Evidence map›Paper›PMID 31912893›Full record

Observational studyInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2020

Effects of maternal sleep position on fetal and maternal heart rate patterns using overnight home fetal ECG recordings.

Maristella Lucchini, Ronald J Wapner, Nhan-Chang Chia-Ling, Caroline Torres, Joel Yang, Ismee A Williams, William P Fifer

Abstract readObservational Study
In one paragraph

Observational study in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Observational
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

7 authors.

Maristella LucchiniDepartment of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Ronald J WapnerDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY, USA.
Nhan-Chang Chia-LingDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY, USA.
Caroline TorresDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY, USA.
Joel YangDepartment of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Ismee A WilliamsDivision of Developmental Neuroscience, New York State Psychiatric Institute, New York, NY, USA.
William P FiferDepartment of Psychiatry, Columbia University Medical Center, New York, NY, USA.

Funding

Prenatal Alcohol in Sudden Infant Death Syndrome and Stillbirth (PASS) NetworkU01HD055155 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FIFER, WILLIAM P., MYERS, MICHAEL MORGAN · 2006 to 2015
$7.1M
Prevention of Preterm Birth in high Risk Nulliparous PatientsU10HD063047 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WAPNER, RONALD · 2010 to 2014
$1.9M
Columbia UniversityNICHD NIH HHS U01 HD055155NICHD NIH HHS U10 HD063047NIH HHS
6 · The paper itself

Abstract

objectiveTo assess the effects of maternal position on maternal and fetal heart rate and heart rate variability (HRV) in healthy late gestation pregnancies using non-invasive techniques during overnight studies.

methodsIn an observational study of women between 34 and 36 weeks of pregnancy conducted from September 1, 2013, to March 31, 2014, at Columbia University Medical Center, New York, US, maternal and fetal ECG recordings and position monitoring were undertaken through the night in the woman's own home. These data were used for time domain analyses of fetal and maternal heart rate and HRV.

resultsForty-two women were recruited to the study which showed that maternal position affected maternal heart rate (MHR), with left side sleeping associated with lower heart rate (left vs right P=0.017, left vs supine P=0.027) and higher overall HRV (left vs right P=0.032). MHR showed significant overnight changes (P=0.032). No significant positional or overnight effects were observed in fetal heart rate patterns.

conclusionThis study uniquely incorporated analyses on maternal and fetal physiology and extended the knowledge of effects of maternal overnight sleep position on MHR in the natural sleep environment.

Indexed as

AdultElectrocardiographyFemaleHeart RateHeart Rate, FetalHumansPosturePregnancyPregnancy Trimester, ThirdSleepYoung AdultAbdominal fetal ECGFetal autonomic controlFetal sleep stateHeart rate variabilityMaternal sleep positionStillbirth

Identifiers

PMID31912893
PMCPMC7056518

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Registered trials

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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.