Management of Obstructive Sleep Apnea in Pregnancy

Jennifer E. Dominguez; Linda Street; Judette Louis

doi:10.1016/j.ogc.2018.01.001

Management of Obstructive Sleep Apnea in Pregnancy

Jennifer E. Dominguez, Linda Street, Judette Louis

Research output: Contribution to journal › Review article › peer-review

24 Scopus citations

Abstract

The spectrum of sleep-disordered breathing (SDB) ranges from mild snoring to obstructive sleep apnea, the most severe form of SDB. Current recommendations are to treat these women with continuous positive airway pressure despite limited data. SDB in early and mid-pregnancy is associated with preeclampsia and gestational diabetes. Pregnant women with a diagnosis of obstructive sleep apnea at delivery were at significantly increased risk of having cardiomyopathy, congestive heart failure, pulmonary embolism, and in-hospital death. These effects were exacerbated in the presence of obesity. Postpartum, these women are at risk for respiratory suppression and should be monitored.

Original language	English (US)
Pages (from-to)	233-247
Number of pages	15
Journal	Obstetrics and Gynecology Clinics of North America
Volume	45
Issue number	2
DOIs	https://doi.org/10.1016/j.ogc.2018.01.001
State	Published - Jun 2018
Externally published	Yes

Keywords

Anesthesia
Diabetes
Hypoxia
Obesity
Obstructive sleep apnea
Preeclampsia
Pregnancy
Sleep-disordered breathing

ASJC Scopus subject areas

Obstetrics and Gynecology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.ogc.2018.01.001

Cite this

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title = "Management of Obstructive Sleep Apnea in Pregnancy",

abstract = "The spectrum of sleep-disordered breathing (SDB) ranges from mild snoring to obstructive sleep apnea, the most severe form of SDB. Current recommendations are to treat these women with continuous positive airway pressure despite limited data. SDB in early and mid-pregnancy is associated with preeclampsia and gestational diabetes. Pregnant women with a diagnosis of obstructive sleep apnea at delivery were at significantly increased risk of having cardiomyopathy, congestive heart failure, pulmonary embolism, and in-hospital death. These effects were exacerbated in the presence of obesity. Postpartum, these women are at risk for respiratory suppression and should be monitored.",

keywords = "Anesthesia, Diabetes, Hypoxia, Obesity, Obstructive sleep apnea, Preeclampsia, Pregnancy, Sleep-disordered breathing",

author = "Dominguez, {Jennifer E.} and Linda Street and Judette Louis",

note = "Funding Information: Disclosure Statement: Dr J.E. Dominguez's work is supported in part by the NIH 5T32GM008600-20. Devices used in our research have been loaned by ResMed and Itamar Medical, Ltd. No Disclosures (L. Street, J. Louis). Publisher Copyright: {\textcopyright} 2018 Elsevier Inc.",

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doi = "10.1016/j.ogc.2018.01.001",

language = "English (US)",

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publisher = "W.B. Saunders Ltd",

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AU - Dominguez, Jennifer E.

AU - Street, Linda

AU - Louis, Judette

N1 - Funding Information: Disclosure Statement: Dr J.E. Dominguez's work is supported in part by the NIH 5T32GM008600-20. Devices used in our research have been loaned by ResMed and Itamar Medical, Ltd. No Disclosures (L. Street, J. Louis). Publisher Copyright: © 2018 Elsevier Inc.

PY - 2018/6

Y1 - 2018/6

N2 - The spectrum of sleep-disordered breathing (SDB) ranges from mild snoring to obstructive sleep apnea, the most severe form of SDB. Current recommendations are to treat these women with continuous positive airway pressure despite limited data. SDB in early and mid-pregnancy is associated with preeclampsia and gestational diabetes. Pregnant women with a diagnosis of obstructive sleep apnea at delivery were at significantly increased risk of having cardiomyopathy, congestive heart failure, pulmonary embolism, and in-hospital death. These effects were exacerbated in the presence of obesity. Postpartum, these women are at risk for respiratory suppression and should be monitored.

AB - The spectrum of sleep-disordered breathing (SDB) ranges from mild snoring to obstructive sleep apnea, the most severe form of SDB. Current recommendations are to treat these women with continuous positive airway pressure despite limited data. SDB in early and mid-pregnancy is associated with preeclampsia and gestational diabetes. Pregnant women with a diagnosis of obstructive sleep apnea at delivery were at significantly increased risk of having cardiomyopathy, congestive heart failure, pulmonary embolism, and in-hospital death. These effects were exacerbated in the presence of obesity. Postpartum, these women are at risk for respiratory suppression and should be monitored.

KW - Anesthesia

KW - Diabetes

KW - Hypoxia

KW - Obesity

KW - Obstructive sleep apnea

KW - Preeclampsia

KW - Pregnancy

KW - Sleep-disordered breathing

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DO - 10.1016/j.ogc.2018.01.001

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IS - 2

ER -

Management of Obstructive Sleep Apnea in Pregnancy

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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