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[Obstructive apnea hypopnea syndrome in pregnancy]

V Bironneau1

  • 1Inserm CIC 1402-Is-Alive, service de pneumologie, CHU de Poitiers, université de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers, France.

Revue Des Maladies Respiratoires
|October 25, 2024
PubMed

Obstructive sleep apnea hypopnea syndrome (OSA) in pregnant women is an under-diagnosed but common condition, due to the numerous physiological changes favoring upper airway collapse. Risk factors such as significant weight gain during the 1st trimester, maternal age and parity should be systematically investigated. Diagnosis is made by sleep recording. OSA can lead to maternal and fetal complications (gestational diabetes, eclampsia, intrauterine growth restriction, prematurity…) during pregnancy, delivery and the post-partum period. It is therefore essential to treat apneic patients as early as possible in pregnancy. Treatment includes hygienic and dietary measures, as well as continuous positive airway pressure (CPAP). Systematic post-partum follow-up with polygraphic monitoring should be proposed.

Keywords:
CPAPComplications materno-fœtalesGrossesseMaternal-fetal complicationsOSAPPCPregnancySAHOS

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