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Sleep disorders in Pregnancy: Glycaemic implications

K V S Hari Kumar1

  • 1Departments of Endocrinology, Command Hospital, Chandimandir, India.

JPMA. the Journal of the Pakistan Medical Association
|September 2, 2016
PubMed

Insights

Sleep disorders during pregnancy negatively impact maternal and fetal health, leading to serious cardio-metabolic issues like insulin resistance and hyperglycemia. This review explores their pathophysiology and glycaemic effects.

Area of Science:

  • Physiology
  • Sleep Medicine
  • Obstetrics

Background:

  • Sleep is a vital biorhythm for bodily restoration, regulated by the circadian center.
  • Sleep duration has decreased due to urbanization, increasing sleep disorders like insomnia and sleep-disordered breathing.
  • Sleep disorders are linked to adverse cardio-metabolic outcomes, including insulin resistance and hyperglycemia.

Purpose of the Study:

  • To review the pathophysiology of sleep disorders during pregnancy.
  • To examine the glycaemic implications of sleep disorders in pregnant individuals.
  • To highlight adverse foeto-maternal outcomes and long-term cardiovascular risks.

Main Methods:

  • Literature review of sleep disorders during pregnancy.
  • Analysis of physiological changes affecting sleep in pregnancy.
  • Examination of glycaemic control and metabolic consequences.

Main Results:

  • Pregnancy significantly alters physiological homeostasis, increasing susceptibility to sleep disorders.
  • Sleep disorders in pregnancy are associated with adverse foeto-maternal outcomes.
  • These disorders contribute to long-term cardiovascular implications and metabolic disturbances.

Conclusions:

  • Sleep disorders during pregnancy present significant risks to both mother and fetus.
  • Understanding the pathophysiology and glycaemic implications is crucial for managing these risks.
  • Interventions addressing sleep disturbances may improve maternal and fetal health outcomes.

Keywords:
Sleep disorders, Pregnancy, Diabetes, Gestational diabetes.

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