Department of Obstetrics, Gynecology, and Reproductive Sciences and the Center for Sleep and Cardiovascular Outcomes Research, University of Pittsburgh School of Medicine, and the Division of Pulmonary Allergy and Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Obstet Gynecol. 2022 Aug 1;140(2):321-339. doi: 10.1097/AOG.0000000000004866. Epub 2022 Jul 6.
Compared with men, women have a greater risk of sleep disorders and report higher rates of sleep disturbance. Hormonal and physiologic changes throughout the life span appear to influence a woman's ability to get a good night's sleep. Sleep disturbances are commonly reported during pregnancy, affecting more than one-half of all pregnancies and increasing as gestation progresses. The pervasiveness of sleep complaints during pregnancy may lead to a belief that these symptoms are normal or to be expected. Unfortunately, this perception may impede the accurate diagnosis of sleep disorders during this crucial time. Obstructive sleep apnea, insomnia, and restless legs syndrome are the most common sleep disorders in pregnancy. Sleep disruption in pregnancy can substantially worsen maternal quality of life and may be a risk factor for adverse pregnancy outcomes. This review outlines important considerations for obstetricians taking care of pregnant patients with sleep-related complaints.
与男性相比，女性患睡眠障碍的风险更大，睡眠紊乱的报告率也更高。整个生命周期中的激素和生理变化似乎会影响女性获得良好睡眠的能力。睡眠障碍在怀孕期间很常见，影响超过一半的妊娠，且随着妊娠的进展而增加。怀孕期间睡眠问题的普遍性可能导致人们认为这些症状是正常的或可以预料的。不幸的是，这种观念可能会阻碍在这个关键时期对睡眠障碍进行准确诊断。阻塞性睡眠呼吸暂停、失眠和不宁腿综合征是怀孕期间最常见的睡眠障碍。妊娠期间的睡眠中断会极大地降低产妇的生活质量，并且可能是不良妊娠结局的一个危险因素。这篇综述概述了照顾有睡眠相关问题的孕妇的产科医生需要考虑的重要问题。
