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Sleep and sleep disorders in pregnancy.
J R Santiago1, M S Nolledo, W Kinzler
1Department of Obstetrics and Gynecology, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY 10013, USA.
Annals of Internal Medicine
|March 10, 2001
Summary
Pregnancy commonly disrupts sleep due to hormonal and mechanical changes, potentially increasing risks for sleep-disordered breathing. Further research is needed to understand sleep disorder incidence and outcomes in pregnant women.
Area of Science:
- Obstetrics and Gynecology
- Sleep Medicine
- Physiology
Background:
- Sleep disturbances are highly prevalent among pregnant individuals.
- Physiological changes during pregnancy significantly impact sleep patterns.
- Hormonal shifts and mechanical pressures contribute to altered sleep architecture.
Purpose of the Study:
- To review sleep in normal pregnancy.
- To discuss the physiological underpinnings of sleep changes.
- To examine sleep-disordered breathing and other sleep disorders during pregnancy.
Main Methods:
- Literature review synthesizing subjective survey data and objective polysomnographic studies.
- Analysis of respiratory physiology changes during pregnancy.
- Compilation of existing research on sleep disorders in pregnancy.
Main Results:
- Pregnancy-induced physiological changes, particularly in respiration, may predispose women to sleep-disordered breathing.
- Both subjective reports and objective measures indicate significant sleep alterations.
- The review outlines the impact on various sleep disorders and their management.
Conclusions:
- Sleep alterations in pregnancy are multifactorial, involving hormonal, mechanical, and respiratory factors.
- Sleep-disordered breathing is a potential concern during pregnancy.
- More research is essential to determine the incidence and impact of sleep disorders in pregnant populations.
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