孕妇睡眠很可能影响胎儿健康
- ①孕妇睡眠可能会对胎儿的关键健康指标造成影响；
- ②尽管现有研究结果不完全一致，有证据表明阻塞性睡眠呼吸暂停、睡眠时间过短、睡眠质量差可能与早产和死胎相关；
- ③孕妇睡眠对婴儿出生重量和生长的影响尚不明确，婴儿体重的增长轨迹可能比出生重量更能反应孕妇睡眠对胎儿的影响；
- ④仰卧睡眠姿势可能会影响死胎的发生；
- ⑤对孕妇睡眠和胎儿健康的关联性研究有望用于指导优生，后期研究需注意对胎儿生长限制、早产等概念进行统一定义。
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Maternal sleep during pregnancy and poor fetal outcomes: A scoping review of the literature with meta-analysis
孕期睡眠和胎儿不良状态：基于文献调查的荟萃分析
10.1016/j.smrv.2018.03.004
2018-03-27, Review
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There is a wealth of evidence to say that sleep impacts maternal health during pregnancy, however, little has been published on fetal health and maternal sleep. This scoping review summarises current literature on maternal sleep including sleep disordered breathing, sleep quality, sleep duration and supine sleep position, as these relate to fetal outcomes specifically birth weight, growth, preterm birth and stillbirth. An overall interpretation of the studies evaluated shows that events occurring during maternal sleep such as obstructive sleep apnea, sleep disruption and sleep position may have a negative effect on the fetus resulting in altered growth, gestational length and even death. These effects are biologically and physically plausible. In conclusion, there is limited and often conflicting information on maternal sleep and fetal outcomes. However, existing evidence suggests that this is an important area for future research. This area is ripe for investigation if there is to be reduction in the physical, emotional, and financial burden of poor fetal outcomes related to maternal sleep.
First Authors:
Jane Warland
Correspondence Authors:
Jane Warland
All Authors:
Jane Warland,Jillian Dorrian,Janna L Morrison,Louise M O'Brien
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