en Obstetrics and Gynecology Obstetrics and Gynecology پژوهشي Original Research <div style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Tahoma;"><span style="line-height:150%"><span style="unicode-bidi:embed"><span calibri=""><b><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;">Background:</span></span></span></b><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;"> </span><span style="background:yellow"><span style="background-color:#ffffff;">Even though pregnant women commonly experience poor sleep quality during pregnancy, the role of sleep quality in psychological problems is still unclear.</span></span><span style="background-color:#ffffff;"> </span><span style="background:yellow"><span style="background-color:#ffffff;">This study was carried out to determine the association between poor sleep quality in the third trimester of pregnancy and the psychological distress</span></span></span></span><span style="background-color:#ffffff;"> </span><span style="background:yellow"><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;">among Iranian primiparous women.</span></span></span></span><span style="line-height:150%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span><br /> <span style="line-height:150%"><span style="unicode-bidi:embed"><span calibri=""><b><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;">Methods</span></span></span></b><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;">: </span><span style="background:yellow"><span style="color:black"><span style="background-color:#ffffff;">This cross-sectional study was carried out on 300 primiparous women who attended prenatal care centers in Babol, Iran, in 2019.</span></span></span><span style="color:black"><span style="background-color:#ffffff;">&nbsp; </span><span style="background:yellow"><span style="background-color:#ffffff;">The sleep quality and the psychological status of the pregnant women</span></span><span style="background-color:#ffffff;"> were measured with Pittsburg sleep quality index (PSQI) and Symptom CheckList-90 (SCL-90), respectively. </span><span style="background:yellow"><span style="background-color:#ffffff;">Bivariate and multivariable logistic regression analyses were used to examine the association(s) between independent, dependent, and control confounding variables.</span></span></span></span></span></span></span></span><br /> <span style="line-height:150%"><span style="unicode-bidi:embed"><span calibri=""><b><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;">Results</span></span></span></b><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;">: Poor sleep quality was found in 74% of the participants. Poor sleep quality was not associated with psychological distress (the total score of SCL-90-R). </span><span style="background:yellow"><span style="background-color:#ffffff;">Compared with women with good sleep quality, women with poor sleep quality were more likely to have hostility (adjusted OR = 2.51; CI = 1.13, 5.55), somatization (adjusted OR = 4.31; CI = 1.96, 9.47), and less paranoid (adjusted OR = 0.22; CI = 0.11, 0.44) during the third trimester of pregnancy.</span></span><span style="background-color:#ffffff;"> </span></span></span></span></span></span><br /> <span style="line-height:150%"><span style="unicode-bidi:embed"><span calibri=""><b><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;">Conclusions</span></span></span></b><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;">: </span><span style="background:yellow"><span style="background-color:#ffffff;">It is suggested that poor sleep quality</span></span></span></span><span style="background-color:#ffffff;"> </span><span style="background:yellow"><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;">was significantly associated with subscales of SCL-90</span></span></span></span><span style="line-height:150%"><span new="" roman="" times=""><span style="background-color:#ffffff;"> (hostility and somatization, paranoid) during the third trimester. Thus, further research on the topic is needed.</span></span></span></span></span></span></span></span></div> Sleep quality, Pregnancy, psychological distress 1 8 http://caspjrm.ir/browse.php?a_code=A-12-32-3&slc_lang=en&sid=1 Fatemeh Yahyavi Koochaksaraei 10031947532846002228 10031947532846002228 No Fatemeh Nasiri-Amiri nasiri_fa@yahoo.com 10031947532846002229 10031947532846002229 Yes Department of Midwifery, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran Mahbobeh Faramarzi 10031947532846002230 10031947532846002230 No Soraya Khafari 10031947532846002231 10031947532846002231 No Farzan Kheirkhah 10031947532846002232 10031947532846002232 No