Pnm-24: The Impact of Behavioral Health Sleep Education on The Depression of Pregnant Women with Disorders Sleep: A Randomaized Control Trial, Year 2012

Background: 79% of the pregnant women suffer from sleep disorders and 70% of pregnant women have some of the depression symptoms. These disorders are the result of physiological changes, hormonal, physical, pregnancy which occur from different causes and can affect disorders before, during and after childbirth be involved in causing depression and may be aggravated by disregarding health behavior. Health behavior education may be useful for the management of depression among pregnant women. This study aimed to evaluate the impact of behavioral health sleep education on the improvement of depression in pregnant women with sleep disorders. Materials and Methods: This study is a randomized clinical trial on 96 pregnant women with sleep disorder (according to the Pittsburgh Sleep Quality Questionnaire). Tools for data collection included demographic questionnaire and Beck's Depression Inventory Questionnaire through which sampling was done in an easy and accessible, after sampling was randomly (simple) divided into control and case groups. The case group, health behavior sleep education were presented During a four-hour session in weeks 22, 23, 24 and 25 then followed up by fill out the Beck's Depression Inventory Questionnaire in the first meeting on the one month after intervention in week 29 of pregnancy and the second follow-up session two months later at 33 weeks by the subjects. The control group received no intervention, only routine prenatal care was provided to them. The results were assessed by Chi-square tests, independent t test and Fischer by SPSS version 18. Results: A statistically significant change was reported in the depression of pregnant women with sleep disorders in the intervention group (case) in comparison to the control group [29 week (p ≤ 0.024), 33 week (p≤ 0.026)]. Conclusion: Behavioral health sleep education improves the depression in pregnant women who are experiencing insomnia. Findings from this study add support to the reported effectiveness of behavioral health sleep education in the prenatal care and clinical management of insomnia in pregnancy.