Tuesday February 19, 2019

Sleeping for Long Hours During Pregnancy Linked to Stillbirths

Progress in reducing stillbirth deaths has been slow but stillbirth is an urgent global health issue that should be at the centre of more research programmes, the researchers noted

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Pregnancy, air pollution
Sleeping for long hours during pregnancy linked to stillbirths. Pixabay

Sleeping more than nine hours per night during pregnancy may be associated with late stillbirth, suggests a new study.

This is because blood pressure reaches its lowest point during sleep which has been linked with foetal growth problems, preterm birth, and stillbirth.

The study, led by a team from the University of Michigan, explored how maternal sleep habits, including lengthy periods of sleep without waking more than once in the night, may be associated with foetal health independent of other risk factors.

Moreover, pregnant women often report waking up and getting up in the middle of the night.

Very disruptive sleep has also been associated with poor pregnancy outcomes, including growth restriction and preterm growth.

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Representational image. IANS

“Our findings add to research indicating that maternal sleep plays a role in foetal well being. Studies aiming to reduce stillbirths should consider maternal sleep as this is a potentially modifiable risk factor,” said lead author Louise O’Brien, researcher at the varsity.

“Understanding the role of maternal sleep may help us identify interventions that would put us in a better position to advise women,” O’Brien added.

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For the study, reported in the journal Birth, the team involved 153 women who had experienced a late stillbirth (on or after 28 weeks of pregnancy) within the previous month and 480 women with an ongoing third-trimester pregnancy or who had recently delivered a live born baby during the same period.

Progress in reducing stillbirth deaths has been slow but stillbirth is an urgent global health issue that should be at the centre of more research programmes, the researchers noted. (IANS)

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Study Claims, There Should Be Treatment Options Given for Miscarriage

Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies. 

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Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies. Pixabay

Though miscarriage is a traumatic experience for both parents, resulting in feelings of loss and grief that in some cases can lead to anxiety and depression, women experiencing miscarriage should be offered a choice in the treatment they receive, suggests a study.

Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies.

Although guidelines recommend trying to resolve an unsuccessful pregnancy naturally, the new analysis shows that this is only successful in 70 per cent of cases, and potentially comes with complications that are rarely communicated to patients.

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Some women are more keen on having a quick surgical intervention so that they can resume their lifestyle immediately, some are very keen to avoid surgery and prefer to go with a tablet, and others want to take a more natural approach,” Wattar added. Pixabay

The study from the University of Warwick and Queen Mary University of London, demonstrates little to no difference in medical effectiveness in resolving an unsuccessful pregnancy between medical and surgical options.

Thus, the team recommend the doctors to offer women a choice of treatment options for miscarriage to enable them to make an informed decision that takes account of potential uncomfortable side effects, long waiting times and extended periods of recovery.

“What we have to do is provide women with evidence about the benefits and effectiveness of each treatment option and potential side effects so that they can choose what they feel most comfortable with,” said lead author Bassel Wattar from Warwick Medical School.

“Some women are more keen on having a quick surgical intervention so that they can resume their lifestyle immediately, some are very keen to avoid surgery and prefer to go with a tablet, and others want to take a more natural approach,” Wattar added.

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Miscarriage is the most common complication of pregnancy and affects an estimated one in four pregnancies. Pixabay

For the results, published in the journal Human Reproduction Update, the team reviewed 46 trials involving over 9,000 women who experienced spontaneous loss of pregnancy (miscarriage) before 14 weeks gestation.
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During a miscarriage, the body will aim to resolve the unsuccessful pregnancy naturally but conservative treatment can be painful with increased bleeding, increased likelihood of hospital admission, reduced quality of treatment and reduced satisfaction.

However, surgery which include electric vacuum aspiration, and medical treatment with a tablet were found to have similar effectiveness in treating miscarriage as conservative treatment. (IANS)