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Polysomnographic features of pregnancy: A systematic review.
Garbazza, Corrado; Hackethal, Sandra; Riccardi, Silvia; Cajochen, Christian; Cicolin, Alessandro; D'Agostino, Armando; Cirignotta, Fabio; Manconi, Mauro.
Afiliación
  • Garbazza C; Sleep and Epilepsy Center, Neurocenter of Southern Switzerland, Civic Hospital of Lugano (EOC), Via Tesserete 46, Lugano, CH-6903, Switzerland; Centre for Chronobiology, University of Basel, Basel, Switzerland; Transfaculty Research Platform Molecular and Cognitive Neurosciences, University of Basel
  • Hackethal S; Sleep and Epilepsy Center, Neurocenter of Southern Switzerland, Civic Hospital of Lugano (EOC), Via Tesserete 46, Lugano, CH-6903, Switzerland.
  • Riccardi S; Sleep and Epilepsy Center, Neurocenter of Southern Switzerland, Civic Hospital of Lugano (EOC), Via Tesserete 46, Lugano, CH-6903, Switzerland.
  • Cajochen C; Centre for Chronobiology, University of Basel, Basel, Switzerland; Transfaculty Research Platform Molecular and Cognitive Neurosciences, University of Basel, Basel, Switzerland.
  • Cicolin A; Sleep Medicine Center, Neuroscience Department, AOU Città della Salute e della Scienza - Molinette, Università di Torino, Torino, Italy.
  • D'Agostino A; Department of Health Sciences, Università degli Studi di Milano, Milan, Italy.
  • Cirignotta F; DIBINEM, University of Bologna, Bologna, Italy.
  • Manconi M; Sleep and Epilepsy Center, Neurocenter of Southern Switzerland, Civic Hospital of Lugano (EOC), Via Tesserete 46, Lugano, CH-6903, Switzerland.
Sleep Med Rev ; 50: 101249, 2020 04.
Article en En | MEDLINE | ID: mdl-31896508
Symptoms of sleep disturbances are common among pregnant women and generally worsen across gestation. Pregnancy-related sleep disorders are not only associated with a poor quality of life of the affected mothers, but also with adverse perinatal outcomes, including perinatal depression, gestational diabetes, preeclampsia, and preterm birth. The current knowledge about the impact of sleep disorders during pregnancy largely derives from the results of sleep surveys conducted in various populations. However, the number of studies examining changes in objective sleep variables during pregnancy via polysomnography has progressively increased in recent years. Here we systematically reviewed the polysomnographic studies available in the literature with the aim to describe the sleep pattern and to identify possible markers of sleep disruption in pregnant women. Based on our analysis, subjective worsening of sleep quality across gestation is related to objective changes in sleep macrostructure, which become particularly evident in the third trimester. Pregnancy per se does not represent an independent risk factor for developing major polysomnography-assessed sleep disorders in otherwise healthy women. However, in women presenting predisposing factors, such as obesity or hypertension, physiological changes occurring during pregnancy may contribute to the onset of pathological conditions, especially sleep-disordered breathing, which must be carefully considered.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Tercer Trimestre del Embarazo / Síndromes de la Apnea del Sueño / Fases del Sueño / Polisomnografía / Hipertensión Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Aspecto: Patient_preference Límite: Female / Humans / Pregnancy Idioma: En Revista: Sleep Med Rev Asunto de la revista: MEDICINA Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Tercer Trimestre del Embarazo / Síndromes de la Apnea del Sueño / Fases del Sueño / Polisomnografía / Hipertensión Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Aspecto: Patient_preference Límite: Female / Humans / Pregnancy Idioma: En Revista: Sleep Med Rev Asunto de la revista: MEDICINA Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido