Association of maternal sleep practices with pre‐eclampsia, low birth weight, and stillbirth among Ghanaian women

Owusu, Jocelynn T.; Anderson, Frank J.; Coleman, Jerry; Oppong, Samuel A.; Seffah, J.D.; Aikins, A.; O’Brien, Louise M.

doi:10.1016/j.ijgo.2013.01.013

Cited by 109 publications

(106 citation statements)

References 24 publications

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“…97 The adverse effect of supine sleep position in late pregnancy has been emphasised as a potentially modifiable risk factor for stillbirth. [98][99][100][101] Although these findings are biologically plausible, results from further studies in the UK 102 and New Zealand 99 study are awaited.…”

Section: Promising Antenatal Interventions?mentioning

confidence: 99%

Stillbirths: recall to action in high-income countries

et al. 2016

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Variation in stillbirth rates across high-income countries and large equity gaps within high-income countries persist. If all high-income countries achieved stillbirth rates equal to the best performing countries, 19 439 late gestation (28 weeks or more) stillbirths could have been avoided in 2015. The proportion of unexplained stillbirths is high and can be addressed through improvements in data collection, investigation, and classification, and with a better understanding of causal pathways. Substandard care contributes to 20-30% of all stillbirths and the contribution is even higher for late gestation intrapartum stillbirths. National perinatal mortality audit programmes need to be implemented in all high-income countries. The need to reduce stigma and fatalism related to stillbirth and to improve bereavement care are also clear, persisting priorities for action. In high-income countries, a woman living under adverse socioeconomic circumstances has twice the risk of having a stillborn child when compared to her more advantaged counterparts. Programmes at community and country level need to improve health in disadvantaged families to address these inequities.

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Section: Promising Antenatal Interventions?mentioning

confidence: 99%

Stillbirths: recall to action in high-income countries

et al. 2016

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“…Other, smaller studies of snoring and hypertension have also demonstrated such a relationship [17][18][19]. In a study of n = 209 women, compared to non-snorers, women who reported snoring in the first trimester had an OR of 4.0 (95%CI 1.3-11.9) for developing gestational hypertension [18].…”

Section: Gestational Hypertension/preeclampsiamentioning

confidence: 92%

Sleep-Disordered Breathing in Pregnancy

O’Brien

2016

Curr Sleep Medicine Rep

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Sleep-disordered breathing (SDB) during pregnancy has emerged as a predictor of both maternal and fetal adverse outcomes. Data suggest that SDB during pregnancy is associated with maternal gestational hypertension and preeclampsia as well as gestational diabetes. Furthermore, there are increasing reports that SDB may play a role in fetal growth restriction, preterm birth, increased cesarean sections, and increased neonatal intensive care unit (NICU) admissions. The public health impact of unrecognized maternal SDB is therefore immense. Treatment of SDB in the general population has been shown to improve cardiovascular outcomes and daytime functioning, and although no large intervention trial has been conducted in pregnant women, small pilot studies demonstrate promising results.

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“…63 A study of stillbirth at ≥32 weeks' gestation reported 6.24 increased risk of stillbirth for supine sleep compared with the left side. 64 Although the mechanisms underlying this association have yet to be delineated, growth restriction is more prevalent in stillbirths of women reporting sleeping on the back, 65 indicating a potential role of uterine blood flow.…”

Section: Fetal Infant and Maternal Physiologymentioning

confidence: 99%

Sudden Unexpected Death in Fetal Life Through Early Childhood

2016

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In March 2015, the Eunice Kennedy Shriver National Institute of Child Health and Human Development held a workshop entitled “Sudden Unexpected Death in Fetal Life Through Early Childhood: New Opportunities.” Its objective was to advance efforts to understand and ultimately prevent sudden deaths in early life, by considering their pathogenesis as a potential continuum with some commonalities in biological origins or pathways. A second objective of this meeting was to highlight current issues surrounding the classification of sudden infant death syndrome (SIDS), and the implications of variations in the use of the term “SIDS” in forensic practice, and pediatric care and research. The proceedings reflected the most current knowledge and understanding of the origins and biology of vulnerability to sudden unexpected death, and its environmental triggers. Participants were encouraged to consider the application of new technologies and “omics” approaches to accelerate research. The major advances in delineating the intrinsic vulnerabilities to sudden death in early life have come from epidemiologic, neural, cardiac, metabolic, genetic, and physiologic research, with some commonalities among cases of unexplained stillbirth, SIDS, and sudden unexplained death in childhood observed. It was emphasized that investigations of sudden unexpected death are inconsistent, varying by jurisdiction, as are the education, certification practices, and experience of death certifiers. In addition, there is no practical consensus on the use of “SIDS” as a determination in cause of death. Major clinical, forensic, and scientific areas are identified for future research.

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Association of maternal sleep practices with pre‐eclampsia, low birth weight, and stillbirth among Ghanaian women

Cited by 109 publications

References 24 publications

Stillbirths: recall to action in high-income countries

Stillbirths: recall to action in high-income countries

Sleep-Disordered Breathing in Pregnancy

Sudden Unexpected Death in Fetal Life Through Early Childhood

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