front. Psychiatry"},{"issue":"1","key":"288_CR47","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1186\/s12888-022-04209-2","volume":"22","author":"G Legas","year":"2022","unstructured":"Legas, G. et al. Poor sleep quality and associated factors among HIV-positive pregnant women in Northwest, Ethiopia: A facility-based, cross-sectional study. BMC Psychiatry. 22(1), 559 (2022).","journal-title":"BMC Psychiatry"},{"issue":"9","key":"288_CR48","doi-asserted-by":"publisher","first-page":"e056564","DOI":"10.1136\/bmjopen-2021-056564","volume":"12","author":"GM Takelle","year":"2022","unstructured":"Takelle, G. M., Muluneh, N. Y. & Biresaw, M. S. Sleep quality and associated factors among pregnant women attending antenatal care unit at Gondar, Ethiopia: A cross-sectional study. BMJ Open. 12(9), e056564 (2022).","journal-title":"BMJ Open."},{"issue":"5","key":"288_CR49","doi-asserted-by":"publisher","first-page":"535","DOI":"10.3109\/14767058.2011.600370","volume":"25","author":"N Zafarghandi","year":"2012","unstructured":"Zafarghandi, N. et al. The effects of sleep quality and duration in late pregnancy on labor and fetal outcome. J. Maternal-Fetal Neonatal Med. 25(5), 535\u2013537 (2012).","journal-title":"J. Maternal-Fetal Neonatal Med."},{"issue":"1","key":"288_CR50","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1097\/AOG.0b013e3181c4f8ec","volume":"115","author":"FL Facco","year":"2010","unstructured":"Facco, F. L. et al. Sleep disturbances in pregnancy. Obstet. Gynecol. 115(1), 77\u201383 (2010).","journal-title":"Obstet. Gynecol."},{"key":"288_CR51","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1016\/j.jad.2016.11.020","volume":"209","author":"B Gelaye","year":"2017","unstructured":"Gelaye, B. et al. Poor sleep quality, antepartum depression and suicidal ideation among pregnant women. J. Affect. Disord. 209, 195\u2013200 (2017).","journal-title":"J. Affect. Disord."},{"issue":"1","key":"288_CR52","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12888-022-03839-w","volume":"22","author":"MMA Shaun","year":"2022","unstructured":"Shaun, M. M. A. et al. Association between depressive symptoms and poor sleep quality among pregnant women in Northern rural Bangladesh: A community-based cross-sectional study. BMC Psychiatry. 22(1), 1\u201310 (2022).","journal-title":"BMC Psychiatry"},{"key":"288_CR53","doi-asserted-by":"publisher","first-page":"16","DOI":"10.4236\/ijcm.2019.101003","volume":"10","author":"N Huong","year":"2019","unstructured":"Huong, N., Thuy, N. & Yen, L. Quality of sleep among pregnant women. Int. J. Clin. Med. 10, 16\u201325 (2019).","journal-title":"Int. J. Clin. Med."},{"issue":"2","key":"288_CR54","first-page":"87","volume":"7","author":"E Rezaei","year":"2013","unstructured":"Rezaei, E., Moghadam, Z. B. & Saraylu, K. Quality of life in pregnant women with sleep disorder. J. Family Reprod. Health. 7(2), 87\u201393 (2013).","journal-title":"J. Family Reprod. Health"},{"issue":"3","key":"288_CR55","doi-asserted-by":"publisher","first-page":"181","DOI":"10.5505\/tjod.2011.14880","volume":"8","author":"N Taskiran","year":"2011","unstructured":"Taskiran, N. Pregnancy and sleep quality. J. Turkish Soc. Obstet. Gynecol. 8(3), 181\u2013187 (2011).","journal-title":"J. Turkish Soc. Obstet. Gynecol."},{"issue":"22","key":"288_CR56","doi-asserted-by":"publisher","first-page":"2980","DOI":"10.1080\/14767058.2017.1359831","volume":"31","author":"Y Yang","year":"2018","unstructured":"Yang, Y. et al. Determinants of sleep quality among pregnant women in China: A cross-sectional survey. J. Maternal-Fetal Neonatal Med. 31(22), 2980\u20132985 (2018).","journal-title":"J. Maternal-Fetal Neonatal Med."},{"issue":"1","key":"288_CR57","first-page":"17","volume":"25","author":"JY Choi","year":"2019","unstructured":"Choi, J. Y. et al. Factors influencing the quality of sleep in Korean adults by age groups. J. East-West Nurs. Res. 25(1), 17\u201325 (2019).","journal-title":"J. East-West Nurs. Res."},{"issue":"3","key":"288_CR58","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1007\/s11920-019-0999-y","volume":"21","author":"LM Christian","year":"2019","unstructured":"Christian, L. M. et al. Maternal sleep in pregnancy and postpartum part I: Mental, physical, and interpersonal consequences. Curr. Psychiatry Rep. 21(3), 20 (2019).","journal-title":"Curr. Psychiatry Rep."},{"issue":"5","key":"288_CR59","first-page":"508","volume":"19","author":"E Rezaei","year":"2014","unstructured":"Rezaei, E. et al. The impact of sleep healthy behavior education on the quality of life in the pregnant women with sleep disorder: A randomized control trial in the year 2012. Iran. J. Nurs. Midwifery Res. 19(5), 508\u2013516 (2014).","journal-title":"Iran. J. Nurs. Midwifery Res."},{"key":"288_CR60","doi-asserted-by":"publisher","first-page":"467","DOI":"10.2147\/NSS.S297964","volume":"13","author":"W Kim","year":"2021","unstructured":"Kim, W., Ju, Y. J. & Lee, S. Y. Association between recent experience of childbirth and sleep quality in South Korean women: Results from a nationwide study. Nat. Sci. Sleep. 13, 467\u2013475 (2021).","journal-title":"Nat. Sci. Sleep."},{"issue":"1","key":"288_CR61","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1186\/s40001-022-00848-z","volume":"27","author":"YM Cai","year":"2022","unstructured":"Cai, Y. M. et al. Study on the sleep quality of women pregnant with a second child and the influencing factors. Eur. J. Med. Res. 27(1), 207 (2022).","journal-title":"Eur. J. Med. Res."},{"issue":"1","key":"288_CR62","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1186\/s12884-019-2583-1","volume":"19","author":"M Gao","year":"2019","unstructured":"Gao, M. et al. Association of sleep quality during pregnancy with stress and depression: A prospective birth cohort study in China. BMC Pregnancy Childbirth 19(1), 444 (2019).","journal-title":"BMC Pregnancy Childbirth"},{"issue":"2","key":"288_CR63","doi-asserted-by":"publisher","first-page":"621","DOI":"10.4314\/ahs.v15i2.40","volume":"15","author":"S Murat","year":"2015","unstructured":"Murat, S. et al. Assessment of subjective sleep quality in iron deficiency anaemia. Afr. Health Sci. 15(2), 621\u2013627 (2015).","journal-title":"Afr. Health Sci."},{"issue":"1","key":"288_CR64","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1186\/s12888-020-02621-0","volume":"20","author":"HS Lee","year":"2020","unstructured":"Lee, H. S. et al. Psychiatric disorders risk in patients with iron deficiency anemia and association with iron supplementation medications: A nationwide database analysis. BMC Psychiatry. 20(1), 216 (2020).","journal-title":"BMC Psychiatry"},{"issue":"41","key":"288_CR65","doi-asserted-by":"publisher","first-page":"10577","DOI":"10.1523\/JNEUROSCI.1767-06.2006","volume":"26","author":"K Dzirasa","year":"2006","unstructured":"Dzirasa, K. et al. Dopaminergic control of sleep-wake States. J. Neurosci. 26(41), 10577\u201310589 (2006).","journal-title":"J. Neurosci."},{"issue":"7","key":"288_CR66","first-page":"788","volume":"26","author":"GL Keating","year":"2003","unstructured":"Keating, G. L. & Rye, D. B. Where you least expect it: Dopamine in the Pons and modulation of sleep and REM-sleep. Sleep 26(7), 788\u2013789 (2003).","journal-title":"Sleep"},{"issue":"11","key":"288_CR67","doi-asserted-by":"publisher","first-page":"1101","DOI":"10.1016\/j.jnutbio.2014.07.003","volume":"25","author":"J Kim","year":"2014","unstructured":"Kim, J. & Wessling-Resnick, M. Iron and mechanisms of emotional behavior. J. Nutr. Biochem. 25(11), 1101\u20131107 (2014).","journal-title":"J. Nutr. Biochem."},{"issue":"7","key":"288_CR68","first-page":"459","volume":"3","author":"SC Yucel","year":"2012","unstructured":"Yucel, S. C. et al. Sleep quality and related factors in pregnant women. J. Med. Med. Sci. 3(7), 459\u2013463 (2012).","journal-title":"J. Med. Med. Sci."},{"key":"288_CR69","doi-asserted-by":"publisher","first-page":"263","DOI":"10.2147\/RMHP.S156404","volume":"11","author":"F O\u2019Callaghan","year":"2018","unstructured":"O\u2019Callaghan, F., Muurlink, O. & Reid, N. Effects of caffeine on sleep quality and daytime functioning. Risk Manag Healthc. Policy. 11, 263\u2013271 (2018).","journal-title":"Risk Manag Healthc. Policy"},{"issue":"4","key":"288_CR70","doi-asserted-by":"publisher","first-page":"e13597","DOI":"10.1111\/jsr.13597","volume":"31","author":"CF Reichert","year":"2022","unstructured":"Reichert, C. F., Deboer, T. & Landolt, H. P. Adenosine, caffeine, and sleep\u2013wake regulation: State of the science and perspectives. J. Sleep Res. 31(4), e13597 (2022).","journal-title":"J. Sleep Res."},{"key":"288_CR71","doi-asserted-by":"crossref","unstructured":"Sejbuk, M., Miro\u0144czuk-Chodakowska, I. & Witkowska, A. M. Sleep quality: A narrative review on nutrition, stimulants, and physical activity as important factors. Nutrients 14(9).(2022).","DOI":"10.3390\/nu14091912"}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-00288-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-00288-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-00288-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T23:03:40Z","timestamp":1746399820000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-00288-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,4]]},"references-count":71,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["288"],"URL":"https:\/\/doi.org\/10.1038\/s41598-025-00288-9","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,4]]},"assertion":[{"value":"4 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"This study was conducted in accordance with the declaration of Helsinki. The study was ethically cleared and approved by the Ethical Review Committee of the Haramaya University College of Health and Medical Science (Ref. No: IHRERC\/198\/2022). Following approval, an official written letter of cooperation was given to the administrative health bureau and facilities. Written informed consent was obtained from each pregnant woman. Confidentiality was ensured throughout the process.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}}],"article-number":"15613"}}