怀孕期间阻塞性睡眠呼吸暂停和分娩之间的关系 怀孕年龄婴儿的婴儿小- 一个系统性审查
Alicja Grajczyk1, Karolina Dżaman1, Katarzyna Czerwaty1
1Department of Otolaryngology, Centre of Postgraduate Medical Education, Marymoncka 99/103, 01-813 Warsaw, Poland.
Journal of clinical medicine
|September 28, 2023
概括
怀孕期间阻塞性睡眠呼吸暂停 (OSA) 可能不会显著影响婴儿的大小,尽管一些研究表明存在联系. 建议在孕妇中早期查OSA症状,以减轻潜在的风险.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 围产期健康 围产期健康
背景情况:
- 怀孕期间阻塞性睡眠呼吸暂停 (OSA) 对母亲和婴儿的健康构成风险.
- 母亲的OSA与婴儿不良结果之间的关联,特别是对于妊娠年龄 (SGA) 婴儿的小婴儿,需要进一步澄清.
研究的目的:
- 系统地审查和综合关于怀孕期间阻塞性睡眠呼吸暂停与妊娠年龄小的婴儿分娩之间的联系的证据.
主要方法:
- 在 MEDLINE (PubMed),Scopus 和 Cochrane 图书馆进行了系统的文献搜索.
- 研究根据PRISMA 2020指南进行了选,18项研究在744篇文章的初始过后满足了纳入标准.
主要成果:
- 大多数包括的研究表明,怀孕期间的OSA可能不会对SGA产生重大影响.
- 然而,一小部分研究表明OSA和SGA之间存在潜在的关系,突出了不一致的发现.
结论:
- 虽然证据尚未确定,但建议对孕妇进行OSA症状的查,并在指示时进行睡眠测试.
- 在怀孕期间早期发现和管理OSA可能会减少不良结果,但需要更多的研究才能获得确的证据.
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