Obstructive sleep apnea in pregnant women.

Journal Article (Journal Article)

The prevalence of OSA in the low-risk obstetric population is thought to be low; best estimates have been extrapolated from the one available large prospective study and likely range between 3–8%. OSA prevalence in high-risk pregnant women such as those with obesity and chronic hypertension is significantly higher as extrapolated from several smaller prospective studies which have reported a prevalence as high as 37% in obese women.– Despite the high prevalence of OSA in high-risk pregnant women, it remains underdiagnosed due to several factors. An emerging body of literature suggests that OSA may also have serious implications for the health of mothers and fetuses during and beyond pregnancy, but there is still no data to determine if OSA treatment mitigates these adverse outcomes. In this review, we will examine this body of literature from the perspective of the anesthesiologist: the association between pregnancy and the development or worsening of OSA; OSA as it relates to adverse maternal and fetal outcomes; antepartum and screening considerations for OSA in pregnant women; and recommendations regarding the peripartum management of OSA.

Full Text

Duke Authors

Cited Authors

  • Dominguez, JE; Habib, AS

Published Date

  • April 1, 2022

Published In

Volume / Issue

  • 60 / 2

Start / End Page

  • 59 - 65

PubMed ID

  • 35261345

Pubmed Central ID

  • PMC9045012

Electronic International Standard Serial Number (EISSN)

  • 1537-1913

Digital Object Identifier (DOI)

  • 10.1097/AIA.0000000000000360

Language

  • eng

Conference Location

  • United States