The Impact of Sleep-Disordered Breathing on Severity of Pregnancy-Induced Hypertension and Feto-Maternal Outcomes

作者: Jyotsna Suri , Jagdish Chander Suri , Renu Arora , Megha Gupta , Tulsi Adhikari

DOI: 10.1007/S13224-018-1134-4

关键词:

摘要: There is a close association between sleep-disordered breathing (SDB) and preeclampsia. Both conditions have poor pregnancy outcomes. Forty women with new-onset hypertension of 60 age-matched normotensive pregnant were subjected to polysomnography. The maternal fetal outcomes all the subjects noted. SDB occurs more frequently (p = 0.018; OR 13.1) severity (p 0.001; 1.8) in hypertensive disorders even after controlling for pre-pregnancy body mass index (BMI). Furthermore, BMI significantly correlated both Apnea–Hypopnea Index (AHI; r = 0.745; p < 0.001) blood pressure (r = 0.617; highlighting contribution obesity causation SDB. We also found significant correlation AHI adjustment pointing toward an independent role development (r = 0.612; p = 0.01). Maternal complications different parameters SDB–AHI, Arousal minimum oxygen saturation, cases controls as well. pregnancy-induced associated severe preeclampsia adverse feto-maternal

参考文章(30)
Apoor S. Gami, Eric J. Olson, Win K. Shen, R. Scott Wright, Karla V. Ballman, Dave O. Hodge, Regina M. Herges, Daniel E. Howard, Virend K. Somers, Obstructive sleep apnea and the risk of sudden cardiac death: a longitudinal study of 10,701 adults Journal of the American College of Cardiology. ,vol. 62, pp. 610- 616 ,(2013) , 10.1016/J.JACC.2013.04.080
Hypertension in pregnancy: Executive summary Obstetrics & Gynecology. ,vol. 122, pp. 1122- 1131 ,(2013) , 10.1097/01.AOG.0000437382.03963.88
Diane M. Blyton, Michael R. Skilton, Natalie Edwards, Annemarie Hennessy, David S. Celermajer, Colin E. Sullivan, Treatment of sleep disordered breathing reverses low fetal activity levels in preeclampsia. Sleep. ,vol. 36, pp. 15- 21 ,(2013) , 10.5665/SLEEP.2292
Francesca L. Facco, Justin Lappen, Courtney Lim, Phyllis C. Zee, William A. Grobman, Preeclampsia and sleep-disordered breathing: A case-control study Pregnancy Hypertension. ,vol. 3, pp. 133- 139 ,(2013) , 10.1016/J.PREGHY.2013.01.005
Judette M. Louis, Mulubrhan F. Mogos, Jason L. Salemi, Susan Redline, Hamisu M. Salihu, Obstructive sleep apnea and severe maternal-infant morbidity/mortality in the United States, 1998-2009. Sleep. ,vol. 37, pp. 843- 849 ,(2014) , 10.5665/SLEEP.3644
Fiona C. Baker, Lynne J. Lamarche, Stella Iacovides, Ian M. Colrain, Sleep and Menstrual-Related Disorders Sleep Medicine Clinics. ,vol. 3, pp. 25- 35 ,(2008) , 10.1016/J.JSMC.2007.10.001
Naoki Masaoka, Yoshiyuki Nakajima, Yasuhito Hayakawa, Sachiko Ohgame, Satoshi Hamano, Masaji Nagaishi, Tatsuo Yamamoto, Transplacental effects of allopurinol on suppression of oxygen free radical production in chronically instrumented fetal lamb brains during intermittent umbilical cord occlusion. Journal of Maternal-fetal & Neonatal Medicine. ,vol. 18, pp. 1- 7 ,(2005) , 10.1080/14767050500127716
Judette Louis, Dennis Auckley, Branko Miladinovic, Anna Shepherd, Patricia Mencin, Deepak Kumar, Brian Mercer, Susan Redline, Perinatal Outcomes Associated With Obstructive Sleep Apnea in Obese Pregnant Women. Obstetrics & Gynecology. ,vol. 120, pp. 1085- 1092 ,(2012) , 10.1097/AOG.0B013E31826EB9D8
Aibek E Mirrakhimov, Talant Sooronbaev, Erkin M Mirrakhimov, Prevalence of obstructive sleep apnea in Asian adults: a systematic review of the literature BMC Pulmonary Medicine. ,vol. 13, pp. 10- 10 ,(2013) , 10.1186/1471-2466-13-10
Francesca Charlton, Jane Tooher, Kerry-Anne Rye, Annemarie Hennessy, Cardiovascular Risk, Lipids and Pregnancy: Preeclampsia and the Risk of Later Life Cardiovascular Disease Heart Lung and Circulation. ,vol. 23, pp. 203- 212 ,(2014) , 10.1016/J.HLC.2013.10.087