Maternal Snoring May Predict Adverse Pregnancy Outcomes: A Cohort Study in China

To examine the prevalence of snoring during pregnancy and its effects on key pregnancy outcomes. Pregnant women were consecutively recruited in their first trimester. Habitual snoring was screened by using a questionnaire in the 1st and 3rd trimester, respectively. According to the time of snoring,...

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Veröffentlicht in:PloS one 2016-02, Vol.11 (2), p.e0148732-e0148732
Hauptverfasser: Ge, Xing, Tao, Fangbiao, Huang, Kun, Mao, Leijing, Huang, Sanhuan, Niu, Ying, Hao, Jiahu, Sun, Yanli, Rutayisire, Erigene
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container_title PloS one
container_volume 11
creator Ge, Xing
Tao, Fangbiao
Huang, Kun
Mao, Leijing
Huang, Sanhuan
Niu, Ying
Hao, Jiahu
Sun, Yanli
Rutayisire, Erigene
description To examine the prevalence of snoring during pregnancy and its effects on key pregnancy outcomes. Pregnant women were consecutively recruited in their first trimester. Habitual snoring was screened by using a questionnaire in the 1st and 3rd trimester, respectively. According to the time of snoring, participants were divided into pregnancy onset snorers, chronic snorers and non-snorers. Logistic regressions were performed to examine the associations between snoring and pregnancy outcomes. Of 3 079 pregnant women, 16.6% were habitual snorers, with 11.7% were pregnancy onset snorers and 4.9% were chronic snorers. After adjusting for potential confounders, chronic snorers were independently associated with gestational diabetes mellitus (GDM) (RR 1.66, 95%CI 1.09-2.53). Both pregnancy onset and chronic snorers were independently associated with placental adhesion (RR 1.96, 95%CI 1.17-3.27, and RR 2.33, 95%CI 1.22-4.46, respectively). Pregnancy onset snorers were at higher risk of caesarean delivery (RR 1.37, 95%CI 1.09-1.73) and having macrosomia (RR 1.54, 95%CI 1.05-2.27) and large for gestational age (LGA) (RR 1.71, 95%CI 1.31-2.24) infants. In addition, being overweight or obese before pregnancy plays an important role in mediating snoring and adverse pregnancy outcomes. Maternal snoring may increase the risk of adverse pregnancy outcomes, and being overweight or obese before pregnancy with snoring is remarkable for researchers. Further studies are still needed to confirm our results.
doi_str_mv 10.1371/journal.pone.0148732
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Pregnant women were consecutively recruited in their first trimester. Habitual snoring was screened by using a questionnaire in the 1st and 3rd trimester, respectively. According to the time of snoring, participants were divided into pregnancy onset snorers, chronic snorers and non-snorers. Logistic regressions were performed to examine the associations between snoring and pregnancy outcomes. Of 3 079 pregnant women, 16.6% were habitual snorers, with 11.7% were pregnancy onset snorers and 4.9% were chronic snorers. After adjusting for potential confounders, chronic snorers were independently associated with gestational diabetes mellitus (GDM) (RR 1.66, 95%CI 1.09-2.53). Both pregnancy onset and chronic snorers were independently associated with placental adhesion (RR 1.96, 95%CI 1.17-3.27, and RR 2.33, 95%CI 1.22-4.46, respectively). Pregnancy onset snorers were at higher risk of caesarean delivery (RR 1.37, 95%CI 1.09-1.73) and having macrosomia (RR 1.54, 95%CI 1.05-2.27) and large for gestational age (LGA) (RR 1.71, 95%CI 1.31-2.24) infants. In addition, being overweight or obese before pregnancy plays an important role in mediating snoring and adverse pregnancy outcomes. Maternal snoring may increase the risk of adverse pregnancy outcomes, and being overweight or obese before pregnancy with snoring is remarkable for researchers. 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Pregnant women were consecutively recruited in their first trimester. Habitual snoring was screened by using a questionnaire in the 1st and 3rd trimester, respectively. According to the time of snoring, participants were divided into pregnancy onset snorers, chronic snorers and non-snorers. Logistic regressions were performed to examine the associations between snoring and pregnancy outcomes. Of 3 079 pregnant women, 16.6% were habitual snorers, with 11.7% were pregnancy onset snorers and 4.9% were chronic snorers. After adjusting for potential confounders, chronic snorers were independently associated with gestational diabetes mellitus (GDM) (RR 1.66, 95%CI 1.09-2.53). Both pregnancy onset and chronic snorers were independently associated with placental adhesion (RR 1.96, 95%CI 1.17-3.27, and RR 2.33, 95%CI 1.22-4.46, respectively). Pregnancy onset snorers were at higher risk of caesarean delivery (RR 1.37, 95%CI 1.09-1.73) and having macrosomia (RR 1.54, 95%CI 1.05-2.27) and large for gestational age (LGA) (RR 1.71, 95%CI 1.31-2.24) infants. In addition, being overweight or obese before pregnancy plays an important role in mediating snoring and adverse pregnancy outcomes. Maternal snoring may increase the risk of adverse pregnancy outcomes, and being overweight or obese before pregnancy with snoring is remarkable for researchers. Further studies are still needed to confirm our results.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26871434</pmid><doi>10.1371/journal.pone.0148732</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Age
Biology and Life Sciences
Birth weight
Body weight
Childrens health
China - epidemiology
Cohort analysis
Diabetes
Diabetes mellitus
Diabetes, Gestational - epidemiology
Female
Gestational age
Gestational diabetes
Glucose
Health aspects
Health behavior
Health risk assessment
Huang, Ying
Humans
Hypertension
Infants
Laboratories
Live Birth - epidemiology
Maternal & child health
Medicine and Health Sciences
Metabolism
Obesity
Observations
Overweight
Placenta
Population
Preeclampsia
Pregnancy
Pregnant women
Premature birth
Prevalence
Prospective Studies
Public health
Risk Assessment
Sleep apnea
Sleep disorders
Snoring
Snoring - epidemiology
Social Sciences
Stillbirth - epidemiology
Studies
Womens health
Young Adult
title Maternal Snoring May Predict Adverse Pregnancy Outcomes: A Cohort Study in China
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