[Three pregnancies on nasal CPAP: a case report].

Area of Science:

• Obstetrics and Gynecology
• Pulmonology
• Sleep Medicine

Background:

• Morbid obesity is frequently associated with sleep disorders, including severe sleep apnea.
• Sleep apnea syndrome can significantly impact quality of life and pose risks during pregnancy.
• Continuous positive airway pressure (CPAP) is a standard treatment for obstructive sleep apnea.

Observation:

• A 30-year-old woman with morbid obesity was diagnosed with severe sleep apnea syndrome.
• She had a history of preeclampsia in her first pregnancy.
• The patient was treated with nasal CPAP for her sleep apnea.

Findings:

• The patient demonstrated excellent compliance with nasal CPAP therapy.
• Following treatment initiation, her excessive daytime sleepiness resolved.
• She subsequently had three pregnancies, all without complications.

Implications:

• Effective management of severe sleep apnea with nasal CPAP may improve pregnancy outcomes in women with morbid obesity.
• Continuous positive airway pressure therapy can be safely and effectively used in patients with a history of preeclampsia.
• This case highlights the importance of diagnosing and treating sleep apnea in obese women of reproductive age.