Evidence map›Paper›PMID 36371381›Full record

ArticleSleep health2023

Adverse infant outcomes among women with sleep apnea or insomnia during pregnancy: A retrospective cohort study.

Jennifer N Felder, Rebecca J Baer, Larry Rand, Kelli K Ryckman, Laura Jelliffe-Pawlowski, Aric A Prather

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sleep health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  4. Observational
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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

6 authors at 2 institutions in 1 country.

Jennifer N FelderOsher Center for Integrative Health, University of California, San Francisco, San Francisco, California, USA; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
Rebecca J BaerDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, San Francisco, California, USA; UCSF California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California, USA; Department of Pediatrics, University of California, San Diego, San Diego, California, USA.
Larry RandDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, San Francisco, California, USA; UCSF California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California, USA.
Kelli K RyckmanDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA.
Laura Jelliffe-PawlowskiUCSF California Preterm Birth Initiative, University of California, San Francisco, San Francisco, California, USA; Department of Epidemiology & Biostatistics, University of California, San Francisco, San Francisco, California, USA.
Aric A PratherDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA; Center for Health and Community, University of California, San Francisco, San Francisco, California, USA.
University of California, San Francisco · USUniversity of Iowa · US

Funding

Examining the reciprocal effects of racial discrimination and sleep on cardiovascular functioning: An experimental approachR01HL142051 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PRATHER, ARIC ANDREW · 2018 to 2022
$3.5M
Optimizing a Mindfulness-Based Intervention for Poor Sleep Quality During PregnancyK23AT009896 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FELDER, JENNIFER NICOLE · 2018 to 2022
$889k
NCCIH NIH HHS K23 AT009896NHLBI NIH HHS R01 HL142051
6 · The paper itself

Abstract

objectiveTo evaluate whether sleep apnea or insomnia among pregnant people is associated with increased risk for adverse infant outcomes.

designRetrospective cohort study

settingCalifornia

participantsThe sample included singleton live births. Sleep apnea and insomnia were defined based on ICD-9 and -10 codes. A referent group was selected using exact propensity score matching on maternal characteristics, obstetric factors, and infant factors among individuals without a sleep disorder. MEASUREMENTS: Adverse infant outcomes were obtained from birth certificate, hospital discharge, and death records (eg, Apgar scores, neonatal intensive care unit (NICU) stay, infant death, long birth stay, etc.). Logistic regression was used to calculate odds of an adverse infant outcome by sleep disorder type.

resultsPropensity-score matched controls were identified for 69.9% of the 3371 sleep apnea cases and 68.8% of the 3213 insomnia cases. Compared to the propensity-matched referent group, individuals with a diagnosis of sleep apnea (n = 2357) had infants who were more likely to have any adverse outcome, low 1-min Apgar scores, NICU stay, and an emergency room visit in the first year of life. Infants born to mothers with a diagnosis of insomnia (n = 2212) were at increased risk of few negative outcomes relative to the propensity matched referent group, with the exception of an emergency room visit.

conclusionsIn unadjusted analyses, infants born to individuals with a diagnosis of sleep apnea or insomnia were at increased risk of several adverse outcomes. These were attenuated when using propensity score matching, suggesting these associations were driven by other comorbidities.

Indexed as

Sleep Apnea SyndromesSleep Initiation and Maintenance DisordersComorbidityFemaleHumansInfantInfant, NewbornParturitionPregnancyRetrospective StudiesInfant outcomesInsomniaPregnancySleep apnea

Identifiers

PMID36371381
PMCPMC10881279
OpenAlexW4308887613

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.