The DOI matches its Crossref record; 102 of the 102 references it cites were found in a registry or an index.
Maternal sleep during pregnancy and poor fetal outcomes: A scoping review of the literature with meta-analysis
Abstract
There is a wealth of evidence to say that sleep impacts maternal health during pregnancy, however, little has been published on fetal health and maternal sleep. This scoping review summarises current literature on maternal sleep including sleep disordered breathing, sleep quality, sleep duration and supine sleep position, as these relate to fetal outcomes specifically birth weight, growth, preterm birth and stillbirth. An overall interpretation of the studies evaluated shows that events occurring during maternal sleep such as obstructive sleep apnea, sleep disruption and sleep position may have a negative effect on the fetus resulting in altered growth, gestational length and even death. These effects are biologically and physically plausible. In conclusion, there is limited and often conflicting information on maternal sleep and fetal outcomes. However, existing evidence suggests that this is an important area for future research. This area is ripe for investigation if there is to be reduction in the physical, emotional, and financial burden of poor fetal outcomes related to maternal sleep.
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“A previous meta-analysis evaluated the association between sleep quality and duration with the risk of preterm birth [15], but there was significantly high heterogeneity among the included studies and no subgroup or sensitivity analysis to identify the sources of heterogeneity and test the robustness of the main findings.”
From Association between maternal sleep duration and quality, and the risk of preterm birth: a systematic review and meta-analysis of observational studies (2020) · cites this paper as [15]
Citations
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Insomnia and Common Complications of Pregnancy
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Self-citationGebelerin Yaşadıkları Uyku Sorunlarının ve Baş Etme Yöntemlerinin Belirlenmesi
Çetinkaya, E., Yamaç, S. U., Göçmez, S., & Uğuryol, G. (2026) · Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi · doi:10.46413/boneyusbad.1711171
Management of Central Disorders of Hypersomnolence in Pregnancy and Lactation
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“35 Objective data in a metanalysis showed that maternal sleep disruption was associated with adverse fetal outcomes such as low birthweight and small for gestational age infants [adjusted ORs (95% CI); 1.4 (1.1,1.9)], and preterm birth [adjusted ORs (95% CI); 1.6 (1.2,2.2)], similar to that…”
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“Although there is insufficient scientific evidence supporting an association between OSA and impaired fetal growth, 23 studies suggest negative impacts of OSA on fetal weight and growth.”
Grossesse et syndrome d’apnées obstructives du sommeil : quels liens ?
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Metadata
- Authors
- Warland, J., Dorrian, J., Morrison, J. L., & O'Brien, L. M.
- Affiliations
- University of South Australia (AU)
- University of Michigan (US)
- Corresponding author
- Warland, Jane
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 41
- Pages
- 197-219
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W2795097012
- Semantic Scholar
- 37c6431fcc314572f6cb399195c326b5d9c73f7a
- Cited by
- 224
- References
- 102
- Citations by year
- 2026: 16 · 2025: 27 · 2024: 24 · 2023: 27 · 2022: 41 · 2021: 36 · 2020: 29 · 2019: 20 · 2018: 2
- FWCI
- 3.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion)
- Funders
- NHMRC Career Development Fellowship (APP1066916)
- American Sleep Medicine Foundation (111-SR-15)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- maternal sleep, pregnancy, fetal outcomes, obstructive sleep apnea, sleep-disordered breathing, sleep quality, sleep duration, supine sleeping, birth weight, fetal growth, preterm birth, stillbirth, gestation length
- MeSH terms
- Female, Fetus, Humans, Mothers, Pregnancy, Pregnancy Complications, Sleep, Sleep Apnea Syndromes, Supine Position, Premature Birth, Stillbirth
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