scholarly journals Relationship between sleep-disordered breathing and perinatal outcome in pregnant women

2011 ◽  
Vol 25 (1) ◽  
pp. 5-12 ◽  
Author(s):  
Sachiyo MIYAGAWA ◽  
Yoko EMORI ◽  
Atsuko KAWANO ◽  
Susumu SAKURAI ◽  
Takeshi TANIGAWA
PLoS ONE ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. e0229568 ◽  
Author(s):  
Danielle L. Wilson ◽  
Mark E. Howard ◽  
Alison M. Fung ◽  
Fergal J. O’Donoghue ◽  
Maree Barnes ◽  
...  

2017 ◽  
Vol 40 ◽  
pp. e47
Author(s):  
C. Carvalho ◽  
C. Santos ◽  
A. Vieira ◽  
D. Guelho ◽  
T. Pereira ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Avivit Brener ◽  
Yael Lebenthal ◽  
Sigal Levy ◽  
Galit Levi Dunietz ◽  
Orna Sever ◽  
...  

Abstract Background The intrauterine environment affects growth and adiposity acquisition from the fetal period until adulthood. Mild sleep disordered breathing (SDB) during pregnancy is a common underdiagnosed medical condition in healthy women. We aimed to investigate the interaction between maternal isolated SDB during the third trimester of pregnancy and the offspring’s growth and adiposity during the first three years of life. Methods Healthy pregnant women in the third trimester of an uncomplicated singleton pregnancy who were followed at the low-risk obstetric surveillance clinic of our hospital were recruited between 4/2013 and 5/2016. They were followed from enrollment until their offspring was three years old. During their third trimester of pregnancy, they underwent an ambulatory overnight sleep study by means of a validated sleep technology [SDB defined as apnea hypopnea index (AHI) ≥5]. Fasting blood samples were drawn on the following morning for glucose, insulin, HbA1c, lipid profile and C-reactive protein (CRP) levels. The offspring’s growth (length, weight and head circumference) and adiposity (subscapular and triceps skinfolds) parameters were measured at birth, 1 and 4 months, and 1, 2, and 3 years of age. Growth parameters were presented as standard deviation scores using the CDC growth charts. A general linear model was used to evaluate the interaction between maternal SDB and her offspring’s growth and adiposity measurements, after controlling for gestational week at delivery and maternal and paternal body mass index (BMI). Results Fourteen of 58 women (24.1%) were diagnosed with SDB (AHI range 5.3–14.7). They had a significantly higher mean BMI during the third trimester of pregnancy (30.1 ± 3.9 vs 27.2 ± 3.5, P = 0.011), elevated CRP levels, and decreased HDL-cholesterol levels (6.39 ± 2.29 mg/L vs 4.28 ± 2.15 mg/L, P = 0.003 and 67 ± 14 mg/dl vs 82 ± 19 mg/dl, P = 0.009, respectively) compared to women with normal sleep study results. Offspring of mothers with SDB had a smaller mean head circumference SDS at birth (-0.95 ± 0.70 vs -0.30 ± 0.71, P = 0.004), with a distinctive pattern of catchup growth by the end of the first year of life (P = 0.018). They also had increased mean adiposity at birth measured by triceps and subscapular skinfolds (6.8 ± 1.8 mm vs 5.4 ± 1.2 mm, P =0.002 and 5.8 ± 1.3 mm vs 5.0 ± 1.0 mm, P =0.019, respectively), with a distinctive pattern of increased triceps thickness at age 3 years (P = 0.001). There was no significant difference in offspring length or weight between groups. Conclusions Our findings suggest that isolated maternal SDB during pregnancy affected longitudinal head circumference growth and adiposity acquisition in the fetus and during the first three years of life.


2014 ◽  
Vol 15 (5) ◽  
pp. 550-555 ◽  
Author(s):  
Ghada Bourjeily ◽  
Jennifer Y. Fung ◽  
Katherine M. Sharkey ◽  
Palak Walia ◽  
Mary Kao ◽  
...  

