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Sleep Pregnant

Sushmita Pamidi, Sara J Meltzer, Natasha Garfield, Lorraine Lavigne, Allen Olha, Ahamed Khalyfa, Andrea Benedetti, Geneviève Tremblay, Robert Gagnon, Evelyne Rey, Kaberi Dasgupta, R John Kimoff
Background: Gestational diabetes (GDM) is associated with adverse short- and long-term maternal and fetal outcomes. Observational data support a link between sleep-disordered breathing (SDB) during pregnancy and GDM. However, it is unknown whether treatment of SDB with continuous positive airway pressure (CPAP) improves glucose control in this patient population. In addition, CPAP adherence and feasibility as a treatment option in pregnancy is unknown. This pilot randomized, controlled trial aims to primarily determine the feasibility of CPAP treatment in pregnant women with SDB and GDM...
2018: Frontiers in Endocrinology
Nattapong Jaimchariyatam, Kunyalak Na-Rungsri, Somkanya Tungsanga, Somrat Lertmaharit, Vitool Lohsoonthorn, Surachart Totienchai
PURPOSE: Preeclampsia-eclampsia remains one of the leading causes of maternal and perinatal morbidity and mortality. Emerging evidence suggests that obstructive sleep apnea (OSA), which has been linked to hypertension in the general population, may play role in hypertensive disorders in pregnancy, including preeclampsia-eclampsia. However, little research has been conducted in Asia (no data in Thailand) on the effects of OSA on preeclampsia-eclampsia. We aimed to examine the association between OSA and preeclampsia-eclampsia among Thai pregnant women...
November 27, 2018: Sleep & Breathing, Schlaf & Atmung
Nolwenn Lagadec, Magali Steinecker, Amar Kapassi, Anne Marie Magnier, Julie Chastang, Sarah Robert, Nadia Gaouaou, Gladys Ibanez
BACKGROUND: Pregnancy is a period of transition with important physical and emotional changes. Even in uncomplicated pregnancies, these changes can affect the quality of life (QOL) of pregnant women, affecting both maternal and infant health. The objectives of this study were to describe the quality of life during uncomplicated pregnancy and to assess its associated socio-demographic, physical and psychological factors in developed countries. METHODS: A systematic review was performed according to the PRISMA guidelines...
November 23, 2018: BMC Pregnancy and Childbirth
Damien Leger, Yolande Esquirol, Claude Gronfier, Arnaud Metlaine
There are in France several millions of shift-workers and night-workers (20 to 25% of employees). These workers are therefore subject to variations in their working and rest schedules. These regular schedule changes are associated with repeated desynchronization of circadian biological clock. The negative impacts on sleep are insomnia, drowsiness, and reduced sleep time in 24hours. There is also a proven effect on the occurrence of a metabolic syndrome, with a likely effect on obesity, type 2 diabetes, blood pressure and coronary artery disease...
November 13, 2018: La Presse Médicale
Katrina L Piercy, Richard P Troiano, Rachel M Ballard, Susan A Carlson, Janet E Fulton, Deborah A Galuska, Stephanie M George, Richard D Olson
Importance: Approximately 80% of US adults and adolescents are insufficiently active. Physical activity fosters normal growth and development and can make people feel, function, and sleep better and reduce risk of many chronic diseases. Objective: To summarize key guidelines in the Physical Activity Guidelines for Americans, 2nd edition (PAG). Process and Evidence Synthesis: The 2018 Physical Activity Guidelines Advisory Committee conducted a systematic review of the science supporting physical activity and health...
November 20, 2018: JAMA: the Journal of the American Medical Association
Azza H Ahmed, Sun Hui, Jennifer Crodian, Karen Plaut, David Haas, Lingsong Zhang, Theresa Casey
Sleep quality during pregnancy affects maternal/child health. We aimed to assess changes in sleep quality during pregnancy and determine its relationship to maternal mood, blood glucose, and work schedule among primiparous women. We conducted a prospective/longitudinal/observational study. Ninety-two pregnant women were recruited from Midwestern hospital. Mood and sleep quality data were collected using Edinburgh Postnatal Depression Scale/Pittsburgh Sleep Quality Index at Gestational Weeks 22 and 32. Forty-three women completed the study...
November 8, 2018: Western Journal of Nursing Research
Yuri Saho Sakamoto, Fernanda Porto-Sousa, Cristina Salles
The obstructive sleep apnea (OSA) is one of the most common sleep disorders and is associated with increased risk for obesity, hypertension and cardiovascular event. The present study aimed to investigate the prevalence of OSA in shift workers. The systematic literature review was performed using the descriptors "sleep apnea" and "shift work", in the databases PubMed, PubMed Central, Biblioteca Virtual em Saúde, Web of Science and Scopus, including studies that presented the frequency of OSA in shift workers; published between 2004 and 2014; in English, Portuguese or Spanish; only with human beings, older than 18 years old; using the polysomnography...
