Self-reported Snoring in Pregnancy

Loube, Daniel I.; Poceta, J. Steven; Morales, M.; Peacock, Mark D.; Mitler, Merrill M.

doi:10.1378/chest.109.4.885

Cited by 174 publications

(34 citation statements)

References 23 publications

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“…In a self-reported survey, Loube et al [22] found snoring to be significantly more frequent in 350 pregnant women than in 110 age-matched non-pregnant women with an increase of snoring, as in our study, from 3.7% in the pre-pregnant population to 11.8% by the 6-month prenatal visit [23] and finally 23% [24] during the last week of the pregnancy with a loud snoring every night. Another important survey [2] noticed that reports of snoring ‘often/nearly always’ represented 5.0% before becoming pregnant, 6.8% in the first trimester, 6.8% in the second, and 10.4% in the third trimester, decreasing to 4.4% after delivery.…”

Section: Discussionsupporting

confidence: 77%

Sleep and Vigilance Disorders in Pregnancy

Neau

Texier²,

Ingrand³

2009

Eur Neurol

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Objectives: To describe different sleep disorders and daytime sleepiness in a French population of randomly selected young women during pregnancy and to evaluate the frequency of these sleep disorders according to the three trimesters of pregnancy. Methods: Cross-sectional design with retrospective survey of pre-pregnancy, symptoms and prospective survey of current symptoms. Mothers were interviewed during pregnancy with a questionnaire to evaluate their sleep before pregnancy and to assess alterations in their sleep according to the trimester. Results: 871 pregnant women completed the questionnaire. The rate of pregnant women with insomnia with non-refreshing sleep and frequent awakenings increases during the second and the third trimester reaching more than 75% of the women, essentially due to an urge to urinate, movements of the fetus, backache and restless legs syndrome. Snoring also increases throughout the pregnancy with more than 18% of them snoring every night. Conversely, more than 75% of the women complained of a decrease in their vigilance and a need to nap inreased during the pregnancy. Conclusions: The subjective quality of sleep is disturbed as early as the first trimester of pregnancy and increases throughout the pregnancy, except for excessive daytime sleepiness which was more frequent during the first trimester.

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Section: Discussionsupporting

confidence: 77%

Sleep and Vigilance Disorders in Pregnancy

Neau

Texier²,

Ingrand³

2009

Eur Neurol

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“…They did not find a difference in daytime sleepiness between habitual snorers and nonhabitual snorers. Loube et al [3] also could not find a relationship between daytime sleepiness and snoring in pregnant women using ESS. Izci et al [22] investigated 167 healthy pregnant women, 82 women with preeclampsia and 160 non-pregnant women.…”

Section: Discussionmentioning

confidence: 97%

“…Loube et al [3] noted habitual snoring in 14% of pregnant women, which was significantly increased compared with age-matched nonpregnant women. In a similar study carried out by Franklin et al [4] in Sweden, 502 pregnant women were asked to complete a questionnaire.…”

Section: Discussionmentioning

confidence: 99%

“…Some of these changes may provide protection from sleep-disordered breathing, while others may place women at increased risk [1, 2]. The prevalence of self-reported snoring during pregnancy is 14% [3]. In Sweden, Franklin et al [4] reported an incidence of 23% of regular snoring in 502 pregnancies, while only 4% of the same women reported snoring prior to pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Self-Reported Snoring, Maternal Obesity and Neck Circumference as Risk Factors for Pregnancy-Induced Hypertension and Preeclampsia

Ursavaş

Karadağ²,

Nalci³

et al. 2007

Respiration

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Background: Physical and hormonal changes during pregnancy alter breathing patterns of pregnant women. It is possible that occult disordered breathing during sleep may be a risk factor for the development of pregnancy-induced hypertension (PIH) and preeclampsia. Objective: Our aim was to determine the incidence of self-reported snoring in pregnant women, and to investigate the relationship of snoring, obesity and neck circumference to PIH and preeclampsia. Methods: 469 pregnant women and 208 age-matched nonpregnant women were included in the study. Both groups were asked to complete a questionnaire. Maternal complications were retrieved from the medical records. Results: Habitual snoring was reported from 1.9% of nonpregnant women, 2.5% of pregnant women prior to pregnancy and 11.9% of those same women during the third trimester of pregnancy (p < 0.001). Age, smoking during pregnancy, and weight before delivery were independent risk factors for habitual snoring in pregnancy. PIH and preeclampsia developed in 20 and 10.9% of pregnant women with habitual snoring, as compared to 11 and 5.8% of non-snoring pregnant women (p = 0.045, p = 0.125, p = 0.415), respectively. In women who developed preeclampsia, weight before pregnancy, weight before delivery and neck circumference were significantly higher in univariate analysis. Neck circumference was an independent risk factor for PIH and preeclampsia according to logistic regression analysis. Conclusion: The incidence of snoring is significantly higher in pregnant women than in nonpregnant women. Snoring may indicate a risk of PIH. Neck circumference was an independent risk factor for both PIH and preeclampsia.

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“…4 Snoring is most common in adult males, is also linked to obesity, and has been shown to increase during pregnancy. [5][6][7] There are data to suggest snoring has a genetic component. 8 Nasal obstruction such as might occur with allergic rhinitis or a deviated septum increases the risk of snoring.…”

Section: Primary Snoringmentioning

confidence: 99%

Obstructive Sleep Apnea Syndromes

Collop¹

2005

Seminars in Respiratory and Critical Care Medicine

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Complete or partial collapse of the upper airway during sleep has different effects on the human body ranging from noisy breathing (snoring) to significant cardiovascular sequelae as seen in obstructive sleep apnea (OSA). Snoring is very common in the adult population and has been associated with morbidity in epidemiological studies. A variety of treatments may be used for primary snoring (snoring without symptoms) but none are universally successful. The upper airway resistance syndrome is thought to occur when incomplete obstruction of the upper airway results in frequent disruptions in sleep. Whether it is a true "syndrome" or just one end of the continuum of OSA is unclear. Obstructive sleep apnea causes not only sleep disruption but oxygen desaturation. It has been associated with numerous cardiovascular sequelae, including hypertension (systemic and pulmonary), arrhythmias, and stroke. Nasal continuous positive airway pressure (CPAP) is the current treatment of choice, with lesser alternatives including oral appliances, surgery, and weight loss. Further study on outcomes is required to determine how aggressively to treat these syndromes.

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Self-reported Snoring in Pregnancy

Cited by 174 publications

References 23 publications

Sleep and Vigilance Disorders in Pregnancy

Sleep and Vigilance Disorders in Pregnancy

Self-Reported Snoring, Maternal Obesity and Neck Circumference as Risk Factors for Pregnancy-Induced Hypertension and Preeclampsia

Obstructive Sleep Apnea Syndromes

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