Background: Obstructive sleep apnea (OSA), the most important and treatable form of sleep disordered breathing is common in significant proportion of general population, and also in pregnant women. Method: our study including 1000 population based study and was question wear based. During the periods of apnea there is fall in oxygen saturation because of collapse of upper airways. In pregnant females, this process I.e. exaggerated by hormonal influence. Result: There is significant literature demonstrating adverse effects of maternal and fetal outcome, and, treatment of OSA has demonstrated remarkable improvement in the maternal and fetal well being. Conclusion: So keeping public health in view, the article emphasizes basic concepts addressing this issue and management strategies for better maternal and fetal outcome.
| Published in | Journal of Anesthesiology (Volume 6, Issue 1) |
| DOI | 10.11648/j.ja.20180601.12 |
| Page(s) | 6-9 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Pregnancy, Sleep Apnea, Hypertension, Pre-eclampsia, Intrauterine Growth Retardation
| [1] | Tregear S, Reston J, Schrelles K, Philips B. Obstructive sleep apnea and risk of motor vehicle crash: systematic review and meta-analysis. J Clin Sleep Med 2009; 5(6): 573-581. |
| [2] | The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications, Westchester (IL): American Academy of Sleep Medicine: 2007, 1st edition. |
| [3] | Sen MK, Suri JC. Cardiovascular consequences of obstructive sleep apnea. Indian J Sleep Med 2013; 8: 16-21. |
| [4] | Dempsey JA, Veasey SC, Morgan BJ, O’Donnell CP. Pathophysiology of sleep apnea. Physiol Rev 2010; 90: 47-112. |
| [5] | Guilleminault C, Quera-Salva MA, Partinen M, Jamieson A. Women and the obstructive sleep apnea syndrome. Chest 1998; 93: 104-113. |
| [6] | Santiago JR, Nolledo MS, Kinzler W, et al. Sleep and sleep disorders in pregnancy. Ann Intern Med 2001; 134: 396-408. |
| [7] | Edwards N, Middleton PG, Blyton DM, Sullivan CE. Sleep disordered breathing and pregnancy. Thorax 2002; 57: 555-563. |
| [8] | Schweiger MS. Sleep disturbances in pregnancy: a subjective survey. Am J Obstet Gynecol 1972; 114: 879-882. |
| [9] | Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep disordered breathing among middle-aged adults. N Engl J Med 1993; 328: 1230-1235. |
| [10] | Joel-Cohen ST, Schoenfeld A. Fetal response to periodic sleep apnea: a new syndrome in obstetrics. Eur J Obstet Gynecol Reprod Biol 1978; 8: 77-81. |
| [11] | Charbonneau M, Falcone T, Casio MG, Levy RD. Obstructive sleep apnea during pregnancy: therapy and implications of fetal health. Am Rev Respir Dis 1991; 144: 461-463. |
| [12] | Pien GW, Fife D, Pack AI, Nkwuo JE, Schwab RJ. Changes in symptoms of sleep-disordered breathing during pregnancy. Sleep 2005; 28: 1299-1305. |
| [13] | Franklin KA, Holmgren PA, Jonsson F, Poromaa N, Stenlund H, Svanborg E. Snoring, pregnancy-induced hypertension and growth retardation of the fetus. Chest 2000; 117: 137-141. |
| [14] | Ismail M, Raj Kumar, T Masood, G Hassan et al. Obstructive sleep apnea during pregnancy. Kashmir Medical Journal (In Press). |
| [15] | Crocker BD, Olson LG, Saunders NA et al. Estimation of the probability of disturbed breathing during sleep before a sleep study. Am Rev Respir Dis 1990; 142: 14-21. |
| [16] | Kapsimalis F, Kryger M. Obstructive sleep apnea in pregnancy. Sleep Med Clin 2007; 2: 603-613. |
| [17] | Elkus R, Ropovich J Jr. Respiratory physiology in pregnancy. Clin Chest Med 1992; 13: 555-565. |
