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Obstructive Sleep Apnea in Pregnant Women: A Review of Pregnancy Outcomes and an Approach to Management.

Publication ,  Journal Article
Dominguez, JE; Krystal, AD; Habib, AS
Published in: Anesth Analg
November 2018

Among obese pregnant women, 15%-20% have obstructive sleep apnea (OSA) and this prevalence increases along with body mass index and in the presence of other comorbidities. Prepregnancy obesity and pregnancy-related weight gain are certainly risk factors for sleep-disordered breathing in pregnancy, but certain physiologic changes of pregnancy may also increase a woman's risk of developing or worsening OSA. While it has been shown that untreated OSA in postmenopausal women is associated with a range of cardiovascular, pulmonary, and metabolic comorbidities, a body of literature is emerging that suggests OSA may also have serious implications for the health of mothers and fetuses during and after pregnancy. In this review, we discuss the following: pregnancy as a vulnerable period for the development or worsening of OSA; the associations between OSA and maternal and fetal outcomes; the current screening modalities for OSA in pregnancy; and current recommendations regarding peripartum management of OSA.

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Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

November 2018

Volume

127

Issue

5

Start / End Page

1167 / 1177

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Sleep Apnea, Obstructive
  • Sleep
  • Risk Factors
  • Respiration
  • Pregnancy Outcome
  • Pregnancy Complications
  • Pregnancy
  • Maternal Health
  • Lung
 

Citation

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Dominguez, J. E., Krystal, A. D., & Habib, A. S. (2018). Obstructive Sleep Apnea in Pregnant Women: A Review of Pregnancy Outcomes and an Approach to Management. Anesth Analg, 127(5), 1167–1177. https://doi.org/10.1213/ANE.0000000000003335
Dominguez, Jennifer E., Andrew D. Krystal, and Ashraf S. Habib. “Obstructive Sleep Apnea in Pregnant Women: A Review of Pregnancy Outcomes and an Approach to Management.Anesth Analg 127, no. 5 (November 2018): 1167–77. https://doi.org/10.1213/ANE.0000000000003335.
Dominguez JE, Krystal AD, Habib AS. Obstructive Sleep Apnea in Pregnant Women: A Review of Pregnancy Outcomes and an Approach to Management. Anesth Analg. 2018 Nov;127(5):1167–77.
Dominguez, Jennifer E., et al. “Obstructive Sleep Apnea in Pregnant Women: A Review of Pregnancy Outcomes and an Approach to Management.Anesth Analg, vol. 127, no. 5, Nov. 2018, pp. 1167–77. Pubmed, doi:10.1213/ANE.0000000000003335.
Dominguez JE, Krystal AD, Habib AS. Obstructive Sleep Apnea in Pregnant Women: A Review of Pregnancy Outcomes and an Approach to Management. Anesth Analg. 2018 Nov;127(5):1167–1177.

Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

November 2018

Volume

127

Issue

5

Start / End Page

1167 / 1177

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Sleep Apnea, Obstructive
  • Sleep
  • Risk Factors
  • Respiration
  • Pregnancy Outcome
  • Pregnancy Complications
  • Pregnancy
  • Maternal Health
  • Lung