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osa pregnant sleep

Ali M Hashmi, Shashi K Bhatia, Subhash K Bhatia, Imran S Khawaja
UNLABELLED: Sleep disturbances are common in pregnancy. Insomnia is a frequent sleep disturbance experienced by pregnant women which can be primary or due to co-morbid conditions. The differential diagnosis of insomnia in pregnancy includes anxiety disorders, mood disorders, breathing related sleep disorders and restless legs syndrome. Early interventions to treat the sleep disturbance are recommended to avoid adverse pregnancy outcomes. Management strategies include improving sleep hygiene, behavioral therapies, and pharmacotherapy...
July 2016: Pakistan Journal of Medical Sciences Quarterly
Maria Sarberg, Marie Bladh, Ann Josefsson, Eva Svanborg
PURPOSE: This study aimed to examine if there is a difference in the prevalence of obstructive sleep apnea (OSA) and sleepiness between pregnant and non-pregnant women. It also aimed to evaluate if obstetric outcomes were associated to sleep-disordered breathing among the pregnant women. METHODS: One hundred pregnant women (gestational weeks 24-34) and 80 age- and body mass index-matched non-pregnant women underwent whole-night respiratory recordings (airflow, snoring, respiratory movements, body position, pulse oximetry)...
April 16, 2016: Sleep & Breathing, Schlaf & Atmung
Kunyalak Na-Rungsri, Somrat Lertmaharit, Vitool Lohsoonthorn, Surachart Totienchai, Nattapong Jaimchariyatam
OBJECTIVE: The aim of this study was to evaluate the risk of obstructive sleep apnea (OSA) to preterm delivery (PTD), using the Berlin Questionnaire (BQ). METHODS: This was a large, prospective cohort study among pregnant Thai women. The BQ was employed for symptom-based OSA screening during the second trimester, and PTD was recorded in 1345 pregnant women. Multivariate models were applied in controlling for potential confounders. RESULTS: The overall prevalence of the high risk of OSA was 10...
September 2016: Sleep & Breathing, Schlaf & Atmung
Hairil Rizal Abdullah, Mahesh Nagappa, Naveed Siddiqui, Frances Chung
PURPOSE OF REVIEW: This review aims to provide an update on recent advances in the diagnosis and treatment of obstructive sleep apnea (OSA) during pregnancy and its effect on maternal and fetal outcomes. RECENT FINDINGS: Current OSA screening tools may not perform well in this population. There are some pieces of evidence linking poorer maternal and neonatal outcome with pregnant patients having OSA. At present, there are inadequate data on which to base fetal or maternal parameters for treatment of OSA, and no evidence that treatment in the short-term impacts maternal or neonatal outcomes...
June 2016: Current Opinion in Anaesthesiology
Mevlüt Karaduman, Oktay Sarı, Umit Aydoğan, Yaşam Kemal Akpak, Altuğ Semiz, Necip Cihangir Yılanlıoğlu, Uğur Keskin
OBJECTIVE: Obstructive sleep apnea syndrome (OSAS) is a disease which is estimated to be undiagnosed to a large extent. Hence, the prevalence of OSAS in pregnant women is unknown. We aimed to evaluate the symptoms of obstructive sleep apnea in pregnant women with chronic diseases. METHODS: In the study, 97 pregnant women with chronic diseases and 160 healthy pregnant women were included. A form questioning socio-demographic characteristics and pregnancy characteristics, Epworth scale and the Berlin questionnaire to evaluate the risk of OSAS were applied to participants...
October 2016: Journal of Maternal-fetal & Neonatal Medicine
Mahsa Ghajarzadeh, Fariba Askari, Mona Mohseni, Mehdi Mohammadifar, Behzad Memari
No abstract text is available yet for this article.
2015: International Journal of Preventive Medicine
Jayne R Rice, Gloria T Larrabure-Torrealva, Miguel Angel Luque Fernandez, Mirtha Grande, Vicky Motta, Yasmin V Barrios, Sixto Sanchez, Bizu Gelaye, Michelle A Williams
BACKGROUND: Obstructive sleep apnea (OSA), a common and serious disorder in which breathing repeatedly stops during sleep, is associated with excess weight and obesity. Little is known about the co-occurrence of OSA among pregnant women from low and middle-income countries. METHODS: We examined the extent to which maternal pre-pregnancy overweight or obesity status are associated with high risk for OSA, poor sleep quality, and excessive daytime sleepiness in 1032 pregnant women in Lima, Peru...
