Coverart for item
The Resource Sleep disordered breathing in pregnancy : prevalence and outcomes at delivery, by Ryan L. Nations

Sleep disordered breathing in pregnancy : prevalence and outcomes at delivery, by Ryan L. Nations

Label
Sleep disordered breathing in pregnancy : prevalence and outcomes at delivery
Title
Sleep disordered breathing in pregnancy
Title remainder
prevalence and outcomes at delivery
Statement of responsibility
by Ryan L. Nations
Title variation
Sleep disordered breathing and pregnancy
Title variation remainder
prevalence and outcomes at delivery
Creator
Contributor
Author
Subject
Genre
Language
eng
Summary
Sleep Disordered Breathing (SDB) during pregnancy is associated with maternal and neonatal morbidity, and in-hospital mortality. A recent prevalence study using the Nationwide Inpatient Sample reported an obstructive sleep apnea (OSA) prevalence of 7.3 per 10,000 in 2013, a rate of 24% per year over the last decade. The rise in prevalence mirrors the rise in obesity. Military Treatment Facilities (MTF) have seen an increase in obesity and related co-morbidities with an unknown prevalence of SDB. Most studies have been conducted in high-risk populations; the general prevalence of SDB and its association with adverse pregnancy outcomes in a military population needs exploration. This prospective, observational study used the Facco Four Variable (FFV) model and STOP-Bang to screen parturients presenting for delivery at a MTF to determine the general prevalence of SDB. Logistic regression on parturient data who screened positive, FFV (score e75) and STOP-Bang (score e 3) was used to examine if higher rates of adverse pregnancy outcomes (gestational hypertension, preeclampsia/eclampsia, gestational diabetes, non-elective cesarean delivery, NICU admission, hospital stay >5 days, a composite variable of adverse pregnancy outcomes) were associated with SDB. Demographic and prevalence data were compared between active duty and non-active duty participants. Of the study population (N=295), the FFV identified 12.3% (n=36) and STOP-Bang 7.1% (n=21) participants at high risk for SDB. Adverse pregnancy outcomes were experienced by 58% women with the FFV and 66% with STOP-Bang. Logistic regression indicated the FFV categorical score (e75) was not predictive of adverse pregnancy outcomes. Utilizing FFV absolute score, an increased risk of APO was noted (adjusted OR=1.03, 95% CI 1.01-1.05, p=.013). Logistic regression indicated a STOP-Bang score e3 was predictive of an adverse pregnancy outcome (adjusted OR=3.26, 95% CI 1.23-8.62, p=.018). Findings support the need for routine screening for identification of SDB during pregnancy and the opportunity for repeated testing to track progression, treatment, and resolution of SDB. Further research is needed to determine critical points in the development and management of SDB during pregnancy, if and when SDB resolves after delivery, and the long-term health effects for both mother and child
Member of
Cataloging source
CDU
http://library.link/vocab/creatorName
Nations, Ryan L
Degree
(Ph.D.)
Dissertation note
Dissertation
Dissertation year
2015
Granting institution
University of San Diego
Illustrations
illustrations
Index
no index present
LC call number
RG571
LC item number
.N38 2015eb
Literary form
non fiction
Nature of contents
  • bibliography
  • theses
http://library.link/vocab/relatedWorkOrContributorName
University of San Diego
Series statement
Dissertation series University of San Diego
Series volume
2015
http://library.link/vocab/subjectName
  • Pregnancy
  • Sleep apnea syndromes
Label
Sleep disordered breathing in pregnancy : prevalence and outcomes at delivery, by Ryan L. Nations
Instantiates
Publication
Contributor
Note
Dissertation committee: Cynthia D. Connelly, Chair; Mary Barger; Dennis Spence -- title page
Bibliography note
Includes bibliographical references (pages 72-76)
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
957583588
http://bibfra.me/vocab/relation/dissertationadvisor
jzn_ZBEiwgo
Extent
1 online resource (vii, 78 pages)
File format
one file format
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations
Specific material designation
remote
System control number
(OCoLC)957583588
Label
Sleep disordered breathing in pregnancy : prevalence and outcomes at delivery, by Ryan L. Nations
Publication
Contributor
Note
Dissertation committee: Cynthia D. Connelly, Chair; Mary Barger; Dennis Spence -- title page
Bibliography note
Includes bibliographical references (pages 72-76)
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
957583588
http://bibfra.me/vocab/relation/dissertationadvisor
jzn_ZBEiwgo
Extent
1 online resource (vii, 78 pages)
File format
one file format
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations
Specific material designation
remote
System control number
(OCoLC)957583588

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