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Associations of snoring frequency and intensity in pregnancy with time‐to‐delivery

dc.contributor.authorDunietz, Galit Levi
dc.contributor.authorShedden, Kerby
dc.contributor.authorSchisterman, Enrique F.
dc.contributor.authorLisabeth, Lynda D.
dc.contributor.authorTreadwell, Marjorie C.
dc.contributor.authorO’Brien, Louise M.
dc.date.accessioned2018-12-06T17:37:57Z
dc.date.available2020-01-06T16:41:00Zen
dc.date.issued2018-11
dc.identifier.citationDunietz, Galit Levi; Shedden, Kerby; Schisterman, Enrique F.; Lisabeth, Lynda D.; Treadwell, Marjorie C.; O’Brien, Louise M. (2018). "Associations of snoring frequency and intensity in pregnancy with time‐to‐delivery." Paediatric and Perinatal Epidemiology 32(6): 504-511.
dc.identifier.issn0269-5022
dc.identifier.issn1365-3016
dc.identifier.urihttps://hdl.handle.net/2027.42/146650
dc.description.abstractBackgroundSleep‐disordered breathing (SDB) is linked to adverse pregnancy outcomes. However, little is known about the association of SDB with timing of delivery. We examined the association of snoring frequency, a key SDB marker, and snoring intensity, a correlate of SDB severity, with time‐to‐delivery among a cohort of pregnant women.MethodsIn this prospective cohort study, 1483 third trimester pregnant women were recruited from the University of Michigan prenatal clinics. Women completed a questionnaire about their sleep, and demographic and pregnancy information was abstracted from medical charts. After exclusion of those with hypertension or diabetes, 954 women were classified into two groups by their snoring onset timing, chronic or pregnancy‐onset. Within each of these groups, women were divided into four groups based on their snoring frequency and intensity: non‐snorers; infrequent‐quiet; frequent‐quiet; or frequent‐loud snorers. Cox proportional hazard regression models were used to investigate the association between snoring frequency and intensity and time‐to‐delivery, adjusting for maternal characteristics.ResultsChronic snoring was reported by half of the pregnant women, and of those, 7% were frequent‐loud snorers. Deliveries before 38 weeks’ gestation are completed occurred among 25% of women with chronic, frequent‐loud snoring. Compared with pre‐pregnancy non‐snorers, women with chronic frequent‐loud snoring had an increased hazard ratio for delivery (adjusted hazard ratio 1.60, 95% confidence interval 1.04, 2.45).ConclusionsSnoring frequency and intensity is associated with time‐to‐delivery in women absent of hypertension or diabetes. Frequent‐loud snoring may have a clinical utility to identify otherwise low‐risk women who are likely to deliver earlier.
dc.publisherWiley Periodicals, Inc.
dc.subject.otherfrequent snoring
dc.subject.othergestational age at delivery
dc.subject.otherhabitual snoring
dc.subject.otherloud snoring
dc.subject.otherpreterm birth
dc.subject.othersleep‐disordered breathing
dc.subject.othertime‐to‐delivery
dc.titleAssociations of snoring frequency and intensity in pregnancy with time‐to‐delivery
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPediatrics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/146650/1/ppe12511.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/146650/2/ppe12511_am.pdf
dc.identifier.doi10.1111/ppe.12511
dc.identifier.sourcePaediatric and Perinatal Epidemiology
dc.identifier.citedreferenceO’Brien LM, Bullough AS, Owusu JT, et al. Snoring during pregnancy and delivery outcomes: a cohort study. Sleep. 2013; 36: 1625.
dc.identifier.citedreferenceNa‐rungsri K, Lertmaharit S, Lohsoonthorn V, Totienchai S, Jaimchariyatam N. Obstructive sleep apnea and the risk of preterm delivery. Sleep Breath. 2016; 000: 1 ‐ 7.
dc.identifier.citedreferenceKo HS, Kim MY, Kim YH, et al. Obstructive sleep apnea screening and perinatal outcomes in Korean pregnant women. Arch Gynecol Obstet. 2013; 287: 429 ‐ 433.
dc.identifier.citedreferenceAntony K, Agrawal A, Arndt M, et al. Association of adverse perinatal outcomes with screening measures of obstructive sleep apnea. J Perinatol. 2014; 34: 441 ‐ 448.
