Sleep and Sleep Disorders in Pregnancy
Annals of Internal MedicinePublished 6 March 2001
Jennifer R. Santiago, Michael S. Nolledo, Wendy Kinzler, Teodoro V. Santiago
Citations237
SJR quartileQ1
SJR score3.38
SNIP3.27
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TL;DR
The possibility that the descriptive term pregnancy-associated sleep disorder might cause attribution of undiagnosed sleep disorders in the pregnant woman to presumed physiologic mechanisms unique to pregnancy is proposed.
Abstract
Sleep problems are common in pregnant women. This review examines sleep in normal pregnancy; discusses the physiologic bases for alterations in sleep, including hormonal and mechanical factors; and correlates these factors with changes in sleep of pregnant women, as determined subjectively by surveys and objectively by polysomnographic studies. The changes in respiratory physiology during pregnancy, the possible predisposition of the pregnant woman to sleep-disordered breathing because of these changes, and results of published studies of sleep-disordered breathing in pregnancy are discussed. Finally, the effect of pregnancy on other sleep disorders and the management of these sleep disorders during pregnancy are outlined, including changes in management necessitated by this state. The paucity of available data and the need for further studies of incidence and outcomes of sleep disorders in the pregnant woman are emphasized.
Keywords
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American Journal of Physiology-Regulatory, Integrative and Comparative PhysiologyPregnancy-associated sleep changes in the rat
43 Citations1996Mayumi Kimura, S. Q. Zhang +1 more
The results suggest that physiological changes in different stages of pregnancy may contribute to the regulation of maternal sleep and temperature.
American Review of Respiratory DiseaseGenioglossal and Diaphragmatic EMG Responses to Hypoxia during Sleep
42 Citations1988Richard A. Parisi, Teodoro V. Santiago +1 more
Despite state-related differences in the individual muscle responses, simultaneous EMGgg and EMGdi during hypoxia or hypercapnia in W, and during Hypoxia in SWS and REM sleep, were linked in a constant manner, suggesting common integration of central and peripheral chemoreceptor inputs.
The Journal of Nervous and Mental DiseasePHYSIOLOGICAL AND PSYCHOLOGICAL EFFECTS OF PROGESTERONE IN MAN
41 Citations1974Betsy C. Little, Raymond J. Matta +1 more
The data only partially support the progesterone hypothesis of premenstrual tension and suggest that the role of estrogen or some other hormone may be important.
American Journal of Obstetrics and GynecologyAlteration of 24-hour rhythms in myometrial activity in the chronically catheterized pregnant rhesus monkey after a 6-hour shift in the light-dark cycle
39 Citations1990Jorge P. Figueroa, M.B.O.M. Honnebier +2 more
A 24-hour rhythm in myometrial activity in the pregnant rhesus monkey is confirmed and new evidence is provided to support the endogenous nature of this rhythm and its direct relationship to the light-dark cycle.
PubMedSleep patterns in pregnancy: a longitudinal study of polysomnography recordings during pregnancy.
39 Citations1999S J Schorr, Anju Chawla +4 more
Sleep in pregnancy is characterized by loss of normal slow-wave sleep, and sleep stages 3 and 4 are shortened during pregnancy, which is persistent when followed longitudinally during pregnancy.
Southern Medical JournalObstructive Sleep Apnea During Pregnancy Resulting in Pulmonary Hypertension
38 Citations1998D. F. V. Lewis, Andrew L. Chesson +3 more
This represents the first case in the literature of obstructive sleep apnea leading to pulmonary hypertension in pregnancy, and this patient responded well to nasal CPAP as evident by the massive diuresis and good maternal outcome.
Neurologic ClinicsPregnancy and Movement Disorders
38 Citations1994Lawrence I. Golbe
Pregnancy may unmask a pre-existing potential for chorea and frequently has a mild exacerbating effect on symptoms of PD; however, it has little effect on other movement disorders, and minimal effect of movement disorders on pregnancy, childbirth, and neonatal health.
Australian and New Zealand Journal of Obstetrics and GynaecologyObstructive Sleep Apnoea During Pregnancy Requiring Tracheostomy
35 Citations1989Stewart J. Hastie, K Prowse +3 more
The case is presented as an unusual example of the benefit of tracheostomy during pregnancy in a patient with obstructive sleep apnoea syndrome.
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