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Sleep breathing disorders in pregnancy
Ahmet Ursavaş1, Mehmet Karadağ
1Department of Chest Diseases, Faculty of Medicine, Uludağ University, Bursa, Turkey. ahmetursavas@gmail.com
Sleep-disordered breathing, including snoring, is more common in pregnant women. This condition may negatively impact maternal and fetal health, necessitating awareness and potential treatment during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Sleep Medicine
- Respiratory Medicine
Background:
- Pregnancy involves significant physiological and hormonal changes affecting the respiratory system and sleep patterns.
- Key sleep parameters like REM sleep and deep non-REM sleep decrease in the third trimester.
- Snoring prevalence increases during pregnancy, unlike in non-pregnant individuals.
Purpose of the Study:
- To review physiological changes in respiration and sleep during pregnancy.
- To examine the maternal and fetal outcomes associated with sleep-disordered breathing in pregnancy.
- To discuss treatment options for sleep-disordered breathing during pregnancy.
Main Methods:
- This is a review article.
- It synthesizes existing literature on sleep-disordered breathing in pregnancy.
- The review covers normal physiological changes, outcomes, and treatments.
Main Results:
- Snoring is more prevalent in pregnant women.
- Pregnancy-induced snoring may correlate with adverse outcomes like hypertension, preeclampsia, and fetal growth restriction.
- The prevalence of sleep apnea syndrome in pregnancy remains undetermined.
Conclusions:
- Sleep-disordered breathing is a relevant concern during pregnancy.
- Pregnant women, particularly those who are obese or have preeclampsia, should be evaluated for sleep-disordered breathing.
- Understanding and managing sleep-disordered breathing is crucial for maternal and fetal well-being.
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