dc.identifier.citedreferenceKöken G, Kir Sahin F, Cosar E, et al. Oxidative stress markers in pregnant women who snore and fetal outcome: a case control study. Acta Obstet Gynecol Scand. 2007; 86: 1317 ‐ 1321.
dc.identifier.citedreferencePamidi S, Pinto LM, Marc I, Benedetti A, Schwartzman K, Kimoff RJ. Maternal sleep‐disordered breathing and adverse pregnancy outcomes: a systematic review and metaanalysis. Am J Obstet Gynecol. 2014; 210: 52.e51 ‐ 52.e14.
dc.identifier.citedreferenceLouis J, Auckley D, Miladinovic B, et al. Perinatal outcomes associated with obstructive sleep apnea in obese pregnant women. Obstet Gynecol. 2012; 120: 1085 ‐ 1092.
dc.identifier.citedreferenceMaimon N, Hanly PJ. Does snoring intensity correlate with the severity of obstructive sleep apnea. J Clin Sleep Med. 2010; 6: 475 ‐ 478.
dc.identifier.citedreferenceLee L‐A, Yu J‐F, Lo Y‐L, et al. Energy types of snoring sounds in patients with obstructive sleep apnea syndrome: a preliminary observation. PLoS ONE. 2012; 7: e53481.
dc.identifier.citedreferenceKim J‐W, Lee CH, Rhee CS, Mo J‐H. Relationship between snoring intensity and severity of obstructive sleep apnea. Clin Exp Otorhinolaryngol. 2015; 8: 376 ‐ 380.
dc.identifier.citedreferenceMitchell EM, Hinkle SN, Schisterman EF. It’s about time: a survival approach to gestational weight gain and preterm delivery. Epidemiology. 2016; 27: 182 ‐ 187.
dc.identifier.citedreferenceParikh LI, Reddy UM, Mannisto T, et al. Neonatal outcomes in early term birth. Am J Obstet Gynecol. 2014; 211: 265.e261 ‐ 265.e211.
dc.identifier.citedreferenceReddy U, Ko C‐W, Willinger M. “Early” term births (37‐38 weeks) are associated with increased mortality. Am J Obstet Gynecol. 2006; 195: S202.
dc.identifier.citedreferenceACOG. ACOG Committee Opinion No 579: definition of term pregnancy. Obstet Gynecol. 2013; 122: 1139 ‐ 1140.
dc.identifier.citedreferenceSarberg M, Svanborg E, Wiréhn A‐B, Josefsson A. Snoring during pregnancy and its relation to sleepiness and pregnancy outcome‐a prospective study. BMC Pregnancy Childbirth. 2014; 14: 15.
dc.identifier.citedreferenceGalal M, Symonds I, Murray H, Petraglia F, Smith R. Postterm pregnancy. Facts Views Vis ObGyn. 2012; 4: 175.
dc.identifier.citedreferenceBliwise DL, Nekich JC, Dement WC. Relative validity of self‐reported snoring as a symptom of sleep apnea in a sleep clinic population. Chest. 1991; 99: 600 ‐ 608.
dc.identifier.citedreferenceNieto FJ, Young TB, Lind BK, et al. Association of sleep‐disordered breathing, sleep apnea, and hypertension in a large community‐based study. JAMA. 2000; 283: 1829 ‐ 1836.
dc.identifier.citedreferenceGottlieb DJ, Yao Q, Redline S, Ali T, Mahowald MW. Does snoring predict sleepiness independently of apnea and hypopnea frequency? Am J Respir Crit Care Med. 2000; 162: 1512 ‐ 1517.
dc.identifier.citedreferenceBen‐Israel N, Tarasiuk A, Zigel Y. Obstructive apnea hypopnea index estimation by analysis of nocturnal snoring signals in adults. Sleep. 2012; 35: 1299 ‐ 1305.
dc.identifier.citedreferenceHerzog M, Schieb E, Bremert T, et al. Frequency analysis of snoring sounds during simulated and nocturnal snoring. Eur Arch Otorhinolaryngol. 2008; 265: 1553 ‐ 1562.
dc.identifier.citedreferenceLeung PL, Hui DSC, Leung TN, Yuen PM, Lau TK. Sleep disturbances in Chinese pregnant women. BJOG. 2005; 112: 1568 ‐ 1571.
