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Sleep disorders during pregnancy

機(jī)譯:懷孕期間的睡眠障礙

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摘要

Background Sleep disorders are known to increase in prevalence during pregnancy, and associations between disturbed sleep during pregnancy and adverse outcomes for mother and child have been reported in a number of studies. However, most of these studies were retrospective and too small to satisfactorily demonstrate the association. Aims To prospectively investigate the development of snoring during pregnancy and assess if there is an association between snoring and sleepiness or adverse pregnancy outcomes. To study the development of restless legs syndrome during and after pregnancy, and whether it is associated with snoring or other pregnancy-related symptoms. To investigate the possible association between depressive symptoms in the postpartum period and sleep related problems during pregnancy, using screening instruments. To objectively evaluate sleep disordered breathing in pregnant women compared to non-pregnant controls and to evaluate differences in Epworth Sleepiness Scale scores between the two groups. Methods Questionnaires containing subjective rating of snoring, Epworth Sleepiness Scale and symptoms of restless legs were used in all studies. Information from the medical records of the pregnant women was also utilized. For objective evaluation of sleep disordered breathing, nocturnal respiratory recordings were used. In the research for the first three papers the same cohort of 500 pregnant women was followed on three occasions during pregnancy and also after delivery, and for the last paper, 100 other pregnant women were compared to 80 nonpregnant controls. Results and conclusions Both snoring and restless legs syndrome increase during pregnancy, but this had no convincing impact on obstetric outcome. Sleep recordings could not verify an increased prevalence of obstructive sleep apnea among pregnant women. Restless legs syndrome was associated with snoring and could persist after delivery. Women who had high scores on the Epworth Sleepiness Scale in the last trimester of pregnancy showed more depressive symptoms in the postpartum period. No difference in item scoring of the Epworth Sleepiness Scale was found between pregnant women and controls.
機(jī)譯:背景技術(shù)眾所周知,睡眠障礙會(huì)在懷孕期間增加患病率,并且在許多研究中都報(bào)告了懷孕期間睡眠障礙與母子不良后果之間的關(guān)聯(lián)。但是,這些研究大多數(shù)都是回顧性的,規(guī)模太小,無(wú)法令人滿意地證明這種關(guān)聯(lián)。目的前瞻性研究妊娠期間打的發(fā)展,并評(píng)估打與嗜睡或不良妊娠結(jié)局之間是否存在關(guān)聯(lián)。研究妊娠期間和妊娠后腿不安綜合癥的發(fā)展,以及它是否與打ing或其他妊娠相關(guān)癥狀有關(guān)。使用篩查工具調(diào)查產(chǎn)后抑郁癥狀與懷孕期間與睡眠有關(guān)的問題之間的可能聯(lián)系。為了客觀地評(píng)估孕婦與非孕婦對(duì)照組的睡眠呼吸障礙,并評(píng)估兩組之間的Epworth嗜睡量表得分的差異。方法所有問卷均采用主觀打of,愛潑華嗜睡量表和不安腿癥狀的問卷。還利用了孕婦醫(yī)療記錄中的信息。為了客觀評(píng)估睡眠呼吸障礙,使用了夜間呼吸記錄。在前三篇論文的研究中,在懷孕期間和分娩后三次隨訪了同一隊(duì)列的500名孕婦,最后一篇論文將其他100名孕婦與80名未懷孕的對(duì)照組進(jìn)行了比較。結(jié)果與結(jié)論妊娠期間打legs和腿不安綜合癥都會(huì)增加,但這對(duì)產(chǎn)科預(yù)后沒有令人信服的影響。睡眠記錄無(wú)法證實(shí)孕婦阻塞性睡眠呼吸暫停的患病率增加。腿不安綜合癥與打nor有關(guān),分娩后可能持續(xù)存在。在妊娠末三個(gè)月的愛潑華嗜睡量表評(píng)分較高的女性在產(chǎn)后表現(xiàn)出更多的抑郁癥狀。孕婦和對(duì)照組之間的愛潑華嗜睡量表項(xiàng)目評(píng)分沒有差異。

著錄項(xiàng)

  • 作者

    Sarberg, Maria;

  • 作者單位
  • 年度 2015
  • 總頁(yè)數(shù)
  • 原文格式 PDF
  • 正文語(yǔ)種 eng
  • 中圖分類

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