Obstructive sleep apnea in pregnancy

The Journal of the American Board of Family Practice
Scott F Roush, Laird Bell

Abstract

A 25-year-old woman, gravida 4 para 2, at 37 weeks gestation was evaluated and treated for preeclampsia. Overnight, the patient had a witnessed apneic episode with maternal oxygen desaturation and concurrent fetal heart rate deceleration. She subsequently delivered an infant that was small for gestational age. This is the first case described with confirmed obstructive sleep apnea by formal polysomnography and witnessed maternal desaturation with fetal heart rate decelerations. Recognizing obstructive sleep apnea (OSA) early in gestation will help dictate treatment options and may prevent adverse maternal fetal outcomes. Continuous positive airway pressure (CPAP) seems to be a safe treatment with minimal adverse effects. Questioning of patients at the first prenatal visit and monitoring for increased snoring during gestation may help detect early signs and symptoms of OSA. Treatment of OSA with CPAP might improve perinatal outcomