Gupta Ravi, Rawat Vikram Singh
Department of Psychiatry, All India Institute of Medical Sciences, Rishikesh, India.
Department of Psychiatry, All India Institute of Medical Sciences, Rishikesh, India.
Handb Clin Neurol. 2020;172:169-186. doi: 10.1016/B978-0-444-64240-0.00010-6.
Pregnancy is associated with a number of physiologic changes in the body including hormonal, anatomical, and mechanical. These changes alter many physiologic functions including sleep. The literature suggests that a number of women develop changes in duration, pattern, and quality of sleep during pregnancy. In addition, these changes also pave the way for expression of sleep disorders (e.g., insomnia, obstructive sleep apnea, and restless legs syndrome). Change in sleep and appearance of sleep disorders not only influence pregnant women, but also have negative influences on the fetus and outcomes of pregnancy. However, optimal management of these disorders may reverse adverse consequences. In this chapter, risk factors, clinical presentation, and management of insomnia, obstructive sleep apnea, and restless legs syndrome during pregnancy are discussed in view of the available literature.
怀孕与身体的许多生理变化相关，包括激素、解剖结构和力学方面的变化。这些变化会改变许多生理功能，包括睡眠。文献表明，许多女性在孕期会出现睡眠时长、模式和质量的改变。此外，这些变化也为睡眠障碍（如失眠、阻塞性睡眠呼吸暂停和不宁腿综合征）的出现铺平了道路。睡眠变化和睡眠障碍的出现不仅影响孕妇，还会对胎儿和妊娠结局产生负面影响。然而，对这些障碍的优化管理可能会扭转不良后果。在本章中，我们将根据现有文献讨论孕期失眠、阻塞性睡眠呼吸暂停和不宁腿综合征的危险因素、临床表现及管理。
