The Impact of Sleep-Disordered Breathing on Severity of Pregnancy-Induced Hypertension and Feto-Maternal Outcomes

Suri, Jyotsna; Suri, Jagdish Chander; Arora, Renu; Gupta, Megha; Adhikari, Tulsi

doi:10.1007/s13224-018-1134-4

Cited by 9 publications

(10 citation statements)

References 29 publications

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“…Researchers often used eligible questionnaires to diagnose OSA in pregnancy, validated as a screening tool in non-pregnant populations. Most of the authors in this study utilized the BQ, which concentrated on self-reported snoring and apnea [ 40 , 42 , 43 , 49 , 50 , 55 , 56 ]. It has a sensitivity of 86% and a specificity of 77% in non-pregnant adults [ 22 ], while it only had a sensitivity and specificity of 35% and 63.8%, respectively, in pregnant women.…”

Section: Resultsmentioning

confidence: 99%

A Relation between Obstructive Sleep Apnea in Pregnancy and Delivering Small for Gestational Age Infant—A Systematic Review

Grajczyk,

Dżaman,

Czerwaty

et al. 2023

JCM

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Obstructive sleep apnea (OSA) during pregnancy can negatively affect both the mother and the baby. Our main goal is to show whether there is an association between OSA during pregnancy and delivering small for gestational age (SGA) infants. This systematic review was conducted according to the PRISMA 2020 statement using three databases: MEDLINE via PubMed, Scopus, and Cochrane Library. All databases were last accessed on 1 June 2023. The implemented systematic literature search identified 744 articles. After excluding reviews, meta-analyses, book chapters, case reports, and letters, 47 studies were analyzed, 18 of which finally met the inclusion criteria. The included studies mainly indicate that OSA during pregnancy may not significantly impact SGA, but some of them have shown the existence of this relation. Nevertheless, it is recommended that all pregnant women should be screened for symptoms of OSA and that sleep tests should be performed on those who show signs of it. Detecting and treating OSA early in pregnancy can help reduce the condition’s negative effects. However, more extensive studies are still needed to gather clear evidence on the impact of an OSA diagnosis on mothers and babies.

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Section: Resultsmentioning

confidence: 99%

A Relation between Obstructive Sleep Apnea in Pregnancy and Delivering Small for Gestational Age Infant—A Systematic Review

Grajczyk,

Dżaman,

Czerwaty

et al. 2023

JCM

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“…In line with the "thrifty phenotype" hypothesis described by Hales and Barker (Suri, Suri, Arora, Gupta, & Adhikari, 2019), gestational environmental exposures, such as gestational hyperglycaemia, maternal obesity and overfeeding or underfeeding during pregnancy, are suggested to epigenetically alter the programming of genes, resulting in a long-term imprint on gene expression (Gluckman, Hanson, & Low, 2011;Godfrey, Inskip, & Hanson, 2011;Hanson, Godfrey, Lillycrop, Burdge, & Gluckman, 2011;Khalyfa et al, 2014).…”

Section: Consequences Of Gestational Sleep Apnea In the Offspringmentioning

confidence: 85%

Effects of sleep modulation during pregnancy in the mother and offspring: Evidences from preclinical research

Pires

Benedetto

Cortese

et al. 2020

Journal of Sleep Research

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Disturbed sleep during gestation may lead to adverse outcomes for both mother and child. Animal research plays an important role in providing insights into this research field by enabling ethical and methodological requirements that are not possible in humans. Here, we present an overview and discuss the main research findings related to the effects of prenatal sleep deprivation in animal models. Using systematic review approaches, we retrieved 42 articles dealing with some type of sleep alteration.The most frequent research topics in this context were maternal sleep deprivation, maternal behaviour, offspring behaviour, development of sleep-wake cycles in the offspring, hippocampal neurodevelopment, pregnancy viability, renal physiology, hypertension and metabolism. This overview indicates that the number of basic studies in this field is growing, and provides biological plausibility to suggest that sleep disturbances might be detrimental to both mother and offspring by promoting increased risk at the behavioural, hormonal, electrophysiological, metabolic and epigenetic levels. More studies on the effects of maternal sleep deprivation are needed, in light of their major translational perspective.

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“…However, there is substantial evidence that people with hypertensive disorders of pregnancy are at higher risk of OSA. 7,[9][10][11]23,[42][43][44][45][46][47][48][49] As a result of the onset of preeclampsia's proximity to the timing of delivery, it is impractical to recommend that people diagnosed with preeclampsia get screened for OSA.…”

Section: Screening For Osa In Pregnant Peoplementioning

confidence: 99%

Society of Anesthesia and Sleep Medicine and the Society for Obstetric Anesthesia and Perinatology Consensus Guideline on the Screening, Diagnosis, and Treatment of Obstructive Sleep Apnea in Pregnancy

Dominguez¹,

Cantrell²,

Habib³

et al. 2023

Obstetrics &Amp; Gynecology

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The Society of Anesthesia and Sleep Medicine and the Society for Obstetric Anesthesia and Perinatology tasked an expert group to review existing evidence and to generate recommendations on the screening, diagnosis, and treatment of patients with obstructive sleep apnea during pregnancy. These recommendations are based on a systematic review of the available scientific evidence and expert opinion when scientific evidence is lacking. This guideline may not be appropriate for all clinical situations and patients, and physicians must decide whether these recommendations are appropriate for their patients on an individual basis. We recognize that not all pregnant people may identify as women. However, data on non–cisgendered pregnant patients are lacking, and many published studies use gender-binary terms; therefore, depending on the study referenced, we may refer to pregnant individuals as women. This guideline may inform the creation of clinical protocols by individual institutions that consider the unique considerations of their patient populations and the available resources.

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The Impact of Sleep-Disordered Breathing on Severity of Pregnancy-Induced Hypertension and Feto-Maternal Outcomes

Abstract: Background There is a close association between sleepdisordered breathing (SDB) and preeclampsia. Both conditions have poor pregnancy outcomes.

Cited by 9 publications

References 29 publications

A Relation between Obstructive Sleep Apnea in Pregnancy and Delivering Small for Gestational Age Infant—A Systematic Review

A Relation between Obstructive Sleep Apnea in Pregnancy and Delivering Small for Gestational Age Infant—A Systematic Review

Effects of sleep modulation during pregnancy in the mother and offspring: Evidences from preclinical research

Society of Anesthesia and Sleep Medicine and the Society for Obstetric Anesthesia and Perinatology Consensus Guideline on the Screening, Diagnosis, and Treatment of Obstructive Sleep Apnea in Pregnancy

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