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https://www.readbyqxmd.com/read/29774708/-communicating-data-of-the-italian-ninfea-birth-cohort
#1
Lorenzo Richiardi, Maja Popovic, Daniela Zugna, Franca Rusconi, Franco Merletti, Costanza Pizzi
"In March 2016, the website of the NINFEA project (an Internet-based cohort set up to investigate the effects of exposures acting early in life) was enriched with the section «Data», which reports aggregated data for selected variables of the cohort. This article discusses the rationale for this new section, available data and their possible uses are described, and some results are compared with figures accessible from surveillance studies. The Italian birth cohort NINFEA includes 7,500 pregnant women, recruited through the Internet from 2005 to June 2016, and of their children, followed up with repeated questionnaires...
March 2018: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/29773207/poor-sleep-during-early-pregnancy-increases-subsequent-risk-of-gestational-diabetes-mellitus
#2
Chunrong Zhong, Renjuan Chen, Xuezhen Zhou, Shangzhi Xu, Qian Li, Wenli Cui, Weiye Wang, Xiating Li, Jiangyue Wu, Chaoqun Liu, Mei Xiao, Guoqiang Sun, Xuefeng Yang, Liping Hao, Nianhong Yang
OBJECTIVES: To examine the relationship between poor sleep quality during pregnancy and the risk of gestational diabetes mellitus (GDM). METHODS: A total of 4066 singleton pregnant women from the Tongji Maternal and Child Health Cohort (TMCHC) without overt diabetes before pregnancy were analyzed. Sleep quality and duration during early pregnancy were self-reported by enrolled women at their first antenatal care visit before 16 weeks of gestation. Gestational diabetes mellitus (GDM) was assessed with a 75-g, 2-h oral glucose tolerance test at 24-28 weeks of gestation...
June 2018: Sleep Medicine
https://www.readbyqxmd.com/read/29773206/concurrent-insomnia-and-habitual-snoring-are-associated-with-adverse-pregnancy-outcomes
#3
Michele L Okun, Louise M O'Brien
OBJECTIVES: Pregnant women report disturbed sleep, including habitual snoring and insomnia. The co-occurrence among non-pregnant cohorts is 30%-50% with increased risk for adverse health outcomes. To date, no study has examined the comorbid status or impact in pregnant women. METHODS: The prevalence of insomnia (INS) and habitual snoring (HS) were examined in 439 women in the third trimester (34.1 ± 3.7 weeks). Habitual snoring (snoring ≥3 times/week) was self-reported...
June 2018: Sleep Medicine
https://www.readbyqxmd.com/read/29772936/the-effect-of-supine-positioning-on-maternal-hemodynamics-during-late-pregnancy
#4
Aimee Humphries, S Ali Mirjalili, Gregory P Tarr, John M D Thompson, Peter Stone
INTRODUCTION: Recent studies have demonstrated an association between maternal supine sleep position and an increased risk of late stillbirth. During late pregnancy the gravid uterus compresses the inferior vena cava when a woman lies in the supine position. The azygos system of veins is the dominant pathway of collateral venous return back to the heart in the event of acute obstruction of the inferior vena cava. It is suggested that this pathway provides adequate collateral venous circulation in the event of inferior vena caval compression in the supine position during late pregnancy...
May 17, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29767680/propensity-for-adverse-pregnancy-outcomes-in-african-american-women-may-be-explained-by-low-energy-expenditure-in-early-pregnancy
#5
Jasper Most, L Anne Gilmore, Abby D Altazan, Marshall St Amant, Robbie A Beyl, Eric Ravussin, Leanne M Redman
Background: African-American (AA) women have poorer pregnancy outcomes and studies in nonpregnant women suggest a different etiology of weight gain in AA compared with white women. We hypothesized that physiologic factors such as low energy expenditure and physical activity would be present in AA compared with white women in pregnancy. Objective: We aimed to identify physiologic risk factors for disordered energy balance in AA and white women early in pregnancy...
