Airflow limitations in pregnant women suspected of sleep-disordered breathing

Bourjeily, Ghada; Fung, Jennifer; Sharkey, Katherine M.; Walia, Palak; Kao, Mary; Moore, Robin; Martin, Susan; Raker, Christina; Millman, Richard P.

doi:10.1016/j.sleep.2014.01.004

Cited by 41 publications

(28 citation statements)

References 21 publications

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“…Instead, witnessed apneas did not increase. This is in line with previous literature proposing that pregnant women's nocturnal breathing problems consist more often of flow limitations with subtle increases in nocturnal CO 2 levels, typical of partial upper airway obstruction, than of episodes of frank obstructive apneas . During pregnancy, several factors either protect or impair nocturnal breathing.…”

Section: Discussionsupporting

confidence: 92%

Sleep quality during pregnancy: associations with depressive and anxiety symptoms

Polo‐Kantola

Aukia

Karlsson

et al. 2016

Acta Obstet Gynecol Scand

104

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We found deterioration in sleep quality across pregnancy. However, no increase in negative daytime consequences was found, presumably indicating a compensatory capacity against sleep impairment. Additionally, depressive and anxiety symptoms and sleep disturbances were only cross-sectionally associated. Our study calls for further research on the factors that influence sleep disturbances during pregnancy.

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Section: Discussionsupporting

confidence: 92%

Sleep quality during pregnancy: associations with depressive and anxiety symptoms

Polo‐Kantola

Aukia

Karlsson

et al. 2016

Acta Obstet Gynecol Scand

104

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“…Their study showed that maternal OSA was associated with an increased risk of delivering an SGA baby. Similar to our cohort, most of their OSA cases in the third trimester were mild and characterized by sleep fragmentation rather than by oxygen desaturations, as has been demonstrated previously in pregnancy 5 , 8 , 48 , 49 . However, the main disparity between their study and ours that could explain the different results is in the different study designs.…”

Section: Discussionsupporting

confidence: 87%

Mild Maternal Obstructive Sleep Apnea in Non-obese Pregnant Women and Accelerated Fetal Growth

Telerant

Dunietz

Many

et al. 2018

Sci Rep

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The prevalence of obstructive sleep apnea (OSA) during pregnancy is rising. OSA during pregnancy has been associated with hypertensive disorders of pregnancy and gestational diabetes. The effect of maternal OSA on the fetus, particularly on fetal growth, is less apparent. Most of the currently available human data is based on non-objective assessment of OSA and includes heterogeneous populations with inadequate control on confounders, such as maternal obesity and pregnancy complications. Using objective tools in non-obese women with uncomplicated pregnancies, we aimed to investigate the association between maternal OSA and fetal growth. A total of 155 non-obese pregnant women were recruited. Birth-weight percentile of the newborns of women with mild OSA was significantly higher compared with the newborns of non-OSA controls (72% vs. 57%, respectively, P < 0.01). Birth-length and triceps thickness measurements were significantly higher among the newborns of women with OSA compared with controls (P = 0.02 for both). The proportion of large for gestational age (LGA) newborns was higher among women with OSA compared with controls (28% vs. 8%, respectively, P = 0.04). Our results suggest that maternal OSA during the third trimester of pregnancy - even in a mild form -is associated with accelerated fetal growth.

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“…Our study corroborates previous findings that sleep quality is diminished during pregnancy [14]. Total sleep time was shorter with 40 minute reductions in N3 and REM sleep and increase in N1 sleep.…”

Section: Discussionsupporting

confidence: 92%

Upper-airway flow limitation and transcutaneous carbon dioxide during sleep in normal pregnancy

et al. 2017

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Airflow limitations in pregnant women suspected of sleep-disordered breathing

Cited by 41 publications

References 21 publications

Sleep quality during pregnancy: associations with depressive and anxiety symptoms

Sleep quality during pregnancy: associations with depressive and anxiety symptoms

Mild Maternal Obstructive Sleep Apnea in Non-obese Pregnant Women and Accelerated Fetal Growth

Upper-airway flow limitation and transcutaneous carbon dioxide during sleep in normal pregnancy

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