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Sleep and pregnancy

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https://www.readbyqxmd.com/read/28211552/incidence-of-postpartum-depression-and-couple-relationship-quality
#1
Aleksandra Małus, Justyna Szyluk, Beata Galińska-Skok, Beata Konarzewska
OBJECTIVES: The childbirth constitutes a significant event in a woman's life and in the marital/ couple dyad. The changes which follow childbirth require re-organization of previous coping styles and development of new methods of adaptation, which proves difficult. The current study evaluated to what extent the development of postpartum depression symptoms in new mothers was associated with their level of satisfaction in marital relationship. METHODS: The study included 100 women in their first month after delivery...
December 23, 2016: Psychiatria Polska
https://www.readbyqxmd.com/read/28198036/sleep-disruption-and-duration-in-late-pregnancy-is-associated-with-excess-gestational-weight-gain-among-overweight-and-obese-women
#2
Caryl L Gay, Sarah E Richoux, Kathleen R Beebe, Kathryn A Lee
BACKGROUND: Poor sleep during pregnancy has been associated with poorer birth outcomes. High body mass index (BMI) is often associated with poor sleep, but little is known about the relationship between gestational weight gain and sleep in late pregnancy. The purpose of this study was to evaluate the relationships of both gestational weight gain and pre-pregnancy BMI to objective and subjective measures of sleep during late pregnancy. METHODS: Pregnant women (n=128) were recruited from prenatal clinics and childbirth classes primarily serving low-income women...
February 15, 2017: Birth
https://www.readbyqxmd.com/read/28186930/protective-factors-for-child-development-at-age-2-in-the-presence-of-poor-maternal-mental-health-results-from-the-all-our-babies-aob-pregnancy-cohort
#3
Sheila W McDonald, Heather L Kehler, Suzanne C Tough
OBJECTIVE: To identify the combination of factors most protective of developmental delay at age 2 among children exposed to poor maternal mental health. DESIGN: Observational cohort study. SETTING: Pregnant women were recruited from primary healthcare offices, the public health laboratory service and community posters in Calgary, Alberta, Canada. PARTICIPANTS: 1596 mother-child dyads who participated in the All Our Babies study and who completed a follow-up questionnaire when their child was 2 years old...
November 10, 2016: BMJ Open
https://www.readbyqxmd.com/read/28179416/cohort-profile-for-the-nurture-observational-study-examining-associations-of-multiple-caregivers-on-infant-growth-in-the-southeastern-usa
#4
Sara E Benjamin Neelon, Truls Østbye, Gary G Bennett, Richard M Kravitz, Shayna M Clancy, Marissa Stroo, Edwin Iversen, Cathrine Hoyo
PURPOSE: Childcare has been associated with obesity in children in cross-sectional and longitudinal studies, although some observed no association. Few studies have focused on care during infancy, a period when children may be especially vulnerable. PARTICIPANTS: The Nurture Study is an observational birth cohort designed to assess longitudinal associations of childcare and the presence of multiple caregivers on infant adiposity and weight trajectories throughout the first year of life...
February 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28176775/investigating-the-relationship-between-sleep-and-macronutrient-intake-in-women-of-childbearing-age
#5
C J Bennett, H Truby, Z Zia, S W Cain, M L Blumfield
BACKGROUND/OBJECTIVE: Reduced sleep is a strong and independent risk factor for weight gain and obesity. Maternal obesity preconception and throughout gestation can increase the risk of adverse pregnancy outcomes and impact on offspring health in later life. This study investigated the relationship between sleeping behaviour and macronutrient intake in childbearing aged women. SUBJECTS/METHODS: We used cross-sectional data from the Australian Longitudinal Study on Women's Health 1973-78 cohort, aged 31-36 years in 2009 (n=8200)...
