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https://read.qxmd.com/read/30753641/pulse-transit-time-in-pregnancy-a-new-way-to-diagnose-and-classify-sleep-disordered-breathing
#1
Brittany N Link, Celine Eid, Maggie H Bublitz, Martino F Pengo, Myriam Salameh, Karin S Ludwig, Richard P Millman, Lance Dworkin, Ghada Bourjeily
Study Objectives: There are significant discrepancies between the prevalence of snoring and that of objectively defined sleep disordered breathing (SDB) among pregnant women, suggesting subtle airflow limitations that may not be captured by conventional scoring. This study examined the performance of pulse transit time (PTT), an indirect measure of arterial stiffness and sympathetic activation, in pregnancy. Methods: Pregnant women with obesity and snoring and a group of controls without symptoms of SDB were recruited in the first trimester...
February 8, 2019: Sleep
https://read.qxmd.com/read/30747971/interventions-to-prevent-perinatal-depression-us-preventive-services-task-force-recommendation-statement
#2
Susan J Curry, Alex H Krist, Douglas K Owens, Michael J Barry, Aaron B Caughey, Karina W Davidson, Chyke A Doubeni, John W Epling, David C Grossman, Alex R Kemper, Martha Kubik, C Seth Landefeld, Carol M Mangione, Michael Silverstein, Melissa A Simon, Chien-Wen Tseng, John B Wong
Importance: Perinatal depression, which is the occurrence of a depressive disorder during pregnancy or following childbirth, affects as many as 1 in 7 women and is one of the most common complications of pregnancy and the postpartum period. It is well established that perinatal depression can result in adverse short- and long-term effects on both the woman and child. Objective: To issue a new US Preventive Services Task Force (USPSTF) recommendation on interventions to prevent perinatal depression...
February 12, 2019: JAMA: the Journal of the American Medical Association
https://read.qxmd.com/read/30746038/oral-l-carnitine-used-to-treat-narcoleptic-type-1-patient-during-pregnancy-a-case-report
#3
Felipe Barros, Ana Carolina Rodrigues Aguilar, Sergio Tufik, Fernando Morgadinho Coelho
Narcolepsy type 1 is a sleep disorder characterized by excessive daytime sleepiness (EDS), sleep fragmentation, hypnagogic hallucinations, sleep paralysis, and cataplexy. Stimulant medications such as modafinil and amphetamines are the first-line medications for treating sleepiness. However, the management of narcolepsy during special circumstances of life such as pregnancy is complex. MMDM is a 34-year-old female with Narcolepsy type 1 treated with modafinil (400mg/d) and citalopram (20mg/d). Before she become pregnant, modafinil and citalopram were replaced for L-Carnitine 510mg/d with good outcome...
July 2018: Sleep Science
https://read.qxmd.com/read/30739124/postnatal-outcomes-in-lambs-exposed-antenatally-and-acutely-postnatally-to-fluoxetine
#4
Tuan Anh Nguyen, Timothy Chow, Wayne Riggs, Dan Rurak
BACKGROUND: Approximately 1/3 of newborns exposed antenatally to selective serotonin reuptake inhibitors (SSRIs) exhibit poor neonatal adaptation. Although several potential mechanisms have been proposed, the actual mechanism has not been elucidated. METHODS: We investigated outcomes in neonatal lambs exposed prenatally or postnatally to fluoxetine (FX). Daily FX injections (50 mg) were given intravenously (i.v.) to five pregnant ewes via implanted catheters beginning at 131-132 days gestation (term = 147 days) for 2 weeks...
February 9, 2019: Pediatric Research
https://read.qxmd.com/read/30710373/identifying-clusters-from-multidimensional-symptom-trajectories-in-postpartum-women
#5
Sudeshna Paul, Elizabeth J Corwin
Depressive symptoms, stress, fatigue, and lack of sleep are often experienced by women in the perinatal period and are potential contributors to adverse maternal and child health outcomes. To explore the evolution of symptoms and identify groups of women of similar severity and patterns, we utilized clustering of multidimensional symptom trajectories. In an observational study data were collected from pregnant women in the 3rd trimester (36 weeks prenatal) and in the postnatal period at weeks 1 and 2 as well as at 1-, 2-, 3-, and 6-months postpartum...
