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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Obstructive Sleep Apnea in Pregnancy: A Narrative Review

Surekha Tayade1, Shikha Toshniwal1

  • 1Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.

Cureus
|November 21, 2022
PubMed

Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that remains underdiagnosed in pregnancy and can cause severe maternal and fetal complications. The prevalence of OSA in pregnancy had a wide variation and increases with increasing gestation. At-risk women are those with increased body mass index (BMI), increasing age, and chronic hypertension. Screening can be done by polysomnography but as it is expensive and necessitate overnight hospital stay, makes it even harder to diagnose and leads to delay in treatment. Once diagnosed, continuous positive airway pressure (CPAP) is the gold standard treatment. Early diagnosis and effective treatment can considerably improve the outcome. This review aims to discuss the diagnosis, treatment, and prognosis of OSA in pregnancy.

Keywords:
apnea–hypopnea indexcontinous positive airway pressureobstructive sleep apnea (osa)pregnancysleep-disordered breathing

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