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An Epworth Sleep Score ≥11 is associated with emergency operative birth and poor neonatal composite outcome at term
Author(s) -
Robertson Nicole,
Flatley Christopher,
Kumar Sailesh
Publication year - 2020
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12983
Subject(s) - medicine , epworth sleepiness scale , pregnancy , caesarean section , obstetrics , vaginal delivery , pediatrics , polysomnography , apnea , biology , genetics
Background 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. Aims 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. Materials and Methods The Epworth Sleepiness Scale was completed by 178 women at Mater Mothers’ Hospital, Brisbane, Australia. Results 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). Conclusions 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.