dc.identifier.citedreferenceGargano JW, Holzman C, Senagore P, et al. Mid‐pregnancy circulating cytokine levels, histologic chorioamnionitis and spontaneous preterm birth. J Reprod Immunol. 2008; 79: 100 ‐ 110.
dc.identifier.citedreferenceLavie L. Oxidative stress inflammation and endothelial dysfunction in obstructive sleep apnea. Front Biosci (Elite edition). 2011; 4: 1391 ‐ 1403.
dc.identifier.citedreferenceOkun ML, Roberts JM, Marsland AL, Hall M. How disturbed sleep may be a risk factor for adverse pregnancy outcomes a hypothesis. Obstet Gynecol Surv. 2009; 64: 273.
dc.identifier.citedreferenceEdwards N, Sullivan CE. Sleep‐disordered breathing in pregnancy. Sleep Med Clin. 2008; 3: 81 ‐ 95.
dc.identifier.citedreferenceMorgan TK. Role of the placenta in preterm birth: a review. Am J Perinatol. 2016; 33: 258 ‐ 266.
dc.identifier.citedreferenceMartin JA, Hamilton BE, Osterman M, Curtin SC, Matthews T. Births: final data for 2013. Natl Vital Stat Rep. 2015; 64: 1 ‐ 65.
dc.identifier.citedreferenceKramer MS, Demissie K, Yang H, Platt RW, Sauvé R, Liston R. The contribution of mild and moderate preterm birth to infant mortality. JAMA. 2000; 284: 843 ‐ 849.
dc.identifier.citedreferenceAnanth CV, Goldenberg RL, Friedman AM, Vintzileos AM. Association of temporal changes in gestational age with perinatal mortality in the United States, 2007‐2015. JAMA Pediatr. 2018; 172: 627 ‐ 634.
dc.identifier.citedreferenceGoldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. Lancet. 2008; 371: 75 ‐ 84.
dc.identifier.citedreferenceHeaman M, Kingston D, Chalmers B, Sauve R, Lee L, Young D. Risk factors for preterm birth and small‐for‐gestational‐age births among Canadian women. Paediatr Perinat Epidemiol. 2013; 27: 54 ‐ 61.
dc.identifier.citedreferenceShaw GM, Wise PH, Mayo J, et al. Maternal prepregnancy body mass index and risk of spontaneous preterm birth. Paediatr Perinat Epidemiol. 2014; 28: 302 ‐ 311.
dc.identifier.citedreferenceSharma S, Nehra A, Sinha S, et al. Sleep disorders in pregnancy and their association with pregnancy outcomes: a prospective observational study. Sleep Breath. 2016; 20: 87 ‐ 93.
dc.identifier.citedreferenceLee KA, DeJoseph JF. Sleep disturbances, vitality, and fatigue among a select group of employed childbearing women. Birth. 1992; 19: 208 ‐ 213.
dc.identifier.citedreferenceFacco FL, Liu CS, Cabello AA, Kick A, Grobman WA, Zee PC. Sleep‐disordered breathing: a risk factor for adverse pregnancy outcomes? Am J Perinatol. 2012; 29: 277 ‐ 282.
dc.identifier.citedreferenceFacco FL, Grobman WA, Kramer J, Ho KH, Zee PC. Self‐reported short sleep duration and frequent snoring in pregnancy: impact on glucose metabolism. Am J Obstet Gynecol. 2010; 203: 142.e141 ‐ 142.e145.
dc.identifier.citedreferenceO’Brien LM, Bullough AS, Chames MC, et al. Hypertension, snoring, and obstructive sleep apnoea during pregnancy: a cohort study. BJOG. 2014; 121: 1685 ‐ 1693.
dc.identifier.citedreferenceO’Brien LM, Bullough AS, Owusu JT, et al. Pregnancy‐onset habitual snoring, gestational hypertension, and preeclampsia: prospective cohort study. Am J Obstet Gynecol. 2012; 207: 487.e481 ‐ 487.e489.
dc.identifier.citedreferenceLouis JM, Koch MA, Reddy UM, et al. Predictors of sleep‐disordered breathing in pregnancy. Am J Obstet Gynecol. 2018; 218: 521.e521 ‐ 521.e512.
dc.identifier.citedreferenceBourjeily G, Raker CA, Chalhoub M, Miller MA. Pregnancy and fetal outcomes of symptoms of sleep‐disordered breathing. Eur Respir J. 2010; 36: 849 ‐ 855.
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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