Evidence map›Paper›PMID 29785058›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2018

Effects of maternal obstructive sleep apnea on fetal growth: a case-control study.

Anna W Kneitel, Marjorie C Treadwell, Louise M O'Brien

Open access · greenAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Influence of Obstructive Sleep Apnea on Oxidative Stress in Pregnancy.International journal of molecular sciences · 2025
    Article
  7. Review
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  13. Burden of sleep disturbance in non-Hispanic Black pregnant women.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  14. Review
  15. Fetal Heart Rate Decelerations in Women with Sleep-Disordered Breathing.Reproductive sciences (Thousand Oaks, Calif.) · 2021
    Article
  16. Article
  17. Sleep-disordered breathing in pregnancy: a developmental origin of offspring obesity?Journal of developmental origins of health and disease · 2021
    Review
  18. Article
  19. Article
  20. Article
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

3 authors at 1 institution in 1 country.

Anna W KneitelDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Marjorie C TreadwellDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Louise M O'BrienDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA. louiseo@med.umich.edu.ORCID 0000-0002-7512-9701
University of Michigan · US

Funding

Use of PAP in women with pre-eclampsiaK23HL095739 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI O'BRIEN, LOUISE M. · 2009 to 2013
$604k
The Impact of Sleep-Disordered Breathing on Adverse Pregnancy OutcomesR21HL089918 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI O'BRIEN, LOUISE M. · 2009 to 2010
$425k
NHLBI NIH HHS K23 HL095739NHLBI NIH HHS R21 HL089918
6 · The paper itself

Abstract

objectiveTo investigate whether maternal obstructive sleep apnea (OSA) is associated with changes in fetal growth trajectory. STUDY

designRetrospective review of pregnant women who underwent overnight polysomnography. Fetal growth was estimated using sonographic biometric measurements obtained during routine prenatal care. Customized estimated fetal weight and birth weight centiles were calculated and impaired fetal growth was defined as birth weight <10th centile or a slowing of fetal growth by >33% during the last trimester. Logistic regression models were used to determine the relationship between maternal OSA and altered fetal growth after adjusting for potential covariates.

resultsThere were 48 women without and 31 women with OSA. There were no differences in the proportion of infants with birth weight <10th centile between women with and without OSA (23 vs. 25%, p = 1.0), However, the presence of maternal OSA was predictive of impaired fetal growth (aOR 3.9, 95% CI 1.2-12.6). Logistic regression models were repeated using only a slowing of fetal growth in the 3rd trimester (excluding birth weight <10th centile) and OSA predicted a slowing in fetal growth across the 3rd trimester (aOR 3.6, 95% CI 1.4-9.4). Fourteen additional women were treated with positive airway pressure during pregnancy; fetal growth was not significantly different in these women compared to controls.

conclusionObstructive sleep apnea is independently associated with altered fetal growth, which appears to be ameliorated with use of positive airway pressure.

Indexed as

Fetal DevelopmentAdultCase-Control StudiesFemaleHumansLogistic ModelsPolysomnographyPregnancyPregnancy ComplicationsPregnancy Trimester, ThirdSleep Apnea, ObstructiveYoung Adult

Identifiers

PMID29785058
PMCPMC6092194
OpenAlexW2803265782

What OpenQuestion holds

Textmetadata
LicenceTDM
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.