孕产妇睡眠障碍和孕产妇和分娩后果:一项回顾性美国基于索赔的研究
Anayeli Herrera Morales1, Audrey C Choh1, Cici X Bauer2
1Department of Epidemiology, School of Public Health, The University of Texas Health Science Center At Houston, Brownsville, Texas, USA.
Brain and behavior
|September 26, 2025
概括
临床诊断的睡眠障碍影响3.41%的孕妇,与更高的并发症风险有关. 建议进行常规的产前睡眠查,以进行早期检测和管理.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 睡眠障碍在怀孕期间很常见,可能对母亲,胎儿和新生儿造成不良后果.
- 自我报告的睡眠问题可能与临床诊断的睡眠障碍患病率不一致.
- 了解怀孕期间诊断的睡眠障碍对于母亲和婴儿的健康至关重要.
研究的目的:
- 为了确定临床诊断的睡眠障碍和孕妇呼吸异常的患病率.
- 检查这些睡眠状况与母亲健康结果之间的关联.
- 调查睡眠障碍与出生结果之间的关系.
主要方法:
- 使用Optum的Clinformatics Data Mart数据库 (2015-2021) 对93767名孕妇进行的横截面研究.
- 通过ICD-9/ICD-10代码识别的睡眠障碍和呼吸异常.
- 多变量后勤回归模型根据人口,保险,婴儿性别和妊娠并发症因素进行调整.
主要成果:
- 临床诊断的睡眠障碍和呼吸异常的患病率为3.41%.
- 这些情况与剖腹产,妊娠糖尿病,妊娠高血压,孕前,产后抑郁症的几率增加有显著的关联.
- 还发现与死胎,新生儿大小,出生体重和妊娠期的关联.
结论:
- 临床诊断的低患病率表明,怀孕期间睡眠障碍的潜在诊断不足.
- 在产前护理中建议进行常规的睡眠查,以进行早期检测和管理.
- 需要对不同人群进行进一步的研究,以指导公平的查策略.
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