Snoring during pregnancy and delivery outcomes: a cohort study Journal Article

Authors: O'Brien, L. M.; Bullough, A S; Owusu, J. T.; Tremblay, K. A.; Brincat, C. A.; Chames, M. C.; Kalbfleisch, J. D.; Chervin, R. D.
Article Title: Snoring during pregnancy and delivery outcomes: a cohort study
Abstract: STUDY OBJECTIVE: This cohort study examined the impact of maternal snoring on key delivery outcomes such as mode of delivery, infant birth centile, and small-for-gestational age. DESIGN: Cohort study. SETTING: A large tertiary medical center. PATIENTS OR PARTICIPANTS: Pregnant women in their third trimester were recruited between March 2007 and December 2010. MEASUREMENTS AND RESULTS: Women were screened for habitual snoring, as a known marker for sleep disordered breathing. Outcome data were obtained from medical records following delivery and birth centiles were calculated. Of 1,673 women, a total of 35% reported habitual snoring (26% with pregnancy-onset snoring and 9% with chronic snoring). After adjusting for confounders, chronic snoring was associated with small-forgestational age (OR 1.65, 95%CI 1.02-2.66, P = 0.041) and elective cesarean delivery (OR 2.25, 95%CI 1.22-4.18, P = 0.008). Pregnancy-onset snoring was associated with emergency cesarean delivery (OR 1.68, 95%CI 1.22-2.30, P = 0.001). CONCLUSION: Maternal snoring during pregnancy is a risk factor for adverse delivery outcomes including cesarean delivery and small-for-gestational age. Screening pregnant women for symptoms of SDB may provide an early opportunity to identify women at risk of poor delivery outcomes. CLINICAL TRIALS REGISTRATION: IDENTIFIER: NCT01030003.
Journal Title: Sleep
Volume: 36
Issue: 11
ISSN: 1550-9109; 0161-8105
Publisher: Unknown  
Journal Place: United States
Date Published: 2013
Start Page: 1625
End Page: 1632
Language: ENG
Notes: LR: 20161019;; GR: K23 HL095739/HL/NHLBI NIH HHS/United States; GR: R21 HL087819/HL/NHLBI NIH HHS/United States; GR: R21 HL089918/HL/NHLBI NIH HHS/United States; GR: UL1RR024986/RR/NCRR NIH HHS/United States; JID: 7809084; OID: NLM: PMC3792378; OTO: NOTNLM; epublish