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Pregnancy sleep apnea

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
Yu Sun Bin, Peter A Cistulli, Jane B Ford
STUDY OBJECTIVES: To examine the association between sleep apnea and pregnancy outcomes in a large population-based cohort. METHODS: Population-based cohort study using linked birth and hospital records was conducted in New South Wales, Australia. Participants were all women who gave birth from 2002 to 2012 (n = 636,227). Sleep apnea in the year before pregnancy or during pregnancy was identified from hospital records. Outcomes of interest were gestational diabetes, pregnancy hypertension, planned delivery, caesarean section, preterm birth, perinatal death, 5-minute Apgar score, admission to neonatal intensive care or special care nursery, and infant size for gestational age...
2016: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
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
Ramon Vilallonga, Jacques Himpens, Simon van de Vrande
BACKGROUND: Few data are available about obesity surgery in adolescent patients. OBJECTIVE: To assess long-term outcomes after laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients <18 years. SETTING: University Hospital, Europe. METHODS: A retrospective study of prospectively collected data of patients <18 years (childhood group; ChG) (n = 28) treated by LRYGB of which 19 were available for follow-up between 2...
2016: Obesity Facts
Haim Bassan, Shimrit Uliel-Sibony, Shlomit Katsav, Mira Farber, Riva Tauman
BACKGROUND: It has been suggested that sleep disordered breathing (SDB) during pregnancy may adversely influence maternal as well as fetal well being. OBJECTIVES: To examine the effect of maternal SDB on neonatal neurological examination and perinatal complications. METHODS: Pregnant women of singleton uncomplicated pregnancies were prospectively recruited from a community and hospital low risk obstetric surveillance. All participants completed a sleep questionnaire in the second trimester and underwent ambulatory sleep evaluation (WatchPAT, Itamar Medical, Caesarea, Israel)...
January 2016: Israel Medical Association Journal: IMAJ
Marjorie A Bowman, Anne Victoria Neale, Dean A Seehusen
This issue exemplifies the types of articles that JABFM publishes to advance family medicine. We have articles on the implications of health system organizational structures. Three of these are international articles at the level of the national health system (1 from China) and systematic local health interventions (1 from Canada and 1 from Netherlands). Inside the United States, where there are more family physicians, there is less obesity, and designation as a Patient Centered Medical Home is related to increased rates of colorectal cancer screening...
March 2016: Journal of the American Board of Family Medicine: JABFM
Luca Visconti, Domenico Santoro, Valeria Cernaro, Michele Buemi, Antonio Lacquaniti
Lung and kidney functions are intimately related in both health and disease. The regulation of acid-base equilibrium, modification of partial pressure of carbon dioxide and bicarbonate concentration, and the control of blood pressure and fluid homeostasis all closely depend on renal and pulmonary activities. These interactions begin in fetal age and are often responsible for the genesis and progression of diseases. In gestational age, urine is a fundamental component of the amniotic fluid, acting on pulmonary maturation and growth...
June 2016: Journal of Nephrology
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
Navina Mehta, Fariha Shafi, Abid Bhat
Sleep in women differs in many respects from that of men. In general, women appear to report a greater need for sleep and more subjective complaints of non-refreshing sleep than men. Sleep in women is affected at least partially by hormonal factors, with women typically suffering from sleep disturbance in connection with the menstrual cycle, pregnancy, and menopause Menstrual cycles are associated with prominent changes in reproductive hormones that may influence sleep. Sleep apnea and restless legs syndrome may be aggravated by pregnancy...
November 2015: Missouri Medicine
Josephine Wincent, Aron Luthman, Martine van Belzen, Christian van der Lans, Johanna Albert, Ann Nordgren, Britt-Marie Anderlid
Rubinstein-Taybi syndrome (RTS) is a rare autosomal dominant congenital disorder characterized by distinctive facial features, broad thumbs and halluces, growth retardation, and a variable degree of cognitive impairment. CREBBP is the major causative gene and mutations in EP300 are the cause of RTS in a minority of patients. In this study, 17 patients with a clinical diagnosis of RTS were investigated with direct sequencing, MLPA, and array-CGH in search for mutations in these two genes. Eleven patients (64...