February 2, 2019: Research in Nursing & Health
https://read.qxmd.com/read/30676005/dependencies-between-maternal-and-fetal-autonomic-tone
#6
Janine Zöllkau, Eva-Maria Dölker, Alexander Schmidt, Uwe Schneider, Dirk Hoyer
Background Disturbances in maternal physiology can cause changes in the fetal condition that may lead to impaired fetal development. Synchronous monitoring of cardiac autonomic tone via the assessment of the fetal and maternal heart rate (HR) and heart rate variability (HRV) may provide an appropriate diagnostic window. Methods Partial rank correlation coefficients between the maternal and fetal HR and HRV indices were calculated and verified by testing surrogate data in 315 magnetocardiographic (MCG) recordings from 141 healthy women pregnant with singleton fetuses [18+6 to 39+2 weeks gestational age (WGA)]...
December 20, 2018: Journal of Perinatal Medicine
https://read.qxmd.com/read/30659385/sleep-problems-and-anxiety-from-2-to-8-years-and-the-influence-of-autistic-traits-a-longitudinal-study
#7
Jacqueline Uren, Amanda L Richdale, Sue M Cotton, Andrew J O Whitehouse
Whether or not childhood sleep problems and anxiety occur simultaneously, or one precedes the other, and any effect of autistic traits on this relationship remains unclear. We investigated longitudinal associations between sleep and anxiety at 2 years and sleep and anxiety at 8 years controlling for demographic variables. We also examined the additional influence of autistic traits at 2 years on sleep problems and anxiety at 8 years. Participants were from the Western Australian Pregnancy Cohort (Raine) Study, where 2900 pregnant women were recruited between 1989 and 1991 and their children assessed every 2-3 years thereafter...
January 19, 2019: European Child & Adolescent Psychiatry
https://read.qxmd.com/read/30654991/prenatal-sleep-quality-and-mental-health-symptoms-across-the-perinatal-period-a-longitudinal-study-of-high-risk-women
#8
Julia L Paulson, Laura Miller-Graff
BACKGROUND: Trauma-exposed women may be at magnified risk for posttraumatic stress (PTSS) and depression symptoms in the perinatal period, but few studies have examined symptomatology across the perinatal period in high-risk samples. Further, the role of sleep in perinatal symptomatology has been largely neglected in the violence literature, despite its well-established associations to mental health in other samples. This study aimed to examine the trajectory of PTSS and depression symptoms across the perinatal period and the effects of childhood adversity, intimate partner violence and prenatal sleep impairment on PTSS and depression symptoms across the perinatal period...
January 2019: Journal of Psychosomatic Research
https://read.qxmd.com/read/30654747/feasibility-of-smart-wristbands-for-continuous-monitoring-during-pregnancy-and-one-month-after-birth
#9
Kirsi Grym, Hannakaisa Niela-Vilén, Eeva Ekholm, Lotta Hamari, Iman Azimi, Amir Rahmani, Pasi Liljeberg, Eliisa Löyttyniemi, Anna Axelin
BACKGROUND: Smart wristbands enable the continuous monitoring of health parameters, for example, in maternity care. Understanding the feasibility and acceptability of these devices in an authentic context is essential. The aim of this study was to evaluate the feasibility of using a smart wristband to collect continuous activity, sleep and heart rate data from the beginning of the second trimester until one month postpartum. METHODS: The feasibility of a smart wristband was tested prospectively through pregnancy in nulliparous women (n = 20)...
January 17, 2019: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/30627338/assessment-of-the-quality-of-care-in-maternity-waiting-homes-mwhs-in-mulanje-district-malawi
#10
Leticia Chimwemwe Suwedi-Kapesa, Alinane Linda Nyondo-Mipando
Aim: Maternal Mortality Ratio (MMR)in Malawi remains high at 439 deaths per 100,000 live births, primarily due to limited access to skilled birth care. Although Malawi established Maternity Waiting Homes (MWHs) to improve access to skilled labour, the quality of care provided in the homes has received limited assessment. The aim of this study was to assess quality of care in the Maternity Waiting Homes in Mulanje, Malawi. Methods: We conducted a descriptive qualitative study in three MWHs in Mulanje district, Malawi, from December 2015 to January 2016...
June 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30620232/prevalence-and-risk-factors-for-restless-legs-syndrome-during-pregnancy-in-a-northern-italian-population
#11
Giovanna Esposito, Vanessa Odelli, Lucrezia Romiti, Francesca Chiaffarino, Mirella Di Martino, Elena Ricci, Paola Agnese Mauri, Alessandro Bulfoni, Fabio Parazzini
The objective of the present study was to investigate the frequency and the risk factors for restless legs syndrome (RLS) during pregnancy in an Italian population rarely studied, in epidemiological studies on the syndrome. A total of 648 women (median age: 35 years; interquartile range: 32-38), who delivered on randomly selected days at the obstetric department of our hospital, were identified. One hundred and thirty-two women (20.4%, 95% confidence interval (CI): 17.3-23.5) met the criteria for a diagnosis of RLS...
