A systematic review and quantitative assessment of sleep-disordered breathing during pregnancy and perinatal outcomes
Purpose Previous investigations have suggested a strong association between sleep-disordered breathing (SDB) during pregnancy and perinatal outcomes. However, the results of the following replication studies were not always concordant. Therefore, this meta-analysis was conducted to evaluate the more...
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description | Purpose
Previous investigations have suggested a strong association between sleep-disordered breathing (SDB) during pregnancy and perinatal outcomes. However, the results of the following replication studies were not always concordant. Therefore, this meta-analysis was conducted to evaluate the more reliable estimate.
Methods
A systematic literature search was performed on PubMed, Springer Link, and EMBASE to identify all eligible studies published before August 2013. Summary odds ratios (ORs) and 95 % confidence intervals (CIs) were calculated using fixed or random effects model.
Results
A total of 24 publications met the inclusion criteria and were included in this meta-analysis. Findings demonstrated that moderate-to-severe SDB during pregnancy was associated with gestational diabetes mellitus (OR = 1.78; 95 % CI, 1.29 to 2.46), pregnancy-related hypertension (OR = 2.38; 95 % CI, 1.63 to 3.47), preeclampsia (OR = 2.19; 95 % CI, 1.71 to 2.80), preterm delivery (OR = 1.98; 95 % CI, 1.59 to 2.48), low birth weight (OR = 1.75; 95 % CI, 1.33 to 2.32), neonatal intensive care unit (NICU) admission (OR = 2.43; 95 % CI, 1.61 to 3.68), intrauterine growth restriction (OR = 1.44; 95 % CI, 1.22 to 1.71), and Apgar score of |
doi_str_mv | 10.1007/s11325-014-0946-4 |
format | Article |
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Previous investigations have suggested a strong association between sleep-disordered breathing (SDB) during pregnancy and perinatal outcomes. However, the results of the following replication studies were not always concordant. Therefore, this meta-analysis was conducted to evaluate the more reliable estimate.
Methods
A systematic literature search was performed on PubMed, Springer Link, and EMBASE to identify all eligible studies published before August 2013. Summary odds ratios (ORs) and 95 % confidence intervals (CIs) were calculated using fixed or random effects model.
Results
A total of 24 publications met the inclusion criteria and were included in this meta-analysis. Findings demonstrated that moderate-to-severe SDB during pregnancy was associated with gestational diabetes mellitus (OR = 1.78; 95 % CI, 1.29 to 2.46), pregnancy-related hypertension (OR = 2.38; 95 % CI, 1.63 to 3.47), preeclampsia (OR = 2.19; 95 % CI, 1.71 to 2.80), preterm delivery (OR = 1.98; 95 % CI, 1.59 to 2.48), low birth weight (OR = 1.75; 95 % CI, 1.33 to 2.32), neonatal intensive care unit (NICU) admission (OR = 2.43; 95 % CI, 1.61 to 3.68), intrauterine growth restriction (OR = 1.44; 95 % CI, 1.22 to 1.71), and Apgar score of <7 at 1 min (OR = 1.78; 95 % CI, 1.10 to 2.91) based on all studies but not gestational age and birth weight.
Conclusions
This meta-analysis revealed that moderate-to-severe SDB during pregnancy may be associated with most of adverse perinatal outcomes. Further well-designed studies are warranted to confirm our findings.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-014-0946-4</identifier><identifier>PMID: 24519711</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Apgar Score ; Biological and medical sciences ; Dentistry ; Diabetes ; Diabetes, Gestational - diagnosis ; Diseases of mother, fetus and pregnancy ; Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes ; Female ; Fetal Growth Retardation - diagnosis ; Fundamental and applied biological sciences. Psychology ; Gynecology. Andrology. Obstetrics ; Humans ; Hypertension, Pregnancy-Induced - diagnosis ; Infant, Low Birth Weight ; Infant, Newborn ; Internal Medicine ; Maternal & child health ; Medical sciences ; Medicine ; Medicine & Public Health ; Meta-analysis ; Nervous system (semeiology, syndromes) ; Neurology ; Obstetric Labor, Premature - diagnosis ; Otorhinolaryngology ; Pediatrics ; Pneumology ; Pneumology/Respiratory System ; Preeclampsia ; Pregnancy ; Pregnancy Complications - diagnosis ; Pregnancy Outcome ; Pregnancy. Fetus. Placenta ; Respiratory system : syndromes and miscellaneous diseases ; Review ; Risk Factors ; Sleep Apnea, Obstructive - diagnosis ; Sleep disorders ; Sleep. Vigilance ; Systematic review ; Vertebrates: nervous system and sense organs</subject><ispartof>Sleep & breathing, 2014-12, Vol.18 (4), p.703-713</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-4512a0899e719383a29aae9978092e0cace4e454d4a5682a961b44de29d4bec33</citedby><cites>FETCH-LOGICAL-c472t-4512a0899e719383a29aae9978092e0cace4e454d4a5682a961b44de29d4bec33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-014-0946-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-014-0946-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28928780$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24519711$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ding, Xiu-Xiu</creatorcontrib><creatorcontrib>Wu, Yi-Le</creatorcontrib><creatorcontrib>Xu, Shao-Jun</creatorcontrib><creatorcontrib>Zhang, Shi-Fen</creatorcontrib><creatorcontrib>Jia, Xiao-Min</creatorcontrib><creatorcontrib>Zhu, Ruo-Ping</creatorcontrib><creatorcontrib>Hao, Jia-Hu</creatorcontrib><creatorcontrib>Tao, Fang-Biao</creatorcontrib><title>A systematic review and quantitative assessment of sleep-disordered breathing during pregnancy and perinatal outcomes</title><title>Sleep & breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Purpose
Previous investigations have suggested a strong association between sleep-disordered breathing (SDB) during pregnancy and perinatal outcomes. However, the results of the following replication studies were not always concordant. Therefore, this meta-analysis was conducted to evaluate the more reliable estimate.