| [18] | Mabry RL. Rhinitis of pregnancy. South Med J 1986; 79: 965-971. |
| [19] | Young T, Finn L, Palta M. Chronic nasal congestion at night is a risk factor for snoring in a population-based cohort study. Arch Intern Med 2001; 161: 1514-1522. |
| [20] | Izci B, Vennelle M, Liston WA, Dundas KC, Calder AA, Douglas NJ. Sleep disordered breathing and upper airway size in pregnancy and postpartum. Eur Respir J 2006; 27: 321-327. |
| [21] | Pien GW, Schwab RJ. Sleep disorders in pregnancy. Sleep 2004; 27(7): 1405-1417. |
| [22] | Bevan DR, Holderoft A, Loh L, MacGregor WG, O’Sullivan JC, Sykes MK. Closing volume and pregnancy. Br Med J 1974; 1: 13-20. |
| [23] | Hertz G, Fast A, Feinsilver SH, Albertario CL, Schulman H, Fein AM. Sleep in normal late pregnancy. Sleep 1992; 15: 246-251. |
| [24] | Venkata C, Venkateshiah SB. Sleep-disordered breathing during pregnancy. J Am Board Fam Med 2009; 22: 158-168. |
| [25] | Yinon D, Lowenstein L, Surya S, et al. Pre-eclampsia is associated with sleep-disordered breathing and endothelial dysfunction. Eur Respir J 2006; 27: 328-333. |
| [26] | Dekker GA, Sibai BM. Etiology and pathogenesis of pre-eclampsia: current concepts. Am J Obstet Gynecol 1998; 179: 1359-1375. |
| [27] | Rodie VA, Freeman DJ, Sattar N, et al. Pre-eclampsia and cardiovascular disease: metabolic syndrome of pregnancy. Atherosclerosis 2004; 175: 189-202. |
| [28] | Ritchie K. The fetal response to changes in the composition of maternal inspired air in human pregnancy. Semin Perinatol 1980; 4: 295-299. |
| [29] | Charbonneau M, Falcone T, Cosio MG, et al. Obstructive sleep apnea in pregnancy: therapy and implications. Am Rev Respir Dis 1991; 144: 461-463. |
| [30] | Lefcourt LA, Rodis JF. Obstructive sleep apnea in pregnancy. Obstet Gynecol Surv 1996; 51(8): 503-509. |
| [31] | Kapsimalis F, Kryger M. Sleep breathing disorders in US female population. J Womens Health 2009; 18: 1211-1219. |
| [32] | Roush SF, Bell L. Obstructive sleep apnea in pregnancy. J Am Board Fam Pract 2004; 17: 292-296. |
| [33] | Louis JM, Auckley D, Sokol RJ, Mercer BM. Maternal and neonatal morbidities associated with obstructive sleep apnea complicating pregnancy. Am J Obstet Gynecol 2010; 202: 261. e1-5. |
| [34] | Champagne KA, Kimoff RJ, Barriga PC, Schwartzman K. Sleep disordered breathing in women of childbearing age and during pregnancy. Indian J Med Res 2010; 131: 285-301. |
| [35] | Facco FL, Kremer J, Ho KH, Zee PC, Grobman WA. Sleep disturbances in pregnancy. Obstet Gynecol 2010; 115(1): 77-83. |
| [36] | Guilleminault C, Kreutzer M, Chang JL. Pregnancy: sleep-disordered breathing and treatment with nasal continuous positive airway pressure. Sleep Med 2004; 5: 43-51. |
| [37] | Sahin FK, Foken G, Cosar E, et al. Obstructive sleep apnea in pregnancy and fetal outcome. Int J Gynecol Obstet 2008; 100: 141-146. |
| [38] | Kushida CA, Littner MR, Hirshkowitz M, et al. Practice parameters for the use of continuous and bi-level positive airway pressure devices to treat adult patients with sleep-related breathing disorders. Sleep 2006; 29: 375-380. |
| [39] | Pien GW, Schwab RJ. Sleep disorders during pregnancy. Sleep 2004; 27: 1405-1417. |
| [40] | Blyton DM, Sullivan CE, Edwards N. Reduced nocturnal cardiac output associated with pre-eclampsia is minimized with the use of nocturnal CPAP. Sleep 2004; 27: 79-84. |
