{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T02:32:04Z","timestamp":1786415524079,"version":"build-2736575974"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012542","name":"Sichuan Province Science and Technology Support Program","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012542","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Sleep Medicine"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.sleep.2026.109181","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T23:10:59Z","timestamp":1785539459000},"page":"109181","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Sleep-disordered breathing during pregnancy and the risk of postpartum depression"],"prefix":"10.1016","volume":"147","author":[{"given":"Alimire","family":"Yakefu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8912-5525","authenticated-orcid":false,"given":"Yue-Nan","family":"Ni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert Joseph","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.sleep.2026.109181_bib1","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.smrv.2014.07.003","article-title":"Oxidative stress in obstructive sleep apnea and intermittent hypoxia--revisited--the bad ugly and good: implications to the heart and brain","volume":"20","author":"Lavie","year":"2015","journal-title":"Sleep Med Rev"},{"key":"10.1016\/j.sleep.2026.109181_bib2","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.jad.2018.09.011","article-title":"Developmental pathways towards mood disorders in adult life: is there a role for sleep disturbances?","volume":"243","author":"Palagini","year":"2019","journal-title":"J Affect Disord"},{"issue":"1","key":"10.1016\/j.sleep.2026.109181_bib3","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1152\/physrev.00043.2008","article-title":"Pathophysiology of sleep apnea","volume":"90","author":"Dempsey","year":"2010","journal-title":"Physiol Rev"},{"issue":"1","key":"10.1016\/j.sleep.2026.109181_bib4","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/AOG.0000000000001805","article-title":"Association between sleep-disordered breathing and hypertensive disorders of pregnancy and gestational diabetes mellitus","volume":"129","author":"Facco","year":"2017","journal-title":"Obstet Gynecol"},{"issue":"5","key":"10.1016\/j.sleep.2026.109181_bib5","doi-asserted-by":"crossref","first-page":"843","DOI":"10.5665\/sleep.3644","article-title":"Obstructive sleep apnea and severe maternal-infant morbidity\/mortality in the United States, 1998-2009","volume":"37","author":"Louis","year":"2014","journal-title":"Sleep"},{"issue":"6","key":"10.1016\/j.sleep.2026.109181_bib6","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1097\/MCP.0000000000001209","article-title":"Obstructive sleep apnea in pregnancy: emerging insights into maternal and fetal outcomes","volume":"31","author":"Ansari","year":"2025","journal-title":"Curr Opin Pulm Med"},{"key":"10.1016\/j.sleep.2026.109181_bib7","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.jad.2017.05.003","article-title":"A systematic review and meta-regression of the prevalence and incidence of perinatal depression","volume":"219","author":"Woody","year":"2017","journal-title":"J Affect Disord"},{"key":"10.1016\/j.sleep.2026.109181_bib8","article-title":"Consequences of maternal postpartum depression: a systematic review of maternal and infant outcomes","volume":"15","author":"Slomian","year":"2019","journal-title":"Womens Health (Lond)"},{"issue":"3","key":"10.1016\/j.sleep.2026.109181_bib9","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1097\/GRF.0000000000000368","article-title":"Predictors of postpartum depression: a comprehensive review of the last decade of evidence","volume":"61","author":"Guintivano","year":"2018","journal-title":"Clin Obstet Gynecol"},{"issue":"3","key":"10.1016\/j.sleep.2026.109181_bib10","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1002\/wps.20769","article-title":"Perinatal mental health: a review of progress and challenges","volume":"19","author":"Howard","year":"2020","journal-title":"World Psychiatry"},{"issue":"3","key":"10.1016\/j.sleep.2026.109181_bib11","doi-asserted-by":"crossref","first-page":"522","DOI":"10.3390\/neurolint16030039","article-title":"Obstructive sleep apnea in pregnancy: a comprehensive review of maternal and fetal implications","volume":"16","author":"Maniaci","year":"2024","journal-title":"Neurol Int"},{"issue":"2","key":"10.1016\/j.sleep.2026.109181_bib12","doi-asserted-by":"crossref","DOI":"10.3390\/neurolint17020020","article-title":"The interplay between sleep apnea and postpartum depression","volume":"17","author":"Maniaci","year":"2025","journal-title":"Neurol Int"},{"issue":"6","key":"10.1016\/j.sleep.2026.109181_bib13","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1038\/jp.2012.14","article-title":"Obstructive sleep apnea and pregnancy: the effect on perinatal outcomes","volume":"32","author":"Fung","year":"2012","journal-title":"J Perinatol"},{"issue":"4","key":"10.1016\/j.sleep.2026.109181_bib14","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2015.01.021","article-title":"NuMoM2b sleep-disordered breathing study: objectives and