October 2018: Ciência & Saúde Coletiva
Sanika Chirwa, Chioma R Nwabuisi, Gwinnett M Ladson, Linda Korley, Janice E Whitty, Robin Atkinson, John T Clark
We hypothesized that poor sleep quality exacerbates glucose intolerance manifested as elevated glycosylated hemoglobin (HbA1c), which increases the risk for gestational diabetes. To test this, 38 pregnant and 22 non-pregnant (age, 18⁻35 years; body-mass index, 20⁻35 kg/m²) otherwise healthy women were enrolled in the study. Sleep quality was assessed during gestational week 24 (pregnant), or outside of the menstrual period (non-pregnant), using qualitative (Pittsburgh Sleep Quality Index) and objective (actigraphic wrist-watch) measures...
October 18, 2018: International Journal of Environmental Research and Public Health
Ahmed Dahiru Balami, Salmiah Md Said, Nor Afiah Mohd Zulkefli, Bachok Norsa'adah, Bala Audu
BACKGROUND: Despite the high prevalence of malaria among pregnant women and its associated complications, the level of compliance with insecticide-treated nets (ITN) remains very low. Motivation and self-efficacy have been reported as important determinants of health behaviour, and may be important factors to consider in developing health intervention programmes. The aim of this study was to determine the knowledge, motivation and self-efficacy of ITN use, and their association with its practice, among pregnant women in a secondary health centre in Maiduguri...
October 12, 2018: Malaria Journal
Darren John Beales, Odette Gaynor, Jasmine Harris, Robyn Fary, Peter Bruce O'Sullivan, Helen Slater, Thomas Graven-Nielsen, Thorvaldur Skuli Palsson
Background and aims For some women, lumbopelvic pain (LPP) developed during pregnancy becomes a continuing post-partum problem. Increased understanding of potential prognostic factors is required. This study investigated whether active straight leg raise (ASLR), sleep dysfunction and pressure pain sensitivity during pregnancy are correlated with LPP intensity and quality, disability, and physical health-related quality of life (HRQoL) post-partum. Methods An exploratory, prospective cohort study design was used...
October 11, 2018: Scandinavian Journal of Pain
M Lahti-Pulkkinen, T H Mina, R L Riha, K Räikkönen, A K Pesonen, A J Drake, F C Denison, R M Reynolds
BACKGROUND: The prevalence of sleep problems among pregnant women is over 50%, and daytime sleepiness is among the most common sleep problems. Previous studies have associated antenatal sleep problems with adverse maternal health and neonatal outcomes, but the consequences of antenatal sleep problems and particularly daytime sleepiness on child psychological development have not been assessed prospectively. METHODS: In this prospective cohort study including 111 mother-child dyads, we examined the associations of maternal daytime sleepiness during pregnancy, assessed at 17 and 28 weeks of gestation using the Epworth Sleepiness Scale, with child neuropsychiatric problems and neuropsychological development, assessed with mother-rated questionnaires and individually administered neuropsychological tests, at child age 2...
October 8, 2018: Psychological Medicine
Ya-Hui Xu, Le Shi, Yan-Ping Bao, Si-Jing Chen, Jie Shi, Rui-Ling Zhang, Lin Lu
OBJECTIVE: Sleep is critical for glucose metabolism. Pregnant women often have sleep disturbances and extreme sleep duration. Investigations of the relationship between sleep duration during pregnancy and gestational diabetes mellitus (GDM) have reported inconsistent results. The present study aimed to meta-analyze the relationship between sleep duration during pregnancy and GDM risk. METHODS: We performed a systematic search of the PubMed, ISI Web of Science, and PsycINFO databases for studies that were published up to October 2017, that reported associations between sleep duration during pregnancy and GDM risk...
August 22, 2018: Sleep Medicine
Rhonda J Boorman, Debra K Creedy, Jennifer Fenwick, Olav Muurlink
OBJECTIVE: This systematic review explores changes in perinatal empathy and influence on maternal behaviours and child development. BACKGROUND: The well-being and development of infants are commonly linked to their mothers' capacity for empathy. However, characteristic changes during pregnancy and childbirth including sleep deprivation, mood and cognitive difficulties may disrupt empathic processing. METHODS: Original research papers (n = 7413) published in English language peer-reviewed academic journals were obtained by searching four electronic databases PsycINFO, PubMed, Scopus and CINAHL...
