<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Annals of the Russian academy of medical sciences</journal-id><journal-title-group><journal-title xml:lang="en">Annals of the Russian academy of medical sciences</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник Российской академии медицинских наук</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-6047</issn><issn publication-format="electronic">2414-3545</issn><publisher><publisher-name xml:lang="en">"Paediatrician" Publishers LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">457</article-id><article-id pub-id-type="doi">10.15690/vramn.v69.i1-2.949</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>SHORT MESSAGES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>КРАТКИЕ СООБЩЕНИЯ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">FEATURES OF THE SLEEP PATTERN DURING PREGNANCY</article-title><trans-title-group xml:lang="ru"><trans-title>ОСОБЕННОСТИ ПАТТЕРНА СНА ПРИ БЕРЕМЕННОСТИ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Madaeva</surname><given-names>I. M.</given-names></name><name xml:lang="ru"><surname>Мадаева</surname><given-names>И. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>доктор медицинских наук, руководитель сомнологического центра Научного центра проблем здоровья семьи и репродукции человека  Адрес: 664003, Иркутск, ул. Тимирязева, д. 16, тел.: (3952) 20-76-36</p></bio><email>nightchild@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kolesnikova</surname><given-names>L. I.</given-names></name><name xml:lang="ru"><surname>Колесникова</surname><given-names>Л. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>член-корреспондент РАМН, директор Научного центра проблем здоровья семьи и репродукции человека  Адрес: 664003, Иркутск, ул. Тимирязева, д. 16, тел.: (3952) 20-76-36</p></bio><email>nightchild@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Protopopova</surname><given-names>N. V.</given-names></name><name xml:lang="ru"><surname>Протопопова</surname><given-names>Н. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>доктор медицинских наук, профессор, заведующая лабораторией вспомогательных репродуктивных технологий Научного центра проблем здоровья семьи и репродукции человека, главный врач Иркутского областного перинатального центра  Адрес: 664003, Иркутск, ул. Тимирязева, д. 16, тел.: (3952) 20-76-36</p></bio><email>nightchild@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Sahianova</surname><given-names>N. L.</given-names></name><name xml:lang="ru"><surname>Сахьянова</surname><given-names>Н. Л.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>кандидат медицинских наук, врач Иркутского областного перинатального центра Адрес: 664003, Иркутск, ул. Тимирязева, д. 16, тел.: (3952) 20-76-36, e-mail: nightchild@mail.ru</p></bio><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Berdina</surname><given-names>O. N.</given-names></name><name xml:lang="ru"><surname>Бердина</surname><given-names>О. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Scientific Centre of Family Health Problems and Human Reproduction, Irkutsk, Russian Federation</institution></aff><aff><institution xml:lang="ru">Научный центр проблем здоровья семьи и репродукции человека, Иркутск, Российская Федерация</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Scientific Centre of Family Health Problems and Human Reproduction, Irkutsk, Russian Federation&#13;
Irkutsk Perinatal Centre, Russian Federation</institution></aff><aff><institution xml:lang="ru">Научный центр проблем здоровья семьи и репродукции человека, Иркутск, Российская Федерация&#13;
Областной перинатальный центр, Иркутск, Российская Федерация</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Irkutsk Perinatal Centre, Russian Federation</institution></aff><aff><institution xml:lang="ru">Областной перинатальный центр, Иркутск, Российская Федерация</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2014-08-20" publication-format="electronic"><day>20</day><month>08</month><year>2014</year></pub-date><volume>69</volume><issue>1-2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru">Вестник Российской академии медицинских наук</issue-title><fpage>93</fpage><lpage>97</lpage><history><date date-type="received" iso-8601-date="2015-08-20"><day>20</day><month>08</month><year>2015</year></date><date date-type="accepted" iso-8601-date="2015-08-20"><day>20</day><month>08</month><year>2015</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2015, "Paediatrician" Publishers LLC</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2015, Издательство "Педиатръ"</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="en">"Paediatrician" Publishers LLC</copyright-holder><copyright-holder xml:lang="ru">Издательство "Педиатръ"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2015-02-20"/></permissions><self-uri xlink:href="https://vestnikramn.spr-journal.ru/jour/article/view/457">https://vestnikramn.spr-journal.ru/jour/article/view/457</self-uri><abstract