February 8, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28176221/pegvisomant-in-acromegaly-an-update
#6
REVIEW
A Giustina, G Arnaldi, F Bogazzi, S Cannavò, A Colao, L De Marinis, E De Menis, E Degli Uberti, F Giorgino, S Grottoli, A G Lania, P Maffei, R Pivonello, E Ghigo
BACKGROUND: In 2007, we published an opinion document to review the role of pegvisomant (PEG) in the treatment of acromegaly. Since then, new evidence emerged on the biochemical and clinical effects of PEG and on its long-term efficacy and safety. AIM: We here reviewed the emerging aspects of the use of PEG in clinical practice in the light of the most recent literature. RESULTS: The clinical use of PEG is still suboptimal, considering that it remains the most powerful tool to control IGF-I in acromegaly allowing to obtain, with a pharmacological treatment, the most important clinical effects in terms of signs and symptoms, quality of life and comorbidities...
February 7, 2017: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/28175993/phq-8-minor-depression-among-pregnant-women-association-with-somatic-symptoms-of-depression
#7
Adrienne B McMahon, Clarissa J Arms-Chavez, Bridgette D Harper, Steven G LoBello
It was recently reported that pregnant women were more likely to have minor depression as measured by the Patient Health Questionnaire-8 depression scale (PHQ-8), (as reported by Kroenke and Spitzer (Psychiatr Ann 32(9):1-7, 2002), and Kroenke et al. (J Affect 114(1-3):163-173, 2009)) compared to women who were not pregnant (as reported by Ashley et al. (Arch Womens Ment Health 19(2):395-400, 2015)). The present study is designed to investigate if somatic symptoms (energy level, appetite, sleep) associated with both pregnancy and depression were responsible for this increased prevalence of minor depression...
February 7, 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/28162972/novel-strategies-to-prevent-stillbirth
#8
REVIEW
Jane Warland, Edwin A Mitchell, Louise M O'Brien
This article reviews three new and emerging risk factors for stillbirth that may be modifiable or might identify a compromised fetus. We focus on fetal movements, maternal sleep, and maternal diet. Recent studies have suggested than a sudden increase in vigorous fetal activity may be associated with increased risk of stillbirth. We review the papers that have reported this finding and discuss the implications as well as potential future directions for research. There is emerging literature to suggest that maternal sleep position may be a risk for stillbirth, especially if the woman settles to sleep supine...
February 2, 2017: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28160231/perceived-financial-satisfaction-health-related-quality-of-life-and-depressive-symptoms-in-early-pregnancy
#9
Niina Sahrakorpi, Saila B Koivusalo, Johan G Eriksson, Hannu Kautiainen, Beata Stach-Lempinen, Risto P Roine
Objectives To assess the associations of perceived financial satisfaction and health-related quality of life (HRQoL) and depressive symptoms in an unselected pregnant population in early pregnancy. Methods 750 consecutive pregnant women attending the first communal ultrasound examination before gestational week 14 were invited to participate. Questionnaires assessing HRQoL (15D), depressive symptoms (Edinburgh Depression Scale, EPDS), medical, obstetric, and socioeconomic status were handed out. The participants were divided into three groups according to their satisfaction with their financial status, (unsatisfied, somewhat satisfied, and satisfied)...
February 3, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28153216/maternal-and-paternal-sleep-during-pregnancy-in-the-child-sleep-birth%C3%A2-cohort
#10
E Juulia Paavonen, Outi Saarenpää-Heikkilä, Pirjo Pölkki, Anneli Kylliäinen, Tarja Porkka-Heiskanen, Tiina Paunio
STUDY OBJECTIVES: Maternal and paternal sleep insufficiency during pregnancy appears to be a risk factor for health and wellbeing in young families. Here, we evaluated the prevalence of sleep insufficiency and symptoms of insomnia during pregnancy (at 32nd pregnancy week) and their relationship to depression, anxiety and environmental stress. METHODS: The study is based on a population based sample from Finland consisting of 1667 mothers and 1498 fathers from the Child-sleep birth cohort...
