Management of Obstructive Sleep Apnea in Pregnancy

Jennifer E. Dominguez, Linda Street, Judette Louis

Research output: Contribution to journalReview articlepeer-review

6 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 languageEnglish (US)
Pages (from-to)233-247
Number of pages15
JournalObstetrics and Gynecology Clinics of North America
Volume45
Issue number2
DOIs
StatePublished - Jun 2018

Keywords

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

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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