methods","volume":"212","author":"Facco","year":"2015","journal-title":"Am J Obstet Gynecol"},{"issue":"14","key":"10.1016\/j.sleep.2026.109181_bib15","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1055\/s-0044-1780531","article-title":"NuMoM2b study insights: primary exposures, outcomes, and directions for future research","volume":"41","author":"Kragenbrink","year":"2024","journal-title":"Am J Perinatol"},{"issue":"4","key":"10.1016\/j.sleep.2026.109181_bib16","doi-asserted-by":"crossref","first-page":"539.e1","DOI":"10.1016\/j.ajog.2015.01.019","article-title":"A description of the methods of the nulliparous pregnancy outcomes study: monitoring mothers-to-be (nuMoM2b)","volume":"212","author":"Haas","year":"2015","journal-title":"Am J Obstet Gynecol"},{"issue":"2","key":"10.1016\/j.sleep.2026.109181_bib17","doi-asserted-by":"crossref","first-page":"C630","DOI":"10.1152\/ajpcell.00446.2025","article-title":"Gestational chronic intermittent hypoxia triggers maternal inflammation and disrupts placental stress responses","volume":"329","author":"Gardner","year":"2025","journal-title":"Am J Physiol Cell Physiol"},{"key":"10.1016\/j.sleep.2026.109181_bib18","doi-asserted-by":"crossref","DOI":"10.1016\/j.psyneuen.2024.107248","article-title":"Variability in perinatal sleep quality is associated with an atypical cortisol awakening response and increased mood symptoms","volume":"172","author":"Okun","year":"2025","journal-title":"Psychoneuroendocrinology"},{"issue":"4","key":"10.1016\/j.sleep.2026.109181_bib19","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1183\/20734735.008615","article-title":"Respiratory physiology of pregnancy: physiology masterclass","volume":"11","author":"LoMauro","year":"2015","journal-title":"Breathe (Sheff)"},{"issue":"1","key":"10.1016\/j.sleep.2026.109181_bib20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ccm.2010.11.001","article-title":"Respiratory physiology in pregnancy","volume":"32","author":"Hegewald","year":"2011","journal-title":"Clin Chest Med"},{"issue":"1","key":"10.1016\/j.sleep.2026.109181_bib21","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1053\/smrv.2002.0261","article-title":"Obstructive sleep apnoea syndrome--an oxidative stress disorder","volume":"7","author":"Lavie","year":"2003","journal-title":"Sleep Med Rev"},{"issue":"2","key":"10.1016\/j.sleep.2026.109181_bib22","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.neuroscience.2004.03.055","article-title":"Increased oxidative stress is associated with chronic intermittent hypoxia-mediated brain cortical neuronal cell apoptosis in a mouse model of sleep apnea","volume":"126","author":"Xu","year":"2004","journal-title":"Neuroscience"},{"issue":"15","key":"10.1016\/j.sleep.2026.109181_bib23","doi-asserted-by":"crossref","DOI":"10.3390\/ijms26157495","article-title":"Intermittent Hypoxia induces cognitive dysfunction and hippocampal gene expression changes in a mouse model of obstructive sleep apnea","volume":"26","author":"Miyo","year":"2025","journal-title":"Int J Mol Sci"},{"issue":"17","key":"10.1016\/j.sleep.2026.109181_bib24","doi-asserted-by":"crossref","first-page":"2660","DOI":"10.1161\/CIRCULATIONAHA.105.556746","article-title":"Selective activation of inflammatory pathways by intermittent hypoxia in obstructive sleep apnea syndrome","volume":"112","author":"Ryan","year":"2005","journal-title":"Circulation"},{"issue":"10","key":"10.1016\/j.sleep.2026.109181_bib25","doi-asserted-by":"crossref","first-page":"5042","DOI":"10.1172\/JCI137560","article-title":"Hypoxia-inducible factors and obstructive sleep apnea","volume":"130","author":"Prabhakar","year":"2020","journal-title":"J Clin Investig"},{"issue":"5","key":"10.1016\/j.sleep.2026.109181_bib26","first-page":"340","article-title":"Oxygen sensing and homeostasis","volume":"30","author":"Prabhakar","year":"2015","journal-title":"Physiology (Bethesda)"},{"issue":"6","key":"10.1016\/j.sleep.2026.109181_bib27","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/j.jagp.2016.01.134","article-title":"Obstructive sleep apnea is linked to depression and cognitive impairment: evidence and potential mechanisms","volume":"24","author":"Kerner","year":"2016","journal-title":"Am J Geriatr Psychiatr"},{"issue":"5","key":"10.1016\/j.sleep.2026.109181_bib28","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0019847","article-title":"Intermittent hypoxia-induced cognitive deficits are mediated by NADPH oxidase activity in a murine model of sleep apnea","volume":"6","author":"Nair","year":"2011","journal-title":"PLoS One"},{"issue":"11","key":"10.1016\/j.sleep.2026.109181_bib29","doi-asserted-by":"crossref","first-page":"1548","DOI":"10.1164\/rccm.200209-1050OC","article-title":"Intermittent hypoxia is associated with oxidative stress and spatial learning deficits in the rat","volume":"167","author":"Row","year":"2003","journal-title":"Am J Respir Crit Care Med"},{"issue":"6","key":"10.1016\/j.sleep.2026.109181_bib30","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1046\/j.1471-4159.2003.01973.x","article-title":"Increased susceptibility to intermittent hypoxia in aging rats: changes in proteasomal activity, neuronal apoptosis and spatial function","volume":"86","author":"Gozal","year":"2003","journal-title":"J