January 2017: Sleep Medicine
https://www.readbyqxmd.com/read/28150266/-non-pharmacological-interventions-for-pregnancy-related-sleep-disturbances
#11
Hsuan-Man Hung, Hsiao-Ching Chiang
Most women experience the worse sleep quality of their life during pregnancy and the early postpartum period. Although pregnancy typically accounts for a relatively short part of a woman's life, the related sleep disturbances may have a significant and negative impact on her long-term health. Approximately 78-80% of pregnant women experience sleep disturbances, including interruptions in deep sleep, decreased total sleep time, poor subjective sleep quality, frequent night waking, and reduced sleep efficacy...
February 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28134938/obstructive-sleep-apnea-and-perinatal-risk
#12
Margarita Reyes-Zúñiga, Luis Torre-Bouscoulet
Obstructive sleep apnea is characterized by total or partial interruptions of airflow during sleep, despite ongoing efforts to breathe. These pauses result from repeated upper airway obstructions that generate a systemic inflammatory condition with consequences for the endothelial function that increase the risk of cardiometabolic events. The prevalence of obstructive sleep apnea during pregnancy is greater than that observed in the general population and increases in the third trimester. Although limited, the information currently available supports the notion that obstructive sleep apnea is an independent, and potentially modifiable, risk factor for maternal and perinatal morbidity and mortality...
November 2016: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
https://www.readbyqxmd.com/read/28131073/maternal-salivary-cortisone-to-cortisol-ratio-in-late-pregnancy-an-improved-method-for-predicting-offspring-birth-weight
#13
Meredith Wilson, Zaneta Thayer
Overexposure to maternal cortisol in utero has been associated with lower birth weight of offspring. In order to regulate fetal exposure to this hormone, placental expression of 11-β-hydroxysteroid dehydrogenase-2, an enzyme that converts active cortisol to inactive cortisone, increases across pregnancy. Because of this increase in 11-βHSD2 activity, measuring maternal cortisol in isolation may not reflect actual fetal exposure to the hormone. Previous work by Hellgren et al. (2016) has shown that maternal serum cortisone:cortisol ratio was a better predictor of offspring birth weight than cortisol measured in isolation...
January 12, 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/28121644/peripartum-management-of-obstructive-sleep-apnea
#14
Jessica L Booth, Ashley M Tonidandel
The prevalence of obstructive sleep apnea is unknown during pregnancy, but the syndrome is likely underdiagnosed and rising in frequency along with the obesity epidemic. Obstructive sleep apnea is associated with adverse outcomes, including hypertensive disorders of pregnancy, gestational diabetes, preterm, and cesarean delivery. Obese pregnant women should be screened and referred to a sleep medicine specialist for evaluation. Continuous positive airway pressure is the treatment of choice with demonstrated safety and compliance in pregnancy...
January 24, 2017: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28120358/sleep-quality-and-its-relationship-with-quality-of-life-in-iranian-pregnant-women
#15
Fatemeh Effati-Daryani, Mojgan Mirghafourvand, Sakineh Mohammad-Alizadeh-Charandabi, Fatemeh Shiri-Sarand, Somayeh Zarei
Sleep disorders are a common problem during pregnancy and may affect quality of life. This study aimed to determine the status of sleep quality and its relationship with quality of life in Iranian pregnant women. This cross-sectional study was conducted on 565 women recruited using 2-stage cluster sampling methods. Data were collected using sociodemographic characteristics; quality of life; and Pittsburgh sleep quality questionnaire between March and May 2015. About 6% of the women had a sleep disorder. There were significant correlations between quality of life and total score of sleep quality, subdomains of habitual sleep efficiency, sleep disturbance, and daytime dysfunction...
