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Obstructive sleep apnoea during pregnancy requiring tracheostomy.
S J Hastie1, K Prowse, W H Perks
1Royal Shrewsbury Hospital, Shropshire.
Summary
Tracheostomy can benefit pregnant patients with obstructive sleep apnoea syndrome. This case highlights its positive impact in an unusual pregnancy scenario.
Area of Science:
- Obstetrics and Gynecology
- Sleep Medicine
- Otolaryngology
Background:
- Obstructive sleep apnoea syndrome (OSAS) poses risks during pregnancy.
- Management of OSAS in pregnancy can be challenging.
Observation:
- A pregnant patient with severe obstructive sleep apnoea syndrome presented with significant respiratory distress.
- Conservative management strategies for OSAS were insufficient.
Findings:
- Tracheostomy was performed during pregnancy to secure the airway.
- The procedure led to immediate improvement in the patient's respiratory status and resolution of apnoea events.
Implications:
- Tracheostomy is a viable and beneficial intervention for severe OSAS in pregnancy.
- This case expands the understanding of airway management options for pregnant individuals with sleep-disordered breathing.
- Early consideration of tracheostomy may improve maternal and fetal outcomes in select cases.