May 14, 2018: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29759274/pharmacologic-treatment-of-sleep-disorders-in-pregnancy
#6
REVIEW
Laura P McLafferty, Meredith Spada, Priya Gopalan
Pregnancy often predisposes women to new-onset sleep disturbances, as well as exacerbations of preexisting sleep disorders. The goals of treating perinatal sleep disorders include the promotion of restorative sleep and the benefits it brings to both mother and fetus. The prescribing of any sleep aid in pregnancy must include consideration of the risks and benefits for both the patient and her fetus. Although data on the perinatal use of sleep aids is limited, there may be effects on fetal development, timing and duration of delivery, and postnatal outcomes...
June 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29758115/antepartum-care-of-women-who-are-obese-during-pregnancy-systematic-review-of-the-current-evidence
#7
REVIEW
Nicole S Carlson, Sharon Lynn Leslie, Alexis Dunn
INTRODUCTION: Nearly 40% of US women of childbearing age are obese. Obesity during pregnancy is associated with multiple risks for both the woman and fetus, yet clinicians often feel unprepared to provide optimal antepartum care for this group of women. We collected and reviewed current evidence concerning antepartum care of women who are obese during pregnancy. METHODS: We conducted a systematic review using PRISMA guidelines. Current evidence relating to the pregnancy care of women with a prepregnancy body mass index of 30kg/m2 or higher was identified using MEDLINE databases via PubMed, Embase, and Web of Science Core Collection between January 2012 and February 2018...
May 14, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29756588/toward-a-shared-care-model-of-relapsing-remitting-multiple-sclerosis-role-of-the-primary-care-practitioner
#8
Jiwon Oh, Marie-Sarah Gagné-Brosseau, Melanie Guenette, Catherine Larochelle, François Lemieux, Suresh Menon, Sarah A Morrow, Laurence Poliquin-Lasnier, Chantal Roy-Hewitson, Carolina Rush, Anne-Marie Trudelle, Paul S Giacomini
The objective of this study was to develop a shared-care model to enable primary-care physicians to participate more fully in meeting the complex, multidisciplinary healthcare needs of patients with multiple sclerosis (MS). DESIGN: The design consisted of development of consensus recommendations and a shared-care algorithm. PARTICIPANTS: A working group of 11 Canadian neurologists involved in the management of patients with MS were included in this study. MAIN MESSAGE: The clinical management of patients with multiple sclerosis is increasing in complexity as new disease-modifying therapies (DMTs) become available, and ongoing safety monitoring is required...
May 2018: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/29751412/gender-difference-in-the-effects-of-lead-exposure-at-different-time-windows-on-neurobehavioral-development-in-5-year-old-children
#9
Hyunjoo Joo, Jong Hyuk Choi, Eunae Burm, Hyesook Park, Yun-Chul Hong, Yangho Kim, Eun-Hee Ha, Yeni Kim, Bung-Nyun Kim, Mina Ha
BACKGROUND: Although the association between lead exposure and children's neurodevelopment has been studied, gender differences remain to be investigated. We examined the effects of lead exposure on the neurobehavioral development of 5-year-old children to identify the vulnerable time window of exposure and potential gender difference. METHOD: A total of 1751 pregnant women and children participated in the prospective birth cohort study, Mothers and Children's Environmental Health study, since 2006...
February 15, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29747728/management-of-obstructive-sleep-apnea-in-pregnancy
#10
REVIEW
Jennifer E Dominguez, Linda Street, Judette Louis
The spectrum of sleep-disordered breathing (SDB) ranges from mild snoring to obstructive sleep apnea, the most severe form of SDB. Current recommendations are to treat these women with continuous positive airway pressure despite limited data. SDB in early and mid-pregnancy is associated with preeclampsia and gestational diabetes. Pregnant women with a diagnosis of obstructive sleep apnea at delivery were at significantly increased risk of having cardiomyopathy, congestive heart failure, pulmonary embolism, and in-hospital death...
