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OnMedica – News – Sleep apnoea in expectant mothers presents risk to newborns

Study suggests higher opposed neonatal outcomes

Jo Carlowe

Monday, 05 June 2017

A brand new research is the primary to show a better risk of congenital anomalies and resuscitation at delivery in newborns of mothers who’ve obstructive sleep apnoea.

Preliminary outcomes present that newborns of mothers with sleep apnoea have been extra doubtless to be admitted to the intensive care unit (25.three% vs. eight.1%) or particular care nursery (34.9% vs. 13.6%), they usually have been 2.76 occasions extra probably to have resuscitation at delivery and a couple of.25 occasions extra possible to have an extended hospital keep. The risk for congenital anomalies additionally was 26% larger in infants of women with sleep apnoea.

“Our results have shown that babies born to mothers with a diagnosis of obstructive sleep apnoea are more likely to require resuscitative efforts at birth, be born preterm, and to require a stay in the neonatal intensive care unit compared to babies who were not exposed to maternal sleep apnoea,” stated principal investigator and lead writer Dr Ghada Bourjeily, affiliate professor of drugs at Brown University and the Women’s Medicine Collaborative at The Miriam Hospital in Providence, Rhode Island.

Using knowledge collected by the National Perinatal Information Center, the analysis group led by Bourjeily analysed greater than 1.four million linked maternal and new child data with a supply hospitalisation from 2010-2014. Less than 1% of the mothers had a analysis code of obstructive sleep apnoea; nevertheless, mothers with sleep apnoea had a better probability of getting weight problems, pre-gestational hypertension and diabetes.

“These findings add to our understanding of the extent of morbidities of maternal sleep apnoea for the mother as well as the baby,” stated Bourjeily. “The results further highlight the importance of identifying this condition in pregnancy and testing the impact of therapy on these complications.”

The research abstract* was revealed lately in a web-based complement of the journal Sleep and was introduced on Sunday, June four, in Boston at SLEEP 2017, the 31st Annual Meeting of the Associated Professional Sleep Societies LLC (APSS).

* Bourjeily G, Danilack V, Bublitz M, et al. A nationwide cohort research of obstructive sleep apnea in being pregnant and hostile neonatal outcomes. SLEEP, Volume 40, Abstract Supplement, 2017. Abstract 0474

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