October 1, 2018: Journal of Reproductive and Infant Psychology
Galit Levi Dunietz, Kerby Shedden, Enrique F Schisterman, Lynda D Lisabeth, Marjorie C Treadwell, Louise M O'Brien
BACKGROUND: Sleep-disordered breathing (SDB) is linked to adverse pregnancy outcomes. However, little is known about the association of SDB with timing of delivery. We examined the association of snoring frequency, a key SDB marker, and snoring intensity, a correlate of SDB severity, with time-to-delivery among a cohort of pregnant women. METHODS: In this prospective cohort study, 1483 third trimester pregnant women were recruited from the University of Michigan prenatal clinics...
November 2018: Paediatric and Perinatal Epidemiology
Lina Liu, Guang Su, Shuling Wang, Bingqian Zhu
PURPOSE: Obstructive sleep apnea (OSA) is common during pregnancy. Nevertheless, prevalence estimates of OSA have varied widely due to variabilities in the assessment methods. This meta-analysis aimed to examine the prevalence of objectively assessed OSA and its association with pregnancy-related health outcomes in pregnant women. METHODS: This review was developed following the PRISMA guideline. A systematic search was conducted in major electronic databases to identify studies conducted from inception to January 2018...
September 25, 2018: Sleep & Breathing, Schlaf & Atmung
Marquis Hawkins, Bess Marcus, Penelope Pekow, Milagros C Rosal, Katherine L Tucker, Rebecca M C Spencer, Lisa Chasan-Taber
OBJECTIVE/BACKGROUND: Poor sleep during pregnancy is common and is associated with pregnancy complications. Physical activity (PA) is associated with better sleep in nonpregnant populations. However, studies among pregnant women are sparse, conflicting, and none have been conducted among Hispanic women, who face a disproportionate burden of poor sleep and pregnancy complications. Therefore, our objective was to examine the relationship between intensity- and domain-specific PA, respectively, on sleep quality and duration among Hispanic pregnant women...
September 25, 2018: Behavioral Sleep Medicine
AboTaleb Saremi, Mohammad-Ali Shafiee, Mahdi Montazeri, Negin Rashidi, Mohammad Montazeri
BACKGROUND: Preeclampsia is a global burden with 10 million incidence annually and 210 daily deaths worldwide. Diagnosis is mainly based on the features following full presentation. OBJECTIVE: This study explored whether early pregnancy circadian changes of ambulatory blood pressure monitoring (ABPM) could predict preeclampsia and hypertension. METHODS: In a prospective study, 294 pregnant women who were referred to Sarem Women's Hospital, Iran were recruited...
September 24, 2018: Current Hypertension Reviews
Avik Chatterjee, Jennifer W Thompson, Katherine Svensson, Marcela Tamayo Y Ortiz, Robert Wright, Rosalind Wright, Martha Tellez-Rojo, Andrea Baccarelli, Alejandra Cantoral, Lourdes Schnaas, Emily Oken
STUDY OBJECTIVES: Maternal antenatal stress may influence offspring development and behavior, but any association with child sleep is unknown. METHODS: From 2007 to 2011, we recruited pregnant women in Mexico City to the Programming Research in Obesity, Growth, Environment, and Social Stressors prebirth cohort. Mothers completed the Perceived Stress Scale (PSS, a 4-item questionnaire assessing past-month stress) and the Crisis in Family Systems measure assessing negative life events (NLEs; how many domains among the 11 assessed in which the mother experienced a stressful event in the prior 6 months)-with higher scores reflecting higher stress-and provided 5 timed salivary samples per day on 2 consecutive days, from which we derived cortisol area under the curve, slope, and awakening response...
October 2018: Sleep Health
Bilgay Izci Balserak, Bingqian Zhu, Michael A Grandner, Nicholas Jackson, Grace W Pien
PURPOSE: The Sleep Apnea Symptom Score (SASS) has been commonly used to assess obstructive sleep apnea (OSA). The aim of this study was to examine the psychometric properties of the SASS and the predictive value of SASS incorporating bedpartner-reported information in identifying OSA in pregnant women. METHODS: A cohort of healthy pregnant women completed the SASS and Pittsburgh Sleep Quality Index. Participants underwent overnight laboratory polysomnography (PSG) monitoring...
September 19, 2018: Sleep & Breathing, Schlaf & Atmung
Alexander J Garner, Annette Robertson, Charlene Thornton, Gaksoo Lee, Angela Makris, Sally Middleton, Colin Sullivan, Annemarie Hennessy
Objective: To compare perinatal outcomes, blood pressures throughout pregnancy, rates of hypertensive disorders of pregnancy, preeclampsia, gestational diabetes mellitus, and immediate obstetric outcomes in adolescents younger than 20 years at delivery and those in the 20- to 34-year age group. Patients and Methods: Questionnaires were administered to pregnant women at Campbelltown and Liverpool hospitals within South West Sydney, Australia, as part of a broader study of sleep-disordered breathing in pregnancy between February 1, 2009, and February 28, 2013...
March 2018: Mayo Clinic proceedings. Innovations, quality & outcomes
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