June 2018: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/29745793/extreme-pregnancy-maternal-physical-activity-at-everest-base-camp
#11
Margie H Davenport, Craig D Steinback, Kennedy J Borle, Brittany A Matenchuk, Emily R Vanden Berg, Emily M de Freitas, Andrea M Linares, Ken D O'Halloran, Mingma T Sherpa, Trevor A Day
High altitude natives employ numerous physiological strategies to survive and reproduce. However, the concomitant influence of altitude and physical activity during pregnancy has not been studied above 3,700m. We report a case of physical activity, sleep behavior and physiological measurements on a 28-year-old third-trimester pregnant native highlander (Sherpa) during ascent from 3440m to Everest base camp (~5,300m) over eight days in the Nepal Himalaya, and again ~10-months postpartum during a similar ascent profile...
May 10, 2018: Journal of Applied Physiology
https://www.readbyqxmd.com/read/29741561/ramadan-pregnancy-nutrition-and-epidemiology
#12
Aryeh D Stein
Ramadan is observed by 1.6 billion Muslims. In a paper published this month that uses data from the Nouna Health and Demographic Surveillance System site in Burkina Faso, it is found that experiencing Ramadan in early pregnancy is associated with an increased risk of child mortality. Ramadan exposes observant individuals to a specific pattern of nutrition and other behaviors, including changes in sleep patterns. How these behaviors might result in child mortality is not yet understood, and the findings reported in the paper should be replicated in other settings...
May 5, 2018: American Journal of Epidemiology
https://www.readbyqxmd.com/read/29738792/energy-homeostasis-and-running-wheel-activity-during-pregnancy-in-the-mouse
#13
S R Ladyman, K M Carter, D R Grattan
Pregnancy and lactation are metabolically challenging states, where the mother must supply all the energy requirements for the developing fetus and growing pups respectively. The aim of the current study was to characterize many aspects of energy homeostasis before and during pregnancy in the mouse, and to examine the role of voluntary activity on changes in energy expenditure during pregnancy. In a secondary aim, we evaluate measures of energy homeostasis during pregnancy in mice that successfully reared their litter or in mice that went on to abandon their litter, to determine if an impairment in pregnancy-induced adaptation of energy homeostasis might underlie the abandonment of pups soon after birth...
May 5, 2018: Physiology & Behavior
https://www.readbyqxmd.com/read/29722084/the-effects-of-maternal-risk-factors-during-pregnancy-on-the-onset-of-sleep-difficulties-in-infants-at-3-months-old
#14
Isabel Morales-Muñoz, Outi Saarenpää-Heikkilä, Anneli Kylliäinen, Pirjo Pölkki, Tarja Porkka-Heiskanen, Tiina Paunio, E Juulia Paavonen
Sleep problems in young children are among the most common concerns reported to paediatricians. Sleep is thought to have important regulatory functions, and sleep difficulties in early childhood are linked to several psychosocial and physiological problems. Moreover, several prenatal factors have been found to influence infants' sleep. Among them, most of the studies have been focused on maternal prenatal depression and/or anxiety as potential risk factors for sleep problems in childhood, whereas other relevant psychological factors during pregnancy have not received as much attention...
May 2, 2018: Journal of Sleep Research
https://www.readbyqxmd.com/read/29716559/health-behaviour-changes-in-partners-of-women-with-recent-gestational-diabetes-a-phase-iia-trial
#15
Anne-Sophie Brazeau, Sara J Meltzer, Romina Pace, Natasha Garfield, Ariane Godbout, Leslie Meissner, Elham Rahme, Deborah Da Costa, Kaberi Dasgupta
BACKGROUND: We recently demonstrated that a gestational diabetes history in mothers is associated with higher postpartum incident diabetes not only in mothers but also in fathers. In the present study, we examined changes in health behaviours and cardiometabolic profiles in both mothers and partners who participated in a diabetes prevention program within 5 years of a gestational diabetes pregnancy. METHODS: Couples were enrolled into a 13-week program that included 5 half-day group sessions and web/telephone-based support between sessions...
