الفهرس 
Introduction and RationaleOnly 14 pages are availabe for public view
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Abstract
This study was conducted in the outpatient clinics of Suez Canal University Hospital, Ismailia, Egypt. The study recruited 136 female participants in two groups, 68 women in the perinatal group and 68 matched controls. The final number of the control group was 67 with one participant excluded due to incomplete questionnaire response versus a final total of 64 participants in the perinatal group with 4 incomplete responses. The perinatal group included two subgroups, the pregnant group with 33 women (51.6 %) and the postnatal group with 31 women (48.4%) of total perinatal women. In this study, a woman was considered to have insomnia when she fulfills DSM-5 criteria for insomnia. Sleep quality was assessed using PSQI and SF-36 questionnaire was used for health-related quality of life.
Results of the study showed no significant differences in the sociodemographic characteristics of the study groups. The two groups were comparable regarding age, educational level, marital status, number of children, residence, economic status, smoking and occupation. The mean age of the perinatal and the control groups were 28.7 ± 5.6 years and 30.5 ± 6.03 years, respectively. The two groups had low and non-significant difference in the presence of chronic disease conditions and the regular use of medications.
In this study, there was a higher percentage of women fulfilling the criteria of insomnia in the perinatal group than in the control group, 28.1% and 10.4% respectively. The difference was statistically significant (p <0.05). The postnatal subgroup of perinatal women showed the highest frequency of insomnia (36.4%) while the in the pregnant subgroup only 19.4% met the criteria for diagnosis.
In the current study, perinatal women had poor sleep quality as compared with the control group with a higher mean global PSQI score; 8.02 ± 2.97 and 4.97 ± 2.45, respectively. The PSQI in the pregnant subgroup was 7.42 ± 0.51 while it was 8.58 ± 0.53in the postnatal subgroup. In this study, all components of the PSQI -except for the use of sleep medication- were statistically different between the perinatal and the control two groups (P<0.05).
Women’s reports of their quality of life in the perinatal group were lower than control with scores of 54.96 ± 14.63 versus 62.34 ± 14.63, respectively. There was a statistically