Neurochem"},{"issue":"12","key":"10.1016\/j.sleep.2026.109181_bib31","doi-asserted-by":"crossref","first-page":"1116","DOI":"10.1016\/j.biopsych.2006.02.013","article-title":"A neurotrophic model for stress-related mood disorders","volume":"59","author":"Duman","year":"2006","journal-title":"Biol Psychiatry"},{"issue":"1","key":"10.1016\/j.sleep.2026.109181_bib32","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.nbd.2010.05.020","article-title":"Brain-derived neurotrophic factor rescues and prevents chronic intermittent hypoxia-induced impairment of hippocampal long-term synaptic plasticity","volume":"40","author":"Xie","year":"2010","journal-title":"Neurobiol Dis"},{"issue":"2","key":"10.1016\/j.sleep.2026.109181_bib33","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1038\/nrn2762","article-title":"The memory function of sleep","volume":"11","author":"Diekelmann","year":"2010","journal-title":"Nat Rev Neurosci"},{"issue":"7","key":"10.1016\/j.sleep.2026.109181_bib34","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.25152","article-title":"Sleep architecture, obstructive sleep apnea, and cognitive function in adults","volume":"6","author":"Pase","year":"2023","journal-title":"JAMA Netw Open"},{"issue":"10 Suppl 2","key":"10.1016\/j.sleep.2026.109181_bib35","doi-asserted-by":"crossref","first-page":"S20","DOI":"10.1016\/j.metabol.2006.07.008","article-title":"Sleep deprivation as a neurobiologic and physiologic stressor: allostasis and allostatic load","volume":"55","author":"McEwen","year":"2006","journal-title":"Metabolism"},{"issue":"2","key":"10.1016\/j.sleep.2026.109181_bib36","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.bbr.2008.08.035","article-title":"Experimental sleep fragmentation and sleep deprivation in rats increases exploration in an open field test of anxiety while increasing plasma corticosterone levels","volume":"197","author":"Tartar","year":"2009","journal-title":"Behav Brain Res"},{"issue":"5","key":"10.1016\/j.sleep.2026.109181_bib37","doi-asserted-by":"crossref","first-page":"3106","DOI":"10.1210\/jc.2004-1056","article-title":"On the interactions of the hypothalamic-pituitary-adrenal (HPA) axis and sleep: normal HPA axis activity and circadian rhythm, exemplary sleep disorders","volume":"90","author":"Buckley","year":"2005","journal-title":"J Clin Endocrinol Metab"},{"issue":"1","key":"10.1016\/j.sleep.2026.109181_bib38","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1046\/j.1365-2869.2002.00289.x","article-title":"Obstructive sleep apnea and the prefrontal cortex: towards a comprehensive model linking nocturnal upper airway obstruction to daytime cognitive and behavioral deficits","volume":"11","author":"Beebe","year":"2002","journal-title":"J Sleep Res"},{"issue":"5","key":"10.1016\/j.sleep.2026.109181_bib39","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1002\/da.20531","article-title":"Neural alterations associated with anxiety symptoms in obstructive sleep apnea syndrome","volume":"26","author":"Kumar","year":"2009","journal-title":"Depress Anxiety"},{"issue":"6","key":"10.1016\/j.sleep.2026.109181_bib40","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1097\/YCO.0000000000000206","article-title":"Sleep and postpartum depression","volume":"28","author":"Okun","year":"2015","journal-title":"Curr Opin Psychiatr"},{"issue":"7","key":"10.1016\/j.sleep.2026.109181_bib41","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.1007\/s10995-022-03449-8","article-title":"Poor sleep quality and obstructive sleep apnea are associated with maternal mood, and anxiety disorders in pregnancy","volume":"26","author":"Rubio","year":"2022","journal-title":"Matern Child Health J"},{"key":"10.1016\/j.sleep.2026.109181_bib42","first-page":"1","article-title":"Nasal pressure derived airflow limitation and ventilation measurements are resilient to reduced signal quality","volume":"2023","author":"Staykov","year":"2023"},{"issue":"11","key":"10.1016\/j.sleep.2026.109181_bib43","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1164\/rccm.202301-0109OC","article-title":"Ventilatory burden as a measure of obstructive sleep apnea severity is predictive of cardiovascular and all-cause mortality","volume":"208","author":"Parekh","year":"2023","journal-title":"Am J Respir Crit Care Med"}],"container-title":["Sleep Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S138994572600420X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S138994572600420X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T02:17:18Z","timestamp":1786414638000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S138994572600420X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":43,"alternative-id":["S138994572600420X"],"URL":"https:\/\/doi.org\/10.1016\/j.sleep.2026.109181","relation":{},"ISSN":["1389-9457"],"issn-type":[{"value":"1389-9457","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Sleep-disordered breathing during pregnancy and the risk of postpartum depression","name":"articletitle","label":"Article Title"},{"value":"Sleep Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.sleep.2026.109181","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"109181"}}