Evidence map›Paper›PMID 25957617›Full record

Observational studySleep & breathing = Schlaf & Atmung2016

Sleep disorders in pregnancy and their association with pregnancy outcomes: a prospective observational study.

S K Sharma, A Nehra, S Sinha, M Soneja, K Sunesh, V Sreenivas, D Vedita

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Sleep & breathing = Schlaf & Atmung, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 6 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 6 syntheses or guidelines pooled it, 139 citations in OpenAlex.

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  5. Non-pharmacological Interventions for Improving Sleep Quality During Pregnancy: A Systematic Review and Meta-Analysis.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
    Pooled it
  6. Associations between prenatal sleep and psychological health: a systematic review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Pooled it
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  9. Sleep quality and health among pregnant smokers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

S K SharmaDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India. sksharma.aiims@gmail.com.
A NehraDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India.
S SinhaDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India.
M SonejaDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India.
K SuneshDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, 110029, India.
V SreenivasDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, 110029, India.
D VeditaDepartment of Radio-Diagnosis, PGIMS, Rohtak, 124001, Haryana, India.
All India Institute of Medical Sciences · INPandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSleep disturbances such as insomnia, nocturnal awakenings, restless legs syndrome, habitual snoring, and excessive daytime sleepiness are frequent during pregnancy, and these have been linked to adverse maternal and fetal outcomes.

methodsA prospective observational study was performed in high-risk Indian pregnant women. We used modified Berlin questionnaire (MBQ), Pittsburgh sleep quality index (PSQI), International Restless Legs Syndrome Study Group 2011 criteria, and Epworth sleepiness scale to diagnose various sleep disorders, such as symptomatic OSA, poor sleep quality and insomnia, RLS, and excessive daytime sleepiness, respectively, in successive trimesters of pregnancy. Outcome variables of interest were development of gestational hypertension (GH), gestational diabetes mellitus (GDM), and cesarean delivery (CS); the Apgar scores; and low birth weight (LBW). The relationship between sleep disorders and outcomes was explored using logistic regression analysis.

resultsOutcome data were obtained in 209 deliveries. As compared to nonsnorers, women who reported snoring once, twice, and thrice or more had odds ratios for developing GH-4.0 (95 % CI 1.3-11.9), 1.5 (95 % CI 0.5-4.5), and 2.9 (95 % CI 1.0-8.2) and for undergoing CS-5.3 (95 % CI 1.7-16.3), 4.9 (95 % CI 1.8-13.1), and 5.1 (95 % CI 1.9-14.9), respectively. Pregnant women who were persistently positive on MBQ had increased odds for GH and CS.

conclusionsSnoring and high-risk MBQ in pregnant women are strong risk factors for GH and CS. In view of the significant morbidity and health care costs, simple screening of pregnant women with questionnaires such as MBQ may have clinical utility.

Indexed as

Pregnancy OutcomeAdultApgar ScoreCesarean SectionDiabetes, GestationalFemaleHumansHypertension, Pregnancy-InducedIndiaInfant, Low Birth WeightInfant, NewbornOdds RatioPregnancyPregnancy ComplicationsProspective StudiesSleep Apnea, ObstructiveCesarean deliveryGestational hypertensionModified Berlin questionnaireObstructive sleep apneaPittsburgh sleep quality indexRestless legs syndrome

Identifiers

PMID25957617
OpenAlexW1950571874

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.