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New onset sleep-disordered breathing (SDB) in mid-pregnancy is linked to increased neonatal complications. Early pregnancy SDB did not show a significant association with adverse outcomes in newborns.

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Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Health
  • Sleep Medicine

Background:

  • Sleep-disordered breathing (SDB) is a common condition during pregnancy, associated with maternal risks.
  • The impact of objectively measured SDB on neonatal outcomes requires further investigation.

Purpose of the Study:

  • To determine if objectively measured sleep-disordered breathing (SDB) during pregnancy increases the risk of adverse neonatal outcomes.
  • To analyze the association between SDB in early and mid-pregnancy and neonatal morbidity.

Main Methods:

  • Secondary analysis of the nuMom2b sleep disordered breathing substudy.
  • In-home sleep studies for SDB assessment in early (6-15 weeks) and mid-pregnancy (22-31 weeks).
  • Log-binomial regression to calculate adjusted risk ratios (RR) for a composite of adverse neonatal outcomes.

Main Results:

  • Among 2,106 participants, 3% had early SDB and 5.7% developed new-onset mid-pregnancy SDB.
  • The incidence of adverse neonatal outcomes was higher in offspring of mothers with early (29.3%) and new-onset mid-pregnancy SDB (30.3%) compared to those without SDB (17.8%).
  • New-onset mid-pregnancy SDB was independently associated with increased neonatal morbidity (RR=1.43, 95% CI: 1.05, 1.94).

Conclusions:

  • New-onset sleep-disordered breathing in mid-pregnancy is independently associated with increased neonatal morbidity.
  • Early pregnancy SDB did not show a statistically significant association with adverse neonatal outcomes after adjustments.
  • Objective SDB assessment during pregnancy is crucial for identifying risks to neonatal health.