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Published on: December 6, 2016
Obstructive Sleep Apnea Diagnosis and Management During Pregnancy.
Naricha Chirakalwasan1, Sirimon Reutrakul2
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Excellence Center for Sleep Disorders, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.
Obstructive sleep apnea (OSA) is a growing concern in pregnancy, impacting maternal and fetal well-being. Even mild OSA during gestation is linked to complications like gestational diabetes and impaired fetal growth.
Area of Science:
- Obstetrics and Gynecology
- Sleep Medicine
- Perinatal Health
Background:
- Obstructive sleep apnea (OSA) is an emerging comorbidity in pregnancy.
- Pregnancy involves physiological changes that increase susceptibility to sleep-disordered breathing.
- OSA prevalence rises throughout gestation.
Purpose of the Study:
- To highlight the significance of OSA as a pregnancy comorbidity.
- To underscore the association between OSA and adverse maternal and fetal outcomes.
Main Methods:
- Review of current literature on OSA in pregnancy.
- Analysis of epidemiological data on OSA prevalence during gestation.
- Examination of studies linking OSA severity to pregnancy complications.
Main Results:
- Pregnancy-related physiological changes heighten the risk of developing or worsening OSA.
- Even mild OSA during pregnancy is associated with hypertensive disorders and gestational diabetes.
- Adverse perinatal outcomes, including impaired fetal growth, are linked to OSA in pregnancy.
Conclusions:
- OSA is a critical consideration for maternal and fetal health during pregnancy.
- Early identification and management of OSA in pregnant individuals are crucial for improving outcomes.
- Further research is needed to fully elucidate the mechanisms and optimal management strategies for OSA in pregnancy.
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