Methods
A systematic literature search was performed on PubMed, Springer Link, and EMBASE to identify all eligible studies published before August 2013. Summary odds ratios (ORs) and 95 % confidence intervals (CIs) were calculated using fixed or random effects model.
Results
A total of 24 publications met the inclusion criteria and were included in this meta-analysis. Findings demonstrated that moderate-to-severe SDB during pregnancy was associated with gestational diabetes mellitus (OR = 1.78; 95 % CI, 1.29 to 2.46), pregnancy-related hypertension (OR = 2.38; 95 % CI, 1.63 to 3.47), preeclampsia (OR = 2.19; 95 % CI, 1.71 to 2.80), preterm delivery (OR = 1.98; 95 % CI, 1.59 to 2.48), low birth weight (OR = 1.75; 95 % CI, 1.33 to 2.32), neonatal intensive care unit (NICU) admission (OR = 2.43; 95 % CI, 1.61 to 3.68), intrauterine growth restriction (OR = 1.44; 95 % CI, 1.22 to 1.71), and Apgar score of <7 at 1 min (OR = 1.78; 95 % CI, 1.10 to 2.91) based on all studies but not gestational age and birth weight.
Conclusions
This meta-analysis revealed that moderate-to-severe SDB during pregnancy may be associated with most of adverse perinatal outcomes. Further well-designed studies are warranted to confirm our findings.</description><subject>Apgar Score</subject><subject>Biological and medical sciences</subject><subject>Dentistry</subject><subject>Diabetes</subject><subject>Diabetes, Gestational - diagnosis</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Female</subject><subject>Fetal Growth Retardation - diagnosis</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hypertension, Pregnancy-Induced - diagnosis</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Internal Medicine</subject><subject>Maternal & child health</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Obstetric Labor, Premature - diagnosis</subject><subject>Otorhinolaryngology</subject><subject>Pediatrics</subject><subject>Pneumology</subject><subject>Pneumology/Respiratory System</subject><subject>Preeclampsia</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Review</subject><subject>Risk Factors</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Sleep disorders</subject><subject>Sleep. Vigilance</subject><subject>Systematic review</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>1520-9512</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUlrHDEQhUVIiJfkB-QSBCHgSycqtXpaOhqTDQy-2GdRI9U4bXqzSm0z_z4az2Qh4FOJ4qunV_WEeAfqEyjVfmaAWjeVAlMpZ1aVeSGOodG6gla5l09vVbkG9JE4Yb5TBbQOXosjbRpwLcCxWM4lbznTgLkLMtFDR48SxyjvFxxzl0v7gSQyE_NAY5bTRnJPNFex4ylFShTlOhHmn914K-OSdmVOdDviGLZPUjOVJmbs5bTkMA3Eb8SrDfZMbw_1VNx8_XJ98b26vPr24-L8sgqm1bkqLjUq6xy14Gpbo3aI5FxrldOkAgYyZBoTDTYrq9GtYG1MJO2iWVOo61Nxtted03S_EGc_dByo73GkaWEPKw0aWrCuoB_-Q--mJY3FXaHAOdCNsoWCPRXSxJxo4-fUDZi2HpTfZeL3mfhyar_LxJsy8_6gvKwHin8mfodQgI8HADlgv0nlch3_5azTtqxcOL3neN5dmdI_Fp_9_RfHWaUH</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Ding, Xiu-Xiu</creator><creator>Wu, Yi-Le</creator><creator>Xu, Shao-Jun</creator><creator>Zhang, Shi-Fen</creator><creator>Jia, Xiao-Min</creator><creator>Zhu, Ruo-Ping</creator><creator>Hao, Jia-Hu</creator><creator>Tao, Fang-Biao</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7T5</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20141201</creationdate><title>A systematic review and quantitative assessment of sleep-disordered breathing during pregnancy and perinatal outcomes</title><author>Ding, Xiu-Xiu ; Wu, Yi-Le ; Xu, Shao-Jun ; Zhang, Shi-Fen ; Jia, Xiao-Min ; Zhu, Ruo-Ping ; Hao, Jia-Hu ; Tao, Fang-Biao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-4512a0899e719383a29aae9978092e0cace4e454d4a5682a961b44de29d4bec33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Apgar Score</topic><topic>Biological and medical sciences</topic><topic>Dentistry</topic><topic>Diabetes</topic><topic>Diabetes, Gestational - diagnosis</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</topic><topic>Female</topic><topic>Fetal Growth Retardation - diagnosis</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hypertension, Pregnancy-Induced - diagnosis</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Internal Medicine</topic><topic>Maternal & child health</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Obstetric Labor, Premature - diagnosis</topic><topic>Otorhinolaryngology</topic><topic>Pediatrics</topic><topic>Pneumology</topic><topic>Pneumology/Respiratory System</topic><topic>Preeclampsia</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Review</topic><topic>Risk Factors</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep disorders</topic><topic>Sleep. Vigilance</topic><topic>Systematic review</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ding, Xiu-Xiu</creatorcontrib><creatorcontrib>Wu, Yi-Le</creatorcontrib><creatorcontrib>Xu, Shao-Jun</creatorcontrib><creatorcontrib>Zhang, Shi-Fen</creatorcontrib><creatorcontrib>Jia, Xiao-Min</creatorcontrib><creatorcontrib>Zhu, Ruo-Ping</creatorcontrib><creatorcontrib>Hao, Jia-Hu</creatorcontrib><creatorcontrib>Tao, Fang-Biao</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep & breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ding, Xiu-Xiu</au><au>Wu, Yi-Le</au><au>Xu, Shao-Jun</au><au>Zhang, Shi-Fen</au><au>Jia, Xiao-Min</au><au>Zhu, Ruo-Ping</au><au>Hao, Jia-Hu</au><au>Tao, Fang-Biao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A systematic review and quantitative assessment of sleep-disordered breathing during pregnancy and perinatal outcomes</atitle><jtitle>Sleep & breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>18</volume><issue>4</issue><spage>703</spage><epage>713</epage><pages>703-713</pages><issn>1520-9512</issn><eissn>1522-1709</eissn><abstract>Purpose
Previous investigations have suggested a strong association between sleep-disordered breathing (SDB) during pregnancy and perinatal outcomes. However, the results of the following replication studies were not always concordant. Therefore, this meta-analysis was conducted to evaluate the more reliable estimate.
Methods
A systematic literature search was performed on PubMed, Springer Link, and EMBASE to identify all eligible studies published before August 2013. Summary odds ratios (ORs) and 95 % confidence intervals (CIs) were calculated using fixed or random effects model.
Results
A total of 24 publications met the inclusion criteria and were included in this meta-analysis. Findings demonstrated that moderate-to-severe SDB during pregnancy was associated with gestational diabetes mellitus (OR = 1.78; 95 % CI, 1.29 to 2.46), pregnancy-related hypertension (OR = 2.38; 95 % CI, 1.63 to 3.47), preeclampsia (OR = 2.19; 95 % CI, 1.71 to 2.80), preterm delivery (OR = 1.98; 95 % CI, 1.59 to 2.48), low birth weight (OR = 1.75; 95 % CI, 1.33 to 2.32), neonatal intensive care unit (NICU) admission (OR = 2.43; 95 % CI, 1.61 to 3.68), intrauterine growth restriction (OR = 1.44; 95 % CI, 1.22 to 1.71), and Apgar score of <7 at 1 min (OR = 1.78; 95 % CI, 1.10 to 2.91) based on all studies but not gestational age and birth weight.
Conclusions
This meta-analysis revealed that moderate-to-severe SDB during pregnancy may be associated with most of adverse perinatal outcomes. Further well-designed studies are warranted to confirm our findings.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24519711</pmid><doi>10.1007/s11325-014-0946-4</doi><tpages>11</tpages></addata></record> |
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subjects | Apgar Score Biological and medical sciences Dentistry Diabetes Diabetes, Gestational - diagnosis Diseases of mother, fetus and pregnancy Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes Female Fetal Growth Retardation - diagnosis Fundamental and applied biological sciences. Psychology Gynecology. Andrology. Obstetrics Humans Hypertension, Pregnancy-Induced - diagnosis Infant, Low Birth Weight Infant, Newborn Internal Medicine Maternal & child health Medical sciences Medicine Medicine & Public Health Meta-analysis Nervous system (semeiology, syndromes) Neurology Obstetric Labor, Premature - diagnosis Otorhinolaryngology Pediatrics Pneumology Pneumology/Respiratory System Preeclampsia Pregnancy Pregnancy Complications - diagnosis Pregnancy Outcome Pregnancy. Fetus. Placenta Respiratory system : syndromes and miscellaneous diseases Review Risk Factors Sleep Apnea, Obstructive - diagnosis Sleep disorders Sleep. Vigilance Systematic review Vertebrates: nervous system and sense organs |
title | A systematic review and quantitative assessment of sleep-disordered breathing during pregnancy and perinatal outcomes |
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