2015: BMC Pregnancy and Childbirth
Ellen M Lockhart, Arbi Ben Abdallah, Methodius G Tuuli, Barbara L Leighton
OBJECTIVE: To estimate the predictive ability of current obstructive sleep apnea (OSA) screening tools and the individual questions in these tools at identifying pregnant women who have OSA. METHODS: A total of 293 third-trimester patients were enrolled between 2010 and 2012, and 248 patients had sleep monitor results. Recruited participants completed a questionnaire consisting of six OSA screening tools and overnight portable sleep monitoring. Predictive ability of the screening tools for OSA compared with results of the diagnosis from overnight sleep monitoring was estimated using the area under receiver operating characteristic curves...
July 2015: Obstetrics and Gynecology
S K Sharma, A Nehra, S Sinha, M Soneja, K Sunesh, V Sreenivas, D Vedita
PURPOSE: Sleep disturbances such as insomnia, nocturnal awakenings, restless legs syndrome, habitual snoring, and excessive daytime sleepiness are frequent during pregnancy, and these have been linked to adverse maternal and fetal outcomes. METHODS: A prospective observational study was performed in high-risk Indian pregnant women. We used modified Berlin questionnaire (MBQ), Pittsburgh sleep quality index (PSQI), International Restless Legs Syndrome Study Group 2011 criteria, and Epworth sleepiness scale to diagnose various sleep disorders, such as symptomatic OSA, poor sleep quality and insomnia, RLS, and excessive daytime sleepiness, respectively, in successive trimesters of pregnancy...
March 2016: Sleep & Breathing, Schlaf & Atmung
Ghada Bourjeily, Katherine M Sharkey, Jeffrey Mazer, Robin Moore, Susan Martin, Richard Millman
PURPOSE: Physiologic changes in the cardiac, respiratory, and renal systems in pregnancy likely impact ventilatory control. Though obstructive sleep apnea and snoring are common in the pregnant population, the predisposition to central respiratory events during sleep and the prevalence of such events is less well studied. The aim of this study was to assess the presence of central apneas during sleep in pregnant women and non-pregnant controls suspected of sleep disordered breathing. METHODS: Twenty-five pregnant women referred for polysomnography for sleep disordered breathing were compared with non-pregnant controls matched for age, body mass index, gender, and apnea hypopnea index (AHI)...
September 2015: Sleep & Breathing, Schlaf & Atmung
Visasiri Tantrakul, Piyaporn Sirijanchune, Panyu Panburana, Janejira Pengjam, Worakot Suwansathit, Viboon Boonsarngsuk, Christian Guilleminault
STUDY OBJECTIVES: Evaluation of Berlin and Stop-Bang questionnaires in detecting obstructive sleep apnea (OSA) across trimesters of pregnancy. METHODS: Pregnant women from a high-risk pregnancy clinic were recruited to complete sleep evaluations including Berlin and Stop-Bang Questionnaires. Overnight testing with Watch-PAT200 for diagnosis of OSA (cutoff point of apnea-hypopnea index ≥5 events/h) was performed. RESULTS: Seventy-two singleton pregnant women participated in the study...
February 15, 2015: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Ting Xu, Yuan Feng, Hui Peng, Dongying Guo, Taoping Li
Inconsistent information exists in the relationship between obstructive sleep apnea (OSA) and perinatal outcomes. This study was intended to investigate whether OSA in pregnant women has a potential to elevate the incidence of the maternal and neonatal outcomes by performing a meta-analysis of all available cohort studies. Five cohort studies including 977 participants were eligible for inclusion. The association between OSA and the risk of perinatal outcomes was expressed as relative risks (RR), with 95% confidence interval (CI)...
2014: Scientific Reports
Marta Torres, Ricardo Laguna-Barraza, Mireia Dalmases, Alexandra Calle, Eva Pericuesta, Josep M Montserrat, Daniel Navajas, Alfonso Gutierrez-Adan, Ramon Farré
STUDY OBJECTIVES: Obstructive sleep apnea (OSA) is characterized by intermittent hypoxia and oxidative stress. However, it is unknown whether intermittent hypoxia mimicking OSA modifies male fertility. We tested the hypothesis that male fertility is reduced by chronic intermittent hypoxia mimicking OSA in a mouse model. DESIGN: Case-control comparison in a murine model. SETTING: University research laboratory. PARTICIPANTS: Eighteen F1 (C57BL/6xCBA) male mice...
