怀孕期间睡眠与分娩结果之间的关联:一个前性队列研究
Libing Huang1, Huanjun Chen2, Fuhui Yao3
1Department of Emergency, Zhanjiang Central People's Hospital, Zhanjiang, 524000, China.
Reproductive biology and endocrinology : RB&E
|February 5, 2025
概括
在怀孕期间睡眠时间短,会增加早产风险. 睡眠时间较长可能会降低这种风险,尽管需要进一步研究. 睡眠状态没有影响低出生体重或对妊娠年龄小. 怀孕护理应该解决睡眠问题.
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:
- 不良的分娩结果,包括早产,低出生体重和较小的妊娠年龄,对婴儿健康构成重大风险.
- 怀孕期间睡眠模式和持续时间可能会发生变化,这可能会影响母亲和胎儿的健康.
研究的目的:
- 调查怀孕早期和第二个三个月的睡眠状态与不良分娩结果之间的关联.
- 为了确定睡眠时间,质量或变化是否会影响早产,低出生体重或对妊娠年龄来说小.
主要方法:
- 一项前性队列研究,涉及5418名孕妇.
- 用多变量逻辑回归模型分析睡眠状态和出生结果.
- 计算了几率比率 (OR) 和95%置信区间 (CI) 来量化关联.
主要成果:
- 怀孕第二季度每晚睡眠时间 ≤7小时与早产风险增加有关 (OR: 1.43,95% CI: 1.12,1.85).
- 怀孕第二季度每晚睡眠时间超过9小时与早产风险降低有关 (OR:0.79,95%CI:0.53,0.93).
- 睡眠质量,睡眠变化和早期怀孕睡眠时间与早产,低出生体重或与妊娠年龄相比较小没有显著联系.
结论:
- 在第二个三个月内睡眠时间短 (<7小时) 与早产风险更高有关.
- 较长的睡眠时间 (>9小时) 可能有助于预防早产,需要进一步调查.
- 怀孕期间的睡眠状态与低出生体重或较小的妊娠年龄无关;建议在产前护理中解决睡眠问题.
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