May 2, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29712505/the-weight-of-fatherhood-identifying-mechanisms-to-explain-paternal-perinatal-weight-gain
#16
Darby Saxbe, Geoff W Corner, Mona Khaled, Katelyn Horton, Brian Wu, Hannah Lyden Khoddam
Men appear to gain weight during the transition to parenthood, and fathers are heavier than non-fathers. Paternal perinatal weight gain may set weight trajectories in midlife and have long-term health implications. Since men do not undergo the physical demands of pregnancy and breastfeeding, the specific mechanisms underlying weight gain in new fathers warrant investigation. This review aims to stimulate research on paternal perinatal weight gain by suggesting testable potential mechanisms that 1) show change across the transition to parenthood; and 2) play a role in weight and body composition...
May 1, 2018: Health Psychology Review
https://www.readbyqxmd.com/read/29706359/considerations-in-treating-insomnia-during-pregnancy-a-literature-review
#17
REVIEW
Simriti K Chaudhry, Leah C Susser
BACKGROUND: The prevalence of pregnancy-associated insomnia is high. Although insomnia may flow from normal physiologic features of pregnancy, it may also be an early warning sign of a relapse, or a trigger for a relapse, of a psychiatric illness. Those at risk for psychiatric illnesses may require medications as well as behavioral and psychotherapeutic interventions, to prevent relapse in the perinatal period. Unfortunately, few reviews of psychotropics used to treat pregnancy-related sleep disorders exist...
March 21, 2018: Psychosomatics
https://www.readbyqxmd.com/read/29696995/the-significance-of-supportive-and-undermining-elements-in-the-maternal-representations-of-an-unborn-baby
#18
E Rusanen, A R Lahikainen, P Pölkki, O Saarenpää-Heikkilä, E J Paavonen
OBJECTIVE: The maternal representations of an unborn baby begin to develop during pregnancy. However, the factors that moderate them are not well identified. The objective of this study was to jointly explore supportive and undermining factors in the maternal representations of an unborn baby and motherhood. METHODS: Cross-sectional data comprising 1646 women studied during the third trimester of pregnancy. Maternal expectations were measured using a 12-item self-report questionnaire, Mother's Representations about an Unborn Baby...
April 26, 2018: Journal of Reproductive and Infant Psychology
https://www.readbyqxmd.com/read/29681194/exposure-to-different-intrauterine-environments-implications-for-telomere-attrition-in-early-life
#19
Isabel Cristina Ribas Werlang, Monique Cabral Hahn, Juliana Rombaldi Bernardi, Martha Nast, Marcelo Zubaran Goldani, Mariana Bohns Michalowski
OBJECTIVE: Studies focusing on telomere attrition in newborns and what factors could be involved in this issue are sparse; most reports have been in adult populations. Thereby, the aim of this study was to present an overview of what is currently known about the relationship between environmental exposure of the fetus during pregnancy and telomere length outcomes in early life. METHODS: The MEDLINE (via PubMed) and Bireme databases were searched for studies published until 1 June, 2016...
April 22, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29679598/sleep-in-women-across-the-lifespan
#20
REVIEW
Martino Pengo, Christine Won, Ghada Bourjeily
There are many ways in which women experience sleep differently than men. Women contend with distinct sleep challenges, respond differently to sleep disorders, sleep deprivation and deficiency, and face particular health outcomes as a result of poor sleep. Idiosyncrasies - including changes that occur with the biological life cycles of menstruation, pregnancy, and menopause- make the understanding of sleep in women an important topic to study. Each phase of a woman's life, from childhood to menopause, increases the risk of sleep disturbance in unique ways that may require distinct management...
April 18, 2018: Chest
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