November 1, 2014: Sleep
Elie Zouein, Geralyn Lambert-Messerlian, Patrizia Curran, Kristen Butterfield, Elizabeth Eklund, Ghada Bourjeily
Hot Topics in Pulmonary & Critical CareSESSION TYPE: Original Investigation SlidePRESENTED ON: Sunday, October 26, 2014 at 01:30 PM - 03:00 PMPURPOSE: Sleep-disordered breathing (SDB) and obstructive sleep apnea (OSA) are common in pregnancy and are associated with adverse outcomes including gestational diabetes and preeclampsia. In previous studies we demonstrated that levels of unconjugated estriol, placenta associated plasma protein-A (PAPP-A) and angiogenesis markers were altered in pregnant women with OSA compared to pregnant controls at low risk for OSA...
October 1, 2014: Chest
Marta Torres, Ricardo Laguna-Barraza, Mireia Dalmases, Alexandra Calle, Eva Pericuesta, Josep M Montserrat, Daniel Navajas, Alfonso Gutierrez-Adan, Ramon Farré
Study Objectives: Obstructive sleep apnea (OSA) is characterized by intermittent hypoxia and oxidative stress. In other pathologies, oxidative stress could reduce sperm quality. However, whether intermittent hypoxia mimicking OSA modifies male fertility is unknown. We tested the hypothesis that male fertility is reduced by chronic intermittent hypoxia mimicking OSA in a mice model. Design: Case-control comparison in a murine model. Setting: University research laboratory...
October 17, 2014: Sleep
Martino F Pengo, Gian Paolo Rossi, Joerg Steier
PURPOSE OF REVIEW: The evidence of a putative causal effect of sleep apnea-induced intermittent hypoxia on the pathogenesis of gestational hypertension and preeclampsia is mounting. The present review presents the evidence of current literature and questions whether an early diagnosis and treatment of obstructive sleep apnea during pregnancy can reduce the risk of preeclampsia. RECENT FINDINGS: Although pathophysiological pathways remain to be more clearly defined, recent studies shed light on the association of sleep-disordered breathing, gestational hypertension and preeclampsia...
November 2014: Current Opinion in Pulmonary Medicine
Laurence E Ring
Extreme obesity (BMI ≥ 40) is thought to complicate approximately 5% of deliveries in the United States. Extreme obesity puts a pregnant woman at an increased risk for cardiovascular disease, including hypertension, coronary artery disease, and congestive heart failure; respiratory disease, including obstructive sleep apnea and asthma; as well as pregnancy-specific diseases including pregnancy-induced hypertension and gestational diabetes. Extreme obesity also puts a parturient at a significantly increased risk of requiring cesarean delivery...
October 2014: Seminars in Perinatology
I M Madaeva, L I Kolesnikova, N V Protopopova, N L Sakh'ianova, 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...
2014: Vestnik Rossiĭskoĭ Akademii Meditsinskikh Nauk
Katherine M Sharkey, Kelly Waters, Richard P Millman, Robin Moore, Susan M Martin, Ghada Bourjeily
STUDY OBJECTIVE: To assess the validity of using the Apnea Risk Evaluation System (ARES) Unicorder for detecting obstructive sleep apnea (OSA) in pregnant women. METHODS: Sixteen pregnant women, mean age (SD) = 29.8 (5.4) years, average gestational age (SD) = 28.6 (6.3) weeks, mean body mass index (SD) = 44.7 (6.9) kg/m(2) with signs and symptoms of OSA wore the ARES Unicorder during one night of laboratory polysomnography (PSG). PSG was scored according to AASM 2007 criteria, and PSG AHI and RDI were compared to the ARES 1%, 3%, and 4% AHIs calculated with the ARES propriety software...
May 15, 2014: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Ghada Bourjeily, Patrizia Curran, Kristen Butterfield, Hasina Maredia, Marshall Carpenter, Geralyn Lambert-Messerlian
AIMS: Obstructive sleep apnea (OSA) is associated with placenta-mediated adverse clinical outcomes. We aimed at comparing placenta-secreted proteins, such as first and second trimester Down syndrome screening markers which have been linked to preeclampsia, and markers of angiogenesis in pregnant women with OSA, and pregnant controls at low risk for OSA. METHODS: A case-control study of pregnant women with OSA and controls at low risk for OSA was performed. Levels of first and second trimester markers were reported as multiple of median (MoM), and adjusted for body mass index (BMI)...
January 2015: Journal of Perinatal Medicine
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