January 2016: Molecular Genetics & Genomic Medicine
David L Maness, Muneeza Khan
Insomnia affects 10% to 30% of the population with a total cost of $92.5 to $107.5 billion annually. Short-term, chronic, and other types of insomnia are the three major categories according to the International Classification of Sleep Disorders, 3rd ed. The criteria for diagnosis are difficulty falling asleep, difficulty staying asleep, or early awakening despite the opportunity for sleep; symptoms must be associated with impaired daytime functioning and occur at least three times per week for at least one month...
December 15, 2015: American Family Physician
Anna Bonanno, Loredana Riccobono, Maria Rosaria Bonsignore, Anna Lo Bue, Adriana Salvaggio, Giuseppe Insalaco, Oreste Marrone
BACKGROUND: Obstructive sleep apnea (OSA) is associated with nocturnal intermittent hypoxia, which may be responsible for increased circulating levels of vascular endothelial growth factor (VEGF) and inflammatory mediators, such as metalloproteinases (MMPs), and which contributes to the pathogenesis of systemic hypertension. Why some OSA patients remain normotensive is poorly understood. Relaxin-2, a pregnancy hormone, may sometimes circulate in men and could increase in hypoxic conditions...
2016: Respiration; International Review of Thoracic Diseases
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
Fábio Azevedo Caparroz, Luciano Lobato Gregorio, Giuliano Bongiovanni, Suemy Cioffi Izu, Eduardo Macoto Kosugi
INTRODUCTION: There is a controversy concerning the terminology and definition of rhinitis in pregnancy. Gestational rhinitis is a relatively common condition, which has drawn increasing interest in recent years due to a possible association with maternal obstructive sleep apnea syndrome (OSAS) and unfavorable fetal outcomes. OBJECTIVE: To review the current knowledge on gestational rhinitis, and to assess its evidence. METHODS: Structured literature search...
January 2016: Brazilian Journal of Otorhinolaryngology
Fang Lei, Xiang Yan, Fusheng Zhao, Senfeng Zhang, Qilan Zhang, Hua Zhou, Yu Zheng
It has been postulated that prenatal cigarette smoke exposure (CSE) increases the risk for sudden infant death syndrome. The victims of infant death syndrome suffer from respiratory abnormalities, such as central apnea, diminished chemoreflex and alteration in respiratory pattern during sleep. However, no experimental evidence on CSE model exists to confirm whether prenatal CSE gives rise to reduction of neonatal central chemoreception in in vitro preparations in absence of peripheral sensory feedback. The aim of the present study was to test the hypothesis that maternal CSE during pregnancy depresses central chemoreception of the neonatal rats...
2015: PloS One
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
Ana M Fernández Alonso, Peter Chedraui, Faustino R Pérez-López
OBJECTIVE: To assess the risk of obstructive sleep apnea-hypopnea syndrome (OSAHS) and related factors at the end of pregnancy using the Berlin questionnaire. METHODS: A total of 367 women at the end of pregnancy (median gestational age 39 weeks) were interviewed with the Berlin questionnaire and a general survey containing maternal socio-demographic and anthropometric information. Neonatal outcome data were also assessed. RESULTS: Median age for the whole sample was 31 years...
2015: Gynecological Endocrinology
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
J Naud
Most infant apparent life-threatening events (ALTEs) are minor with spontaneously favorable prognosis. Frequent etiologies are gastroesophageal reflux, obstructive apneas, respiratory infections, and breath-holding spells. Some rare but potentially serious causes must be discussed. Diagnosis is usually guided by careful questioning of the parents and repeated clinical examinations. A few complementary examinations are systematically needed and their performance is increased if they are oriented by clinical aspects...
September 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
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