xml:lang="en"><p>Aim: to evaluate the qualitative characteristics of a sleep in pregnant women in the 3rd term of the physiological pregnancy by a questionnaire survey. Materials and methods: we have demonstrated questionnaire survey data of 400 pregnant women (mean age 27,5±8,2 years) in the 3rd term of pregnancy. Questioning conducted using the scale PSQI (PITTSBURGH SLEEP QUALITY INDEX — Pittsburgh Sleep Quality Assessment Questionnaire), EPWORTH SLEEPINESS SCALE (sleepiness questionnaire Epfort’s) and screening questionnaire to identify obstructive sleep apnea. Results: we have determined that 78% of pregnant women to complain about sleep disorders, namely obstructive sleep disordered breathing, insomnia, «restless legs» syndrome, and combinations thereof. The frequency of sleep disorders increases as pregnancy progresses. Obstructive sleep disordered breathing increases with 10,12% in the 1st term to 31,7% in the 3rd term, insomnia — from 14,3% in the 1st term to 37,6% in the 3rd term. In pregnancy increases of sleep latency (from 14,3 to 44,9 minutes), and reduced the duration of a sleep (from 8,7 to 7,8 hours). Conclusions: high frequency of sleep disorders in pregnancy requires early pathogenetic prevention of pathological conditions, both in the mother and in the fetus. </p></abstract><trans-abstract xml:lang="ru"><p>Цель исследования: оценить качественные и количественные характеристики сна у беременных в III триместре физиологической беременности посредством полисомнографического мониторинга. Материалы и методы: проведено анкетирование 400 женщин (средний возраст 27,5 ± 8,2 года), находившихся в III триместре беременности. Анкетирование выполнено с помощью нескольких опросников: шкалы PSQI (Pittsburgh Sleep Quality Index — Питтсбургский опросник оценки качества сна), опросника EDS (Epworth Sleepiness Scale — опросник сонливости Эпфорта) и скринингового анкетирования по разработанной А.М. Вейном и Т.С. Елигулашвили в 1998 г. анкете, основанной на частоте встречаемости основных проявлений синдрома обструктивного апноэ во сне. Результаты: установлено, что 78% женщин предъявили жалобы на нарушения сна, а именно: обструктивные нарушения дыхания во сне, инсомнию, синдром «беспокойных ног», а также их сочетания. Частота нарушений сна увеличивается по мере развития беременности. Частота обструктивных нарушений дыхания во сне увеличивается с 10,1% в I триместре до 31,7% в III, инсомнические расстройства — с 14,3 до 37,6%, соответственно. При нарушениях сна у беременных резко возрастает период засыпания (с 14,3 до 44,9 мин) и уменьшается продолжительность ночного сна (с 8,7 до 7,8 ч). Выводы: высокая частота встречаемости нарушений сна во время беременности требует проведения на ранних этапах патогенетической профилактики патологических состояний не только у матери, но и у плода. </p></trans-abstract><kwd-group xml:lang="en"><kwd>pregnancy</kwd><kwd>sleep disorders</kwd><kwd>questionnaire</kwd><kwd>obstructive sleep disordered breathing</kwd><kwd>insomnia</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>беременность</kwd><kwd>нарушения сна</kwd><kwd>анкетирование</kwd><kwd>обструктивные нарушения дыхания во время сна</kwd><kwd>инсомнии</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>1. Milner C.E. Cote A. Benefits of napping in healthy adults: impact of nap length, time of day, age, and experience with napping. J. Sleep Res. 2009; 18: 272–281.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>2. Айламазян Э.К. Акушерство: национальное руководство. М.: ГЭОТАР-Медиа. 2007. 521 c.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>3. Chang J.J., Pien G.W., Duntley S.P., Macones G.A. Sleep deprivation during pregnancy and maternal and fetal outcomes: Is there a relationship? Sleep Med. Rev. 2010; 14 (2): 107–114.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>4. Williams M.A., Miller R.S., Qiu C., Cripe S.M., Gelaye B., Enquobahrie D. Associations of early pregnancy sleep duration with trimester-specific blood pressures and hypertensive disorders in pregnancy. SLEEP. 2010; 33 (10): 1363–1371.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>5. Протопопова Н.В., Колесникова Л.И., Ильин В.П. Метаболизм и гемодинамика у беременных с артериальной гипертензией. Новосибирск: Наука. 2000. 260 с.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>6. Tsai S.Y., Lin J.W., Kuo L.T., Thomas K.A. Daily sleep and fatigue characteristics in nulliparous women during the third trimester of pregnancy. SLEEP. 2012; 35 (2): 257–262.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>7. Колесников С.И., Иванов В.В., Семенюк В.В., Колесникова Л.И. Беременность и токсиканты. Новосибирск: Наука. 1986. 159 с.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>8. Сидельникова В.М. Привычная потеря беременности. М.: Триада Х. 2005. 304 с.