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Main Authors: Wang, Jingyu, Xie, Donglin, Ma, Jingying, Sun, Yunliang, Zhang, Linyan, Bai, Rui, Tu, Zelin, Xu, Liyue, Wei, Jun, Yang, Jingjing, Liu, Yanan, Yi, Huijie, Zhou, Bing, Zhao, Long, Zhang, Xueli, Feng, Mengling, Dong, Xiaosong, Liu, Guoli, Han, Fang, Hong, Shenda
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2504.13010
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author Wang, Jingyu
Xie, Donglin
Ma, Jingying
Sun, Yunliang
Zhang, Linyan
Bai, Rui
Tu, Zelin
Xu, Liyue
Wei, Jun
Yang, Jingjing
Liu, Yanan
Yi, Huijie
Zhou, Bing
Zhao, Long
Zhang, Xueli
Feng, Mengling
Dong, Xiaosong
Liu, Guoli
Han, Fang
Hong, Shenda
author_facet Wang, Jingyu
Xie, Donglin
Ma, Jingying
Sun, Yunliang
Zhang, Linyan
Bai, Rui
Tu, Zelin
Xu, Liyue
Wei, Jun
Yang, Jingjing
Liu, Yanan
Yi, Huijie
Zhou, Bing
Zhao, Long
Zhang, Xueli
Feng, Mengling
Dong, Xiaosong
Liu, Guoli
Han, Fang
Hong, Shenda
contents Background: Obstructive sleep apnea syndrome (OSAS) during pregnancy is common and can negatively affect fetal outcomes. However, studies on the immediate effects of maternal hypoxia on fetal heart rate (FHR) changes are lacking. Methods: We used time-synchronized polysomnography (PSG) and cardiotocography (CTG) data from two cohorts to analyze the correlation between maternal hypoxia and FHR changes (accelerations or decelerations). Maternal hypoxic event characteristics were analyzed using generalized linear modeling (GLM) to assess their associations with different FHR changes. Results: A total of 118 pregnant women participated. FHR changes were significantly associated with maternal hypoxia, primarily characterized by accelerations. A longer hypoxic duration correlated with more significant FHR accelerations (P < 0.05), while prolonged hypoxia and greater SpO2 drop were linked to FHR decelerations (P < 0.05). Both cohorts showed a transient increase in FHR during maternal hypoxia, which returned to baseline after the event resolved. Conclusion: Maternal hypoxia significantly affects FHR, suggesting that maternal OSAS may contribute to fetal hypoxia. These findings highlight the importance of maternal-fetal interactions and provide insights for future interventions.
format Preprint
id arxiv_https___arxiv_org_abs_2504_13010
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Simultaneous Polysomnography and Cardiotocography Reveal Temporal Correlation Between Maternal Obstructive Sleep Apnea and Fetal Hypoxia
Wang, Jingyu
Xie, Donglin
Ma, Jingying
Sun, Yunliang
Zhang, Linyan
Bai, Rui
Tu, Zelin
Xu, Liyue
Wei, Jun
Yang, Jingjing
Liu, Yanan
Yi, Huijie
Zhou, Bing
Zhao, Long
Zhang, Xueli
Feng, Mengling
Dong, Xiaosong
Liu, Guoli
Han, Fang
Hong, Shenda
Signal Processing
Background: Obstructive sleep apnea syndrome (OSAS) during pregnancy is common and can negatively affect fetal outcomes. However, studies on the immediate effects of maternal hypoxia on fetal heart rate (FHR) changes are lacking. Methods: We used time-synchronized polysomnography (PSG) and cardiotocography (CTG) data from two cohorts to analyze the correlation between maternal hypoxia and FHR changes (accelerations or decelerations). Maternal hypoxic event characteristics were analyzed using generalized linear modeling (GLM) to assess their associations with different FHR changes. Results: A total of 118 pregnant women participated. FHR changes were significantly associated with maternal hypoxia, primarily characterized by accelerations. A longer hypoxic duration correlated with more significant FHR accelerations (P < 0.05), while prolonged hypoxia and greater SpO2 drop were linked to FHR decelerations (P < 0.05). Both cohorts showed a transient increase in FHR during maternal hypoxia, which returned to baseline after the event resolved. Conclusion: Maternal hypoxia significantly affects FHR, suggesting that maternal OSAS may contribute to fetal hypoxia. These findings highlight the importance of maternal-fetal interactions and provide insights for future interventions.
title Simultaneous Polysomnography and Cardiotocography Reveal Temporal Correlation Between Maternal Obstructive Sleep Apnea and Fetal Hypoxia
topic Signal Processing
url https://arxiv.org/abs/2504.13010