Table 1. Characteristics of studies included in the meta-analysis.
First author Year | Study size | age | Study type | Measure for OSA diagnosis | Maternal outcome | Neonatal outcome | Method for selecting participant | Inclusion | Exclusion | Confounding Variable |
---|---|---|---|---|---|---|---|---|---|---|
KoHS16 2013 | 276 | 20–45 | Prospective cohort study | Berlin questionnaire | Preeclampsia, gestational diabetes, Preterm birth | Cesarean delivery, NICU admission, SGA < 10th percentile | Random survey by means of a self-administered close-ended questionnaire | 1. The questionnaire were properly filled in; | The questionnaire were not completed or the data of obstetric outcome were not fully available | age, obesity |
2. The data about obstetric outcomes were fully available. | BMI classification and the logistic regression was use to adjust the confounders | |||||||||
Louis J17 2012 | 161 | 20–44 | Prospective cohort study | Good quality: Portable PSG (AHI > 5) | Preeclampsia, gestational diabetes Preterm birth | Cesarean delivery, NICU admission | Randomly selected | 1. Participants were obese, age 18 years or older; | 1. Subjects with chronic use of narcotic or other drugs affecting the central nevous system and inability to maintain sleep beyond 2 hours; | Age, race BMI |
2. Participants received obstetric care by their physicians or nurse practitioners. | 2.Women with a documented history of nonadherence. | Multivariable logistic regression model was performed after adjusting for the effect of confounders | ||||||||
Olivarea18 SA2011 | 220 | 18–50 | Prospective cohort study | Berlin and Epworth scale | Preeclampsia, gestational diabetes | SGA < 10th percentile | NA | Gravidae of 18–50, with confirmed viable singleton gestations | Subjects with known sleep-disordered breathing and patients with significant underlying pulmonary or cardiac comorbidities, or with known multiple gestations | Age, obesity |
BMI classification and the logistic regression was use to adjust the confounders | ||||||||||
Louis JM19 2010 | 285 | 20–40 | retrospective cohort study | Good quality: full PSG (AHI > 5) | Preeclampsia, Preterm birth | Cesarean delivery, NICU admission, SGA < 10th percentile | Random number table in a masked fashion | 1.confirmed diagnosis of OSA | Multiple gestations and subjects with OSA without documentation of PSG confirmed OSA | Age, race, obesity |
2.Receive the prenatal care | Use the normal weight and obese as control group and the multivariable logistic regression analysis was performed | |||||||||
Sahin FK20 2008 | 35 | 22–42 | Prospective observation study | Good quality: full PSG (AHI > 5) | Preeclampsia, gestational diabetes | NICU admission | NA | Pregnant women who agreed to participate in the study were scheduled for PSG and NST recording for one night after 34weeks of gestation. | Subjects who suffered from cardiac decompensation, or respiratory insufficiency or malignancy | Obesity |
Use the non-obese women with OSA as control |
OSA: obstructive sleep apnea; BMI: body mass index; PSG: polysomnogram; SGA: small for gestational age; NICU: neonatal intensive care unit.