January 8, 2019: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://read.qxmd.com/read/30618223/restless-legs-syndrome-in-pregnant-thai-women-prevalence-predictive-factors-and-natural-course
#12
Supakorn Panvatvanich, Praween Lolekha
BACKGROUND AND PURPOSE: Restless legs syndrome (RLS) is a common sleep-related neurological disorder that affects the quality of sleep. This study aimed to estimate the prevalence, predictive factors, and natural course of RLS, and its effect on sleep quality in pregnant Thai women. METHODS: A cross-sectional study that included 214 pregnant women was performed. RLS was diagnosed according to the revised criteria of the International RLS Study Group (IRLSSG). General demographic and antenatal-care data were reviewed...
January 2019: Journal of Clinical Neurology
https://read.qxmd.com/read/30581787/effect-of-obstetric-fine-nursing-on-pain-during-natural-childbirth-and-postpartum-recovery
#13
Youliang Ou, Yanli Zhou, Ping Xiang
Background: This study aimed to observe the effect of fine nursing on pain and postpartum recovery during natural delivery of pregnant women. Methods: The clinical data of 192 primiparas who were expecting labor in Nanfang Hospital, Southern Medical University, Guangzhou, China from 2015-2016 were retrospectively analyzed. Among them, 100 cases were treated with fine nursing before and after delivery, and 92 cases were treated with routine nursing. The pain rate, the second stage of labor, the amount of bleeding 2 hours postpartum, and postpartum recovery were compared between the two groups...
November 2018: Iranian Journal of Public Health
https://read.qxmd.com/read/30579893/reasons-for-late-night-eating-and-willingness-to-change-a-qualitative-study-in-pregnant-black-women
#14
Elizabeth N Kroeger, Tiffany L Carson, Monica L Baskin, Alana Langaigne, Camille R Schneider, Brenda Bertrand, Ivan I Herbey, Lorie M Harper, Joseph R Biggio, Paula C Chandler-Laney
OBJECTIVE: Late-night eating during pregnancy is associated with greater risk for gestational diabetes. The purposes of this study were to describe reasons why women engage in late-night eating and to understand perceptions about changing this behavior. DESIGN: Focus groups using a semistructured interview script. SETTING: Urban university-affiliated obstetric clinic. PARTICIPANTS: Low-income black women (n = 18) with overweight/obesity at entry to prenatal care...
December 20, 2018: Journal of Nutrition Education and Behavior
https://read.qxmd.com/read/30562618/hidden-association-between-the-presence-and-severity-of-striae-gravidarum-and-low-back-pain-in-pregnancy
#15
Demet Kokanalı, Ali Turhan Çağlar
OBJECTIVE(S): To investigate the association between striae gravidarum and low back pain in pregnancy. STUDY DESIGN: 200 healthy pregnant women with first, uncomplicated and singleton pregnancy at a gestation age of 36-37 weeks were evaluated for striae gravidarum Davey score. Back pain was assessed by Visual Analogue Scale and functional disability by the Turkish version of Oswestry Disability Index. RESULTS: 118 (59%) had low back pain. The Davey score was higher in women with low back pain (6...
December 12, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/30559779/pre-ramadan-health-seeking-behavior-fasting-trends-eating-pattern-and-sleep-cycle-in-pregnant-women-at-a-tertiary-care-institution-of-pakistan
#16
Shabeen Naz Masood, Saira Saeed, Nusrat Lakho, Yasir Masood, Muhammad Yakoob Ahmedani, A Samad Shera
Objective: To observe the pre-Ramadan health seeking behavior, fasting trends, eating pattern and, sleep cycle in pregnant women. Methods: It is a cross-sectional observational study, from July to September 2017, conducted at Tertiary Care Hospital in Karachi. The tool used for data collection was interviewer based closed ended questionnaire, 279 pregnant women who fasted during Ramadan were included in the study. Results: One to ten days of fasting was observed by 85...
November 2018: Pakistan Journal of Medical Sciences Quarterly
https://read.qxmd.com/read/30505290/a-pilot-randomized-controlled-trial-on-the-effect-of-cpap-treatment-on-glycemic-control-in-gestational-diabetes-study-design-and-methods
#17
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
https://read.qxmd.com/read/30484015/obstructive-sleep-apnea-as-a-risk-factor-for-preeclampsia-eclampsia
#18
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
https://read.qxmd.com/read/30470200/factors-influencing-the-quality-of-life-of-pregnant-women-a-systematic-review
#19
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
https://read.qxmd.com/read/30446236/-shift-workers-and-night-workers-health-consequences-state-of-art-and-recommendations
#20
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
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