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Pregnancy snoring

Maria Sarberg, Marie Bladh, Eva Svanborg, Ann Josefsson
BACKGROUND: Postpartum depression is a common condition, which consequences might be harmful for both mother and child. Since sleep and depression are closely related it is possible that women who suffer from sleep related problems during pregnancy are more likely to develop depression in the postpartum period. This study aims to investigate the possible association between depressive symptoms in the postpartum period and sleep related problems during pregnancy. METHODS: In this study 293 women in the last trimester of pregnancy answered a questionnaire about symptoms of restless legs, snoring and daytime sleepiness...
2016: BMC Pregnancy and Childbirth
Jordan P R McIntyre, Cayley M Ingham, B Lynne Hutchinson, John M D Thompson, Lesley M McCowan, Peter R Stone, Andrew G Veale, Robin Cronin, Alistair W Stewart, Kevin M Ellyett, Edwin A Mitchell
BACKGROUND: The importance of maternal sleep and its contribution to maternal and fetal health during pregnancy is increasingly being recognised. However, the ability to accurately recall sleep practices during pregnancy has been questioned. The aim of this study is to test the accuracy of recall of normal sleep practices in late pregnancy. METHODS: Thirty healthy women between 35 and 38 weeks of gestation underwent level III respiratory polysomnography (PSG) with infrared digital video recordings in their own homes...
2016: BMC Pregnancy and Childbirth
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
Sushmita Pamidi, Isabelle Marc, Gabrielle Simoneau, Lorraine Lavigne, Allen Olha, Andrea Benedetti, Frédéric Sériès, William Fraser, François Audibert, Emmanuel Bujold, Robert Gagnon, Kevin Schwartzman, R John Kimoff
OBJECTIVE: It is unclear whether objectively measured maternal sleep-disordered breathing (SDB) leads to poor fetal outcomes. In this study, we prospectively assessed whether polysomnography-based diagnosis of SDB in the third trimester is associated with the delivery of small for gestational age (SGA) infants. STUDY DESIGN: Participants were recruited from a multicentre pregnancy cohort study. Eligible participants were evaluated for SDB based on symptoms (snoring and/or witnessed apnoeas assessed using the Pittsburgh Sleep Quality Index questionnaire) and in-home complete polysomnography in the third trimester...
August 2016: Thorax
Bilgay Izci Balserak
KEY POINTS: Sleep disordered breathing (SDB) is common and the severity increases as pregnancy progresses.Frequent snoring, older age and high pre-pregnancy body mass index (>25 kg⋅m(-2)) could be reliable indicators for SDB in early pregnancy.SDB screening tools, including questionnaires, used in the nonpregnant population have poor predictive ability in pregnancy.Accumulating evidence suggests that SDB during pregnancy may be associated with increased risk of adverse pregnancy outcomes, including gestational diabetes and pre-eclampsia...
December 2015: Breathe
Xing Ge, Fangbiao Tao, Kun Huang, Leijing Mao, Sanhuan Huang, Ying Niu, Jiahu Hao, Yanli Sun, Erigene Rutayisire
OBJECTIVE: To examine the prevalence of snoring during pregnancy and its effects on key pregnancy outcomes. METHODS: Pregnant women were consecutively recruited in their first trimester. Habitual snoring was screened by using a questionnaire in the 1st and 3rd trimester, respectively. According to the time of snoring, participants were divided into pregnancy onset snorers, chronic snorers and non-snorers. Logistic regressions were performed to examine the associations between snoring and pregnancy outcomes...
2016: PloS One
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
A M Snodgrass, P T Tan, S E Soh, A Goh, L P Shek, H P van Bever, P D Gluckman, K M Godfrey, Y S Chong, S M Saw, K Kwek, O H Teoh
OBJECTIVE: Secondhand smoke exposure is a potentially preventable cause of significant respiratory morbidity in young children. Our study aimed to quantify respiratory morbidity in young children exposed to secondhand smoke to identify potentially modifiable factors. MATERIALS AND METHODS: This study was embedded in a prospective birth cohort study of pregnant women and their children from fetal life onwards in Singapore (Growing Up in Singapore Towards healthy Outcomes, or GUSTO)...
October 26, 2015: Tobacco Control
Laura D Howe, T Leigh Signal, Sarah-Jane Paine, Bronwyn Sweeney, Monique Priston, Diane Muller, Kathy Lee, Mark Huthwaite, Philippa Gander
OBJECTIVES: To explore associations between features of sleep during pregnancy and adverse outcomes for the infant. SETTING: E Moe, Māmā is a cohort study in Aotearoa/New Zealand that investigates self-reported sleep and maternal health in late pregnancy and the postpartum period. PARTICIPANTS: Women (N=633; 194 Māori) reported detailed information on their sleep duration, quality, disturbances, disorders (snoring, breathing pauses, twitching legs, restless legs) and daytime sleepiness between 35 and 37 weeks gestation...
October 5, 2015: BMJ Open
Sanjita Ravishankar, Ghada Bourjeily, Geralyn Lambert-Messerlian, Mai He, Monique E De Paepe, Füsun Gündoğan
Sleep disordered breathing (SDB) represents a spectrum of disorders, including habitual snoring and obstructive sleep apnea (OSA). Sleep disordered breathing is characterized by chronic intermittent hypoxia, airflow limitation, and recurrent arousals, which may lead to tissue hypoperfusion, hypoxia, and inflammation. In this study, we aimed to examine whether SDB during pregnancy was associated with histopathologic evidence of chronic placental hypoxia and/or uteroplacental underperfusion. The placentas of women with OSA (n  =  23) and habitual snoring (n  =  78) as well as nonsnorer controls (n  =  47) were assessed for histopathologic and immunohistochemical markers of chronic hypoxia and uteroplacental underperfusion...
