Implementability of a Perinatal Sleep Clinic

Document Type

Conference Proceeding

Publication Date

5-19-2025

Publication Title

Sleep

Abstract

Introduction: Sleep problems have been historically viewed as a normal feature of pregnancy, but a burgeoning literature high lights the high prevalence and morbidity of prenatal insomnia Half of pregnant women report speaking to their prenatal care provider about their sleep problems. However, care access is severely limited as most health systems do not have clearly iden tified clinics in which prenatal insomnia is managed. In 2023, Henry Ford Health (HFH) implemented the Perinatal Sleep Clinic (PSC), a telemedicine clinic co-directed by a clinical psychologist and obstetrician. As pregnant women with sleep disorders are not routinely treated in the HFH sleep clinic or behavioral health clinic, the PSC was intended to address an unmet patient need. The present study evaluated the implement ability of the PSC in a large health system. Methods: ~10,000 live births occur annually at HFH. The PSC launched to treat pregnant women with insomnia. We reviewed electronic medical records to describe patient throughput from January 2023 through November 2024. We surveyed 53 stake holders within and outside of HFH who had roles in health system leadership and/or clinical care in the areas of obstet rics-gynecology, maternal-fetal medicine, perinatal mental health, and/or sleep medicine. Surveys included the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM). Scale scores range from 1-5 with higher scores indicating more favorable implementation ratings. Results: In 2 years, the PSC treated 110 pregnant women with insomnia. Among our surveyed stakeholders, 74.5% were employed by HFH. Stakeholders rated the PSC as highly accept able (AIM: 4.52±.67), highly appropriate (IAM: 4.61±.57), and highly feasible at HFH (FIM: 4.23±.68). Additionally, stake holders rated the clinic favorably for providing an unmet clini cal need (4.65±.52) and providing an important clinical service (4.65±.59). Most stakeholders (82.4%) indicated that the clinic should be hybrid, offering both telemedicine and in-person care options. Conclusion: As women increasingly seek help for their sleep dur ing pregnancy, clinic resources must be made available for these patients. Leadership and provider stakeholders supported the acceptability, appropriateness, and feasibility of the PSC (ide ally, as a hybrid clinic), thereby supporting its implementation in a large health system

Volume

48

Issue

Supplement 1

First Page

A565

Find It @ Sladen

Share

COinS