Idiopathic and secondary restless legs syndrome during pregnancy in Japan: Prevalence, clinical features and delivery-related outcomes.
<h4>Objective</h4>The aim of this study was to investigate prevalence of idiopathic and secondary restless legs syndrome (RLS) according to pregnancy trimester, and its effects on delivery-related outcomes among pregnant women in Japan.<h4>Methods</h4>This was a single-center...
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Public Library of Science (PLoS)
2021
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oai:doaj.org-article:018f0f1c7c9c4a57aae04e3f06000b672021-12-02T20:11:21ZIdiopathic and secondary restless legs syndrome during pregnancy in Japan: Prevalence, clinical features and delivery-related outcomes.1932-620310.1371/journal.pone.0251298https://doaj.org/article/018f0f1c7c9c4a57aae04e3f06000b672021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251298https://doaj.org/toc/1932-6203<h4>Objective</h4>The aim of this study was to investigate prevalence of idiopathic and secondary restless legs syndrome (RLS) according to pregnancy trimester, and its effects on delivery-related outcomes among pregnant women in Japan.<h4>Methods</h4>This was a single-center, prospective observational study. One hundred eighty-two consecutive pregnant women participated in the study from June 2014 to March 2016. Participants were interviewed and examined in the second and third trimesters of pregnancy and 1 month after delivery. At each term, RLS was identified by a research assistant and then specialist in sleep medicine based on the diagnostic criteria of the International Restless Legs Syndrome Study Group. Delivery-related data was collected from medical charts. RLS was classified as idiopathic RLS, which originally existed before the index pregnancy, or secondary RLS, which newly appeared during the index pregnancy.<h4>Results</h4>The prevalence of RLS was 4.9% (idiopathic 3.3%, secondary 1.6%) in the second trimester, 5.0% (idiopathic 0.0%, secondary 5.0%) in the third trimester, and 0.6% (idiopathic 0.0%, secondary 0.6%) after delivery. Prolonged labor, emergency Cesarean section, and arrest of labor tended to be more frequent in idiopathic and/or second RLS (all p<0.05).<h4>Conclusions</h4>The prevalence of RLS during pregnancy was 4-5% and decreases after delivery in current Japan. The presence of RLS was associated with an increase in some delivery-related outcomes. Early detection and treatment of RLS during pregnancy may be beneficial to safe delivery for pregnant women.Chikara YoshimuraHisatomi ArimaHironobu AmagaseMizuko TakewakaKazuko NakashimaChikako ImaokaNanami MiyanagaHirotsugu ObamaMasaki FujitaShin-Ichi AndoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251298 (2021) |
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Medicine R Science Q Chikara Yoshimura Hisatomi Arima Hironobu Amagase Mizuko Takewaka Kazuko Nakashima Chikako Imaoka Nanami Miyanaga Hirotsugu Obama Masaki Fujita Shin-Ichi Ando Idiopathic and secondary restless legs syndrome during pregnancy in Japan: Prevalence, clinical features and delivery-related outcomes. |
| description |
<h4>Objective</h4>The aim of this study was to investigate prevalence of idiopathic and secondary restless legs syndrome (RLS) according to pregnancy trimester, and its effects on delivery-related outcomes among pregnant women in Japan.<h4>Methods</h4>This was a single-center, prospective observational study. One hundred eighty-two consecutive pregnant women participated in the study from June 2014 to March 2016. Participants were interviewed and examined in the second and third trimesters of pregnancy and 1 month after delivery. At each term, RLS was identified by a research assistant and then specialist in sleep medicine based on the diagnostic criteria of the International Restless Legs Syndrome Study Group. Delivery-related data was collected from medical charts. RLS was classified as idiopathic RLS, which originally existed before the index pregnancy, or secondary RLS, which newly appeared during the index pregnancy.<h4>Results</h4>The prevalence of RLS was 4.9% (idiopathic 3.3%, secondary 1.6%) in the second trimester, 5.0% (idiopathic 0.0%, secondary 5.0%) in the third trimester, and 0.6% (idiopathic 0.0%, secondary 0.6%) after delivery. Prolonged labor, emergency Cesarean section, and arrest of labor tended to be more frequent in idiopathic and/or second RLS (all p<0.05).<h4>Conclusions</h4>The prevalence of RLS during pregnancy was 4-5% and decreases after delivery in current Japan. The presence of RLS was associated with an increase in some delivery-related outcomes. Early detection and treatment of RLS during pregnancy may be beneficial to safe delivery for pregnant women. |
| format |
article |
| author |
Chikara Yoshimura Hisatomi Arima Hironobu Amagase Mizuko Takewaka Kazuko Nakashima Chikako Imaoka Nanami Miyanaga Hirotsugu Obama Masaki Fujita Shin-Ichi Ando |
| author_facet |
Chikara Yoshimura Hisatomi Arima Hironobu Amagase Mizuko Takewaka Kazuko Nakashima Chikako Imaoka Nanami Miyanaga Hirotsugu Obama Masaki Fujita Shin-Ichi Ando |
| author_sort |
Chikara Yoshimura |
| title |
Idiopathic and secondary restless legs syndrome during pregnancy in Japan: Prevalence, clinical features and delivery-related outcomes. |
| title_short |
Idiopathic and secondary restless legs syndrome during pregnancy in Japan: Prevalence, clinical features and delivery-related outcomes. |
| title_full |
Idiopathic and secondary restless legs syndrome during pregnancy in Japan: Prevalence, clinical features and delivery-related outcomes. |
| title_fullStr |
Idiopathic and secondary restless legs syndrome during pregnancy in Japan: Prevalence, clinical features and delivery-related outcomes. |
| title_full_unstemmed |
Idiopathic and secondary restless legs syndrome during pregnancy in Japan: Prevalence, clinical features and delivery-related outcomes. |
| title_sort |
idiopathic and secondary restless legs syndrome during pregnancy in japan: prevalence, clinical features and delivery-related outcomes. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2021 |
| url |
https://doaj.org/article/018f0f1c7c9c4a57aae04e3f06000b67 |
| work_keys_str_mv |
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