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An Epworth Sleep Score ≥11 is associated with emergency operative birth and poor neonatal composite outcome at term.

Authors
  • Robertson, Nicole1, 2, 3
  • Flatley, Christopher1
  • Kumar, Sailesh1, 2, 3
  • 1 Mater Research Institute, University of Queensland, Brisbane, Queensland, Australia. , (Australia)
  • 2 Mater Mothers' Hospital, Brisbane, Queensland, Australia. , (Australia)
  • 3 Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia. , (Australia)
Type
Published Article
Journal
The Australian & New Zealand journal of obstetrics & gynaecology
Publication Date
Feb 01, 2020
Volume
60
Issue
1
Pages
49–54
Identifiers
DOI: 10.1111/ajo.12983
PMID: 31141170
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

During pregnancy, the Epworth Sleepiness Scale can be used as a surrogate marker for maternal sleep-disordered breathing, a condition that is becoming increasingly prevalent in obstetric populations and is associated with a multitude of pregnancy complications. The aim of this observational study was to investigate the relationship between the Epworth Sleepiness Scale score and indication and mode of delivery during pregnancy. The Epworth Sleepiness Scale was completed by 178 women at Mater Mothers' Hospital, Brisbane, Australia. Women with a score ≥11 were less likely to achieve a spontaneous vaginal delivery (aOR 0.43, 95% CI 0.21-0.88, P = 0.02), and were more likely to have an instrumental (aOR 2.81, 95% CI 1.30-6.08, P = 0.01) or any operative birth (instrumental and caesarean section aOR 2.32, 95% CI 1.14-4.71, P = 0.02). These women were also more likely to have an operative birth for intrapartum fetal compromise (aOR 2.62, 95% CI 1.21-5.69, P = 0.015), as well as an infant with poor neonatal outcomes (aOR 2.77, 95% CI 1.09-7.03, P = 0.03). These results show that symptoms of sleep-disordered breathing are associated with emergency operative birth, particularly when the indication for operative birth was intrapartum fetal compromise. © 2019 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

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