الفهرس 
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Abstract
Sleep is undoubtedly disturbed during pregnancy. The disturbances include an increase in nocturnal awakenings and greater periods of time spent awake during the night, as well as complaints of fatigue during the day. The aim of this study is to identify causes of sleep disturbance in late pregnancy, to identify types of sleep disturbance in late pregnancy, evaluate the relationship between sleep disturbance in late pregnancy and labor, evaluate the relationship between sleep disturbance in late pregnancy and fetal outcomes. Research design: A prospective descriptive study design was utilized to study the relationship between sleep disturbance in late pregnancy on labor and fetal outcomes. The study sample consist of 200 Primigravdia women attending to MCHc in third trimester with normal pregnancy. This study used structured interview questionnaire, the Pittsburgh Sleep Questionnaire, assessment sheet following delivery and newborn assessment sheet to identify their neonate’s outcomes. The result of present study there is significant difference between sleep hours and type of birth, neonate’s apgar score and neonate’s anthropometric measurements while there is no significant difference between sleep hours and the period of birth Conclusion: Sleep disturbances are prevalent among healthy nulliparous women and increase significantly during pregnancy. Sleep duration and quality of sleep can affect type of delivery, length of labor stages, as well as neonates’ Apgar score and birth weight.Recommendation: Health care providers should prescribe 8 hours of bed time during pregnancy to assure adequate sleep and should include sleep quantity and quality in prenatal assessments as potential predictors of labor duration, delivery type and fetal outcomes.