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>9. Naud K., Ouellet A., Brown C., Pasquier J.C., Moutquin J.M. Is sleep disturbed in pregnancy? J. Obstet. Gynaecol. Can. 2010; 32: 28–34.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>10. Facco F.L., Grobman W.A., Kramer J., Ho K.H., Zee P.C. Self-reported short sleep duration and frequent snoring in pregnancy: impact on glucose metabolism. Am. J. Obstet. Gynecol. 2010; 203 (142): 1–5.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>11. Jomeen J., Martin C.R. Assessment and relationship of sleep quality to depression in early pregnancy. J. Reprod. Infant. Psychol. 2007; 25: 97–99.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>12. Skouteris H., Wertheim E.H., Germano C., Paxton S.J., Mil-grom J. Assessing sleep during pregnancy: a study across two time points examining the Pittsburgh Sleep Quality Index and associations with depressive symptoms. Women’s Health Iss. 2009; 19: 45–51.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>13. Hall W.A., Hauck Y.L., Carty E.M., Hutton E.K., Fenwick J., Stoll K. Childbirth fear, anxiety, fatigue, and sleep deprivation in pregnant women. J. Obstet. Gynecol. Neonat. Nurs. 2009; 38: 567–576.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>14. Chang J.J., Pien G.W., Duntley S.P., Macones G.A. Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship? Sleep Med. Rev. 2010; 14: 107–114.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>15. Larson L. Pulmonary disease in pregnancy. Chapter I. In: Medical disorders in obstetrics practices. 5th edn. R.O. Powrie, Michael F., Gamman G. and W.P. (eds.). Chichester: Blackwell Publishing Ltd. 2010. P. 1–47.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>16. Calaora-Tournadre D., Ragot S., Meurice J.C. Obstructive sleep apnea syndrome during pregnancy: prevalence of main symptoms and relationship with pregnancy induced-hypertension and intra-uterine growth retardation. Rev. Med. Interne. 2006; 27 (4): 291–295.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>17. Мадаева И.М., Колесникова Л.И. Нарушения сна в клинике внутренних болезней. Бюлл. Вост.-Сиб. Научного Центра СО РАМН. 2003; 2: 14–17.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>18. Buysse D.J., Reynolds C.F., Monk T.H., Berman S.R., Kupfer D.J. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28: 193–213.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>19. Jomeen J., Martin C.R. Assessment and relationship of sleep quality to depression in early pregnancy. J. Reprod. Infant. Psychol. 2007; 25: 97–99.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>20. Skouteris H., Wertheim E.H., Germano C., Paxton S.J., Milgrom J. Assessing sleep during pregnancy: a study across two time points examining the Pittsburgh Sleep Quality Index and associations with depressive symptoms. Women’s Health Iss. 2009; 19: 45–51.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>21. Рензо Ж.-К. Современные аспекты невынашивания беременности. Эффективн. тер. в акушерстве и гинекол. 2009; 7: 67–69.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>22. Колесникова Л.И., Мадаева И.М., Протопопова Н.В., Сахьянова Н.Л. Влияние нарушения сна на состояние плода у беременных женщин с артериальной гипертензией. Акушерство и гинекология. 2012; 5: 17–22.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>23. Karl A. Franklin, MD, PhD, FCCP; Per Ake Holmgren, MD, PhD; Fredrik Jonsson, MD; Nils Poromaa, MD; Hans Stenlund, PhD; Eva Svanborg, MD, PhD. Snoring, pregnancyinduced hypertension, and growth retardation of the fetus. Chest. 2000; 117: 137–141.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>24. Chakradhar V., Saiprakash B.V. Sleep-disordered breathing during pregnancy. J. Am. Board. Fam. Med. 2009; 22 (2): 158–168.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>25. Christian Guilleminault, , Luciana Palombini, Dalva Poyares, Sha-non Takaoka, Nelly T.-L. Huynh, Yasser El-Sayed. Pre-eclampsia and nasal CPAP: part 1. Early intervention with nasal CPAP in pregnant women with risk-factors for pre-eclampsia: preliminary findings. Sleep Med. 2007; 9: 9–14.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>26. Blyton D.M., Skilton M.R., Edwards N., Hennessy A., Celermajer D.S., Sullivan C.E. Treatment of sleep disordered breathing reverses low fetal activity levels in preeclampsia. SLEEP. 2013; 36 (1): 15–21.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>27. Ковров Г.В., Посохов С.И. Сегментарная организация сна. Журн. высш. нервн. деятельности. 2002; 52 (5): 570–574.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>28. Lee K.A., Zaffke M.E., Baratte-Beebe K.J. Restless legs syndrome and sleep disturbance during pregnancy: the role of folate and iron. Women’s Health Gend. Based Med. 2001; 10 (4): 335–341.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>29. Pien G.W. Schwab R.J. Sleep disorders during pregnancy. SLEEP. 2004; 27: 1405–1417.</mixed-citation></ref></ref-list></back></article>