September 2015: Pediatric and Developmental Pathology
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
Annette J Robertson, Pamela Johnson, Colin E Sullivan, Annemarie Hennessy
OBJECTIVES: Snoring is common during pregnancy, particularly in the last trimester. Most investigators of snoring during pregnancy had utilized questionnaires to determine the presence and severity of snoring. The aim of this study was to determine the efficacy of questionnaires to determine the presence of snoring in pregnant women compared with objectively measured snoring. METHODS: Berlin questionnaires were administered to 202 pregnant women. One question asked "Do you snore?" Snoring was then recorded in the woman's home using a SonoMat™ device, a thin mattress in which sensors measure and record sound and movement...
January 2015: Pregnancy Hypertension
Annette J Robertson, Pamela Johnson, Colin E Sullivan, Annemarie Hennessy
OBJECTIVES: Sleep disordered breathing (SDB) is common in women and reported at 14-45% in pregnancy. SDB is identified by snoring and repetitive cessation of breathing during sleep accompanied by repetitive hypoxia, and has been found to be associated with hypertension, stroke, and heart attack. There is no depth of knowledge examining the association between SDB and pregnancy outcomes. The aim of the current study was to examine the prevalence of self-reported snoring in pregnancy and the potential association between self-reported snoring and the development of hypertensive disorders of pregnancy (HDP) within a larger cohort from a prevalence of SDB in pregnancy study...
January 2015: Pregnancy Hypertension
Annette J Robertson, Pamela Johnson, Colin E Sullivan, Annemarie Hennessy
OBJECTIVES: Sleep disordered breathing (SDB) is common in women and reported at 14-45% in pregnancy. SDB is identified by snoring and repetitive cessation of breathing during sleep accompanied by repetitive hypoxia and has been found to be associated with hypertenison, stroke and heart attack. The aim of the current study was to examine the prevalence of objectively measured snoring in pregnancy and the potential association between recorded snoring and the development of hypertensive disorders of pregnancy (HDP) within a larger cohort from a prevalence of SDP in pregnancy study...
January 2015: Pregnancy Hypertension
Annette J Robertson, Pamela Johnson, Colin E Sullivan, Annemarie Hennessy
OBJECTIVES: Snoring is common in pregnancy and is a symptom of sleep disordered breathing (SDB). Several studies have found that SDB during pregnancy is associated with pregnancy induced hypertension. The aim of this study was to determine the relationship between self-reported snoring and neck circumference, weight gain and BMI. METHODS: 2306 pregnant women answered a questionnaire which included "Do you snore?" among the questions. The women were asked their pre pregnancy weight, current height and weight were used to calculate BMI and change in BMI from pre pregnancy to trial entry, neck circumference was measured, and the Epworth questionnaire for daytime sleepiness was administered...
January 2015: Pregnancy Hypertension
Christine Won, Christian Guilleminault
There are gender differences in the upper airway function and respiratory stability in obstructive sleep apnea (OSA). Hormones are implicated in some gender-related differences, and these differences between men and women appear to mitigate as age increases. In addition, changes in the airway and lung function during pregnancy can contribute to snoring and OSA that might have an adverse effect on the mother and fetus. The limited data available suggest that although the prevalence and severity of OSA may be lower in women, the consequences of the disease are similar, if not worse...
April 2015: Expert Review of Respiratory Medicine
Riva Tauman, Luba Zuk, Shimrit Uliel-Sibony, Jessica Ascher-Landsberg, Shlomit Katsav, Mira Farber, Yakov Sivan, Haim Bassan
OBJECTIVE: We sought to examine the effect of maternal sleep-disordered breathing (SDB) on infant general movements (GMs) and neurodevelopment. STUDY DESIGN: Pregnant women with uncomplicated full-term pregnancies and their offspring were prospectively recruited from a community and hospital low-risk obstetric surveillance. All participants completed a sleep questionnaire on second trimester and underwent ambulatory sleep evaluation (WatchPAT; Itamar Medical, Caesarea, Israel)...
May 2015: American Journal of Obstetrics and Gynecology
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
Ricardo Reis Dinardi, Cláudia Ribeiro de Andrade, Cássio da Cunha Ibiapina
Our goal was to revise the literature about external nasal dilators (ENDs) as to their definition, history, and current uses. We reviewed journals in the PubMed and MEDLINE databases. The current uses hereby presented and discussed are physical exercise, nasal congestion and sleep, snoring, pregnancy, cancer, and healthy individuals. Numerous studies have shown that ENDs increase the cross-sectional area of the nasal valve, reducing nasal resistance and transnasal inspiratory pressure and stabilizing the lateral nasal vestibule, avoiding its collapse during final inspiration...
2014: International Journal of General Medicine
L M O'Brien, A S Bullough, M C Chames, A V Shelgikar, R Armitage, C Guilleminualt, C E Sullivan, T R B Johnson, R D Chervin
OBJECTIVE: To assess the frequency of obstructive sleep apnoea among women with and without hypertensive disorders of pregnancy. DESIGN: Cohort study. SETTING: Obstetric clinics at an academic medical centre. POPULATION: Pregnant women with hypertensive disorders (chronic hypertension, gestational hypertension, or pre-eclampsia) and women who were normotensive. METHODS: Women completed a questionnaire about habitual snoring and underwent overnight ambulatory polysomnography...
December 2014: BJOG: An International Journal of Obstetrics and Gynaecology
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