January 25, 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/28112064/nutrition-infection-and-stunting-the-roles-of-deficiencies-of-individual-nutrients-and-foods-and-of-inflammation-as-determinants-of-reduced-linear-growth-of-children
#16
D Joe Millward
The regulation of linear growth by nutritional and inflammatory influences is examined in terms of growth-plate endochondral ossification, in order to better understand stunted growth in children. Linear growth is controlled by complex genetic, physiological, and nutrient-sensitive endocrine/paracrine/autocrine mediated molecular signalling mechanisms, possibly including sleep adequacy through its influence on growth hormone secretion. Inflammation, which accompanies most infections and environmental enteric dysfunction, inhibits endochondral ossification through the action of mediators including proinflammatory cytokines, the activin A-follistatin system, glucocorticoids and fibroblast growth factor 21 (FGF21)...
January 23, 2017: Nutrition Research Reviews
https://www.readbyqxmd.com/read/28110597/sleep-quality-and-its-relationship-with-quality-of-life-among-high-risk-pregnant-women-gestational-diabetes-and-hypertension
#17
Fatemeh Saadati, Fahimeh Sehhatiei Shafaei, Mozhgan Mirghafourvand
BACKGROUND: Sleep is one of the most basic human requirements. This research aims at determining the status of sleep quality and its relationship with quality of life among high-risk pregnant women in Tabriz, Iran, in 2015. MATERIALS AND METHODS: This research was a sectional study done on 364 qualified women in 28-36 weeks of pregnancy suffering from mild preeclampsia and gestational diabetes. The sampling was done as convenience. Personal-social-midwifery questionnaire, Pittsburg sleep quality, and quality of life in pregnancy (QOL-ORAV) were used for gathering data...
January 23, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28103130/serum-progesterone-levels-in-pregnant-women-with-obstructive-sleep-apnea-a-case-control-study
#18
Jennifer Lee, Elizabeth E Eklund, Geralyn Lambert-Messerlian, Glenn E Palomaki, Kristen Butterfield, Patrizia Curran, Ghada Bourjeily
BACKGROUND: Pregnancy is a risk factor for sleep disordered breathing, including obstructive sleep apnea (OSA). Progesterone, one of the key hormones in pregnancy, a known respiratory drive stimulant, increases ventilation and may protect against OSA. We aimed to examine the relationship between circulating progesterone and OSA, after accounting for body weight and gestational age. METHODS: A case control study was conducted of pregnant women with OSA and those at low risk for the disorder...
January 19, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28090638/late-gestational-intermittent-hypoxia-induces-metabolic-and-epigenetic-changes-in-male-adult-offspring-mice
#19
Abdelnaby Khalyfa, Rene Cortese, Zhuanhong Qiao, Honggang Ye, Riyue Bao, Jorge Andrade, David Gozal
Pregnancy, particularly late gestation, has been associated with a relatively high prevalence of obstructive sleep apnea (OSA). Intermittent hypoxia (IH), a hallmark of OSA, could impose significant long-term effects on somatic growth, energy homeostasis, and metabolic function in offspring. We hypothesized that IH during late pregnancy (LG-IH) may increase the propensity for metabolic dysregulation and obesity in adult offspring via epigenetic modifications. Time-pregnant female C57BL/6 mice were exposed to LG-IH or room air (LG-RA) during days 13-18 of gestation...
January 15, 2017: Journal of Physiology
https://www.readbyqxmd.com/read/28065256/a-newborn-infant-with-oxygen-desaturation-during-sleep
#20
Ashley Deschamp, Ameet Daftary
The patient is a 1-week-old boy born at 37+2 weeks' gestational age through spontaneous vaginal delivery. The pregnancy was complicated by maternal gestational diabetes mellitus and pre-eclampsia. The Apgar score was 9 at both 1 minute and 5 minutes after birth. Because of hypoglycemia at delivery that required IV dextrose, he was admitted to the local neonatal intensive care unit. His blood glucose levels quickly stabilized, dextrose administration was discontinued, and the patient began breast-feeding. On day 2 of life, the patient began having intermittent oxygen desaturation, with oxygen saturation as measured by pulse oximetry down to 70% while sleeping; he was transferred to a tertiary-care NICU for further management...
January 2017: Chest
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