一个位置修改装置用于预防怀孕期间的仰卧睡眠:一个随机交叉试验
Danielle L Wilson1,2,3, Carley Whenn1, Maree Barnes1,4
1Institute for Breathing and Sleep, Austin Health, Melbourne, Victoria, Australia.
BJOG : an international journal of obstetrics and gynaecology
|September 16, 2024
概括
特殊的枕头并没有减少怀孕后期的卧卧睡眠. 孕妇每晚大约花一个小时躺卧睡觉,影响睡眠呼吸障碍和胎儿的健康. 建议对替代设备进行进一步的研究.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 怀孕后期的卧床睡眠与不良结果有关.
- 临床指南建议侧卧以减轻风险.
- 位置修改装置在促进侧卧睡眠方面的有效性尚未得到充分证实.
研究的目的:
- 为了评估枕头装置在妊娠晚期减少卧卧睡眠的有效性.
- 评估设备对睡眠呼吸障碍 (SDB) 严重性的影响.
- 为了确定对胎儿福祉的影响,包括心率和出生体重.
主要方法:
- 一项随机交叉研究,涉及第三个三个月的孕妇.
- 参与者每人使用一个控制枕头和一个干预枕头一周.
- 进行了对睡眠位置的客观监测,睡眠研究和胎儿心率监测.
主要成果:
- 干预枕头并没有显著降低躺卧睡眠时间的百分比.
- 在SDB严重程度或胎儿心率减速方面没有发现显著差异.
- 卧卧睡眠的增加与更高的呼吸暂停-呼吸暂停指数和较低的出生体重相关.
结论:
- 测试的枕头设备在妊娠后期减少卧卧睡眠方面无效.
- 孕妇平均每天晚上躺卧一个小时.
- 需要进一步研究用于减少卧姿睡眠的替代设备.
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