Evidence map›Paper›PMID 40474294›Full record

ArticlePilot and feasibility studies2025

Continuous positive airway pressure versus usual care for obstructive sleep apnoea in pregnancy: a two-step pilot trial.

Rachael Nugent, Caroline de Costa, Leonie Callaway, Shiv Erigadoo, Elise Gilbertson, Chris Brown, Joanna Perry-Keene, Rebekah Shakhovskoy, Lauren Kearney

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Rachael NugentSunshine Coast Hospital and Health Service, Birtinya, QLD, 4575, Australia. Rachael.Nugent@health.qld.gov.au.
Caroline de CostaJames Cook University, Townsville, Australia.
Leonie CallawayUniversity of Queensland, Brisbane, Australia.
Shiv ErigadooSunshine Coast Hospital and Health Service, Birtinya, QLD, 4575, Australia.
Elise GilbertsonSunshine Coast Hospital and Health Service, Birtinya, QLD, 4575, Australia.
Chris BrownSunshine Coast Hospital and Health Service, Birtinya, QLD, 4575, Australia.
Joanna Perry-KeeneSunshine Coast Hospital and Health Service, Birtinya, QLD, 4575, Australia.
Rebekah ShakhovskoySunshine Coast Hospital and Health Service, Birtinya, QLD, 4575, Australia.
Lauren KearneyUniversity of Queensland, Brisbane, Australia.

Funding

SERTF 202108CRF
6 · The paper itself

Abstract

backgroundObstructive sleep apnoea (OSA) is associated with increasing body mass index (BMI) and affects up to 15% of pregnant women. OSA in pregnancy can be associated with adverse maternal and neonatal outcomes. Continuous positive airway pressure (CPAP) may be an effective treatment for OSA during pregnancy.

aimTo examine the feasibility and acceptability of screening women with a BMI ≥ 35 kg/m

methodsThis study was a single-centre, two-stage pilot study. Firstly, all consenting participants were screened for OSA and then, only if diagnosed with moderate to severe OSA (AHI ≥ 15), randomised to CPAP or no CPAP. The feasibility of the OSA screening was determined by recruitment rates. A priori criteria of > 20% recruitment to the sleep study were considered feasible. The acceptability of the sleep study was examined using the completion rate and reasons for withdrawal prior to the sleep study. The acceptability of CPAP randomisation was assessed by completion rates for women randomised, adherence to CPAP, reasons for withdrawal, and the review of quality-of-life measures over the course of pregnancy.

resultsNinety-six women with a BMI ≥ 35 kg/m DISCUSSION: A definitive trial screening women for OSA and subsequent randomisation to treatment or no treatment may be feasible. Future trials should be resourced to expand inclusion criteria, improve accessibility for participants, evaluate clinical and cost-effectiveness, and investigate partial treatment effects.

trial registrationACTRN, ACTRN12621001523897. Registered 9 September 2021 - retrospectively registered, https://www.anzctr.org.au/Trial/Update/Step8_Update.aspx?id=382640.

Indexed as

Continuous positive airway pressureObesityObstructive sleep apnoeaPregnancy

Identifiers

PMID40474294
PMCPMC12139340

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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.