Sleep disturbances during pregnancy are associated with cesarean delivery and preterm birth
Sleep disturbances during pregnancy are associated with cesarean delivery and preterm birth
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DOI：
10.1080/14767058.2016.1183637
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发表时间：
2017-03-01
影响因子：
1.8
通讯作者：
Zeng, Guo
中科院分区：
文献类型：
--
作者：
Li, Run;Zhang, Ju;Zeng, Guo
目的：本研究的目的是探讨妊娠期睡眠障碍与剖宫产和早产的关系。方法：本前瞻性研究选取2013-2014年在中国成都三家医院分娩的688例健康单胎妊娠妇女。在妊娠12-16、24-28、32-36周进行自我报告问卷调查，包括最近一个月的睡眠数量和质量以及运动习惯。分娩后记录分娩方式、胎龄、新生儿体重等资料。在控制了潜在的混杂因素后，进行了一系列多因素Logistic回归模型，以评估是否睡眠质量和数量与剖宫产和早产。结果：有382（55.5%）的妇女剖宫产和早产32（4.7%）。妊娠早期（OR：1.87，95%CI [1.02-3.43]）、妊娠中期（OR：5.19 [2.25-11.97]）和妊娠晚期（OR：1.82 [1.18-2.80]）睡眠质量差的妇女剖宫产风险高。妊娠中期睡眠质量差（5.35 [2.10-13.63]）和妊娠晚期睡眠质量差（3.01 [1.26-7.19]）以及睡眠时间短（
Objective: The purpose of this study was to examine the associations of sleep disturbances during pregnancy with cesarean delivery and preterm birth.Methods: In this prospective study, 688 healthy women with singleton pregnancy were selected from three hospitals in Chengdu, China 2013-2014. Self-report questionnaires, including the sleep quantity and quality as well as exercise habits in a recent month were administered at 12-16, 24-28, and 32-36 weeks' gestation. Data on type of delivery, gestational age, and the neonates' weight were recorded after delivery. After controlling the potential confounders, a serial of multi-factor logistic regression models were performed to evaluate whether sleep quality and quantity were associated with cesarean delivery and preterm birth.Results: There were 382 (55.5%) women who had cesarean deliveries and 32 (4.7%) who delivered preterm. Women with poor sleep quality during the first (OR: 1.87, 95% CI [1.02-3.43]), second (5.19 [2.25-11.97]), and third trimester (1.82 [1.18-2.80]) were at high risk of cesarean delivery. Women with poor sleep quality during the second (5.35 [2.10-13.63]) and third trimester (3.01 [1.26-7.19]) as well as short sleep time (