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A323-A323
Author(s):  
A Morioka ◽  
y Asaka

Abstract Introduction Snoring is one of the symptoms of sleep-disordered breathing. Sleep-disordered breathing is associated with blood pressure in pregnant women. However, studies reporting this association have been conducted overseas, and there is a lack of research in the Japanese context, where women have different lifestyles and physical attributes. The aim of this study is to clarify the association of sleep disturbance with physical factors in pregnant Japanese women. Methods A cross-sectional study was conducted with 80 pregnant Japanese women. The assessments for statistical analysis included the Japanese versions of the Pittsburgh Sleep Quality Index (J-PSQI) and Epworth Sleepiness Scale (JESS), as well as snoring frequency, blood pressure, and body mass index (BMI) before and during pregnancy. Results Participants’ average gestational age was 26.23±7.56 weeks, and the J-PSQI and JESS scores were 5.5±2.6 and 9.7±4.2, respectively. The average neck circumference was 33.4±2.6cm, and BMI before and during pregnancy was 21.0±2.9cm and 23.1±3.1cm, respectively. Among the participants, 42.5% displayed habitual snoring. These women had significantly higher BMI and weight before and during pregnancy than those who did not snore habitually. Participants with lower diastolic blood pressure and pre-pregnancy weight had significantly higher JESS scores. Participants with thick necks (neck circumference≥33.4cm) had significantly higher BMI and weight before and during pregnancy, as well as lower J-PSQI scores, than those with thin necks. Conclusion In pregnant Japanese women, neck circumference and BMI before and during pregnancy were lower than among pregnant women from other countries. However, Japanese women displayed a greater tendency toward snoring during pregnancy compared to women from other countries. Snoring was associated with obesity before and during pregnancy. However, the results suggest that thinness of physique prior to pregnancy is a risk factor for sleep disturbance during pregnancy. Support  


2015 ◽  
Vol 19 (3) ◽  
pp. 835-840 ◽  
Author(s):  
Ghada Bourjeily ◽  
Katherine M. Sharkey ◽  
Jeffrey Mazer ◽  
Robin Moore ◽  
Susan Martin ◽  
...  

2015 ◽  
Vol 69 (1-2) ◽  
pp. 93-97
Author(s):  
I. M. Madaeva ◽  
L. I. Kolesnikova ◽  
N. V. Protopopova ◽  
N. L. Sahianova ◽  
O. N. Berdina

Aim: to evaluate the qualitative characteristics of a sleep in pregnant women in the 3rd term of the physiological pregnancy by a questionnaire survey. Materials and methods: we have demonstrated questionnaire survey data of 400 pregnant women (mean age 27,5±8,2 years) in the 3rd term of pregnancy. Questioning conducted using the scale PSQI (PITTSBURGH SLEEP QUALITY INDEX — Pittsburgh Sleep Quality Assessment Questionnaire), EPWORTH SLEEPINESS SCALE (sleepiness questionnaire Epfort’s) and screening questionnaire to identify obstructive sleep apnea. Results: we have determined that 78% of pregnant women to complain about sleep disorders, namely obstructive sleep disordered breathing, insomnia, «restless legs» syndrome, and combinations thereof. The frequency of sleep disorders increases as pregnancy progresses. Obstructive sleep disordered breathing increases with 10,12% in the 1st term to 31,7% in the 3rd term, insomnia — from 14,3% in the 1st term to 37,6% in the 3rd term. In pregnancy increases of sleep latency (from 14,3 to 44,9 minutes), and reduced the duration of a sleep (from 8,7 to 7,8 hours). Conclusions: high frequency of sleep disorders in pregnancy requires early pathogenetic prevention of pathological conditions, both in the mother and in the fetus. 


Author(s):  
Janet A. DiPietro ◽  
Heather Watson ◽  
Radhika S. Raghunathan ◽  
Janice L. Henderson ◽  
Francis P. Sgambati ◽  
...  

SLEEP ◽  
2011 ◽  
Vol 34 (8) ◽  
pp. 1033-1038 ◽  
Author(s):  
John Reid ◽  
Robert Skomro ◽  
David Cotton ◽  
Heather Ward ◽  
Femi Olatunbosun ◽  
...  

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