| [41] | Kowall J, Clark G, Nino-Murcia G, Powell N. Precipitation of obstructive sleep apnea during pregnancy. Obstet Gynecol 1989; 74: 453-458. |
| [42] | Brain KA, Thornton JG, Sarkar A, Johnson AO. Obstructive sleep apnea and fetal death: successful treatment with continuous positive airway pressure. Br J Obstet Gynecol 2001; 108: 543-547. |
APA Style
Waseem Qureshi, M. Ismail, G. Hassan. (2018). Obstructing Sleep Apnea in Pregnancy. International Journal of Anesthesia and Clinical Medicine, 6(1), 6-9. https://doi.org/10.11648/j.ja.20180601.12
ACS Style
Waseem Qureshi; M. Ismail; G. Hassan. Obstructing Sleep Apnea in Pregnancy. Int. J. Anesth. Clin. Med. 2018, 6(1), 6-9. doi: 10.11648/j.ja.20180601.12
AMA Style
Waseem Qureshi, M. Ismail, G. Hassan. Obstructing Sleep Apnea in Pregnancy. Int J Anesth Clin Med. 2018;6(1):6-9. doi: 10.11648/j.ja.20180601.12
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Download@article{10.11648/j.ja.20180601.12,
author = {Waseem Qureshi and M. Ismail and G. Hassan},
title = {Obstructing Sleep Apnea in Pregnancy},
journal = {International Journal of Anesthesia and Clinical Medicine},
volume = {6},
number = {1},
pages = {6-9},
doi = {10.11648/j.ja.20180601.12},
url = {https://doi.org/10.11648/j.ja.20180601.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20180601.12},
abstract = {Background: Obstructive sleep apnea (OSA), the most important and treatable form of sleep disordered breathing is common in significant proportion of general population, and also in pregnant women. Method: our study including 1000 population based study and was question wear based. During the periods of apnea there is fall in oxygen saturation because of collapse of upper airways. In pregnant females, this process I.e. exaggerated by hormonal influence. Result: There is significant literature demonstrating adverse effects of maternal and fetal outcome, and, treatment of OSA has demonstrated remarkable improvement in the maternal and fetal well being. Conclusion: So keeping public health in view, the article emphasizes basic concepts addressing this issue and management strategies for better maternal and fetal outcome.},
year = {2018}
}
TY - JOUR T1 - Obstructing Sleep Apnea in Pregnancy AU - Waseem Qureshi AU - M. Ismail AU - G. Hassan Y1 - 2018/04/03 PY - 2018 N1 - https://doi.org/10.11648/j.ja.20180601.12 DO - 10.11648/j.ja.20180601.12 T2 - International Journal of Anesthesia and Clinical Medicine JF - International Journal of Anesthesia and Clinical Medicine JO - International Journal of Anesthesia and Clinical Medicine SP - 6 EP - 9 PB - Science Publishing Group SN - 2997-2698 UR - https://doi.org/10.11648/j.ja.20180601.12 AB - Background: Obstructive sleep apnea (OSA), the most important and treatable form of sleep disordered breathing is common in significant proportion of general population, and also in pregnant women. Method: our study including 1000 population based study and was question wear based. During the periods of apnea there is fall in oxygen saturation because of collapse of upper airways. In pregnant females, this process I.e. exaggerated by hormonal influence. Result: There is significant literature demonstrating adverse effects of maternal and fetal outcome, and, treatment of OSA has demonstrated remarkable improvement in the maternal and fetal well being. Conclusion: So keeping public health in view, the article emphasizes basic concepts addressing this issue and management strategies for better maternal and fetal outcome. VL - 6 IS - 1 ER -