When a woman becomes pregnant, there is a vast series of physiological, vascular, and psychological changes. Among the most commonly reported changes are those involving sleep. Pregnant women report that their ability to maintain sleep and acquire continuous refreshing sleep is impaired during the perinatal period as compared to the non-pregnant period. A growing literature supports the hypothesis that disturbed sleep (which comes in many forms) during the perinatal period is associated with an increased risk of adverse maternal, delivery, and infant outcomes. Among the suggested biological pathways linking sleep and adverse outcomes are disturbances in the immune and hormonal systems. The following paper will discuss (1) the various sleep processes that are commonly disturbed during the perinatal period and the methods used to collect sleep data; (2) the evidence linking sleep to adverse outcomes; and (3) how one specific biological pathway, the immune system, likely mediates these associations. The goal of this paper is to clarify the role that sleep disturbance has during pregnancy.

中文翻译：

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睡眠紊乱和炎症调节：对怀孕健康的影响

妇女怀孕后，会发生一系列生理，血管和心理方面的变化。在最常报告的变化中，涉及睡眠的变化。孕妇报告说，与非怀孕期相比，围产期她们的维持睡眠和获得持续清爽睡眠的能力受到损害。越来越多的文献支持这一假说，即围产期睡眠不足（以多种形式出现）与不良的母亲，分娩和婴儿结局风险增加有关。暗示的与睡眠和不良结局有关的生物学途径包括免疫系统和激素系统的紊乱。下面的论文将讨论（1）围产期通常受到干扰的各种睡眠过程以及用于收集睡眠数据的方法；（2）将睡眠与不良后果联系起来的证据；（3）一种特定的生物途径，即免疫系统如何介导这些关联。本文的目的是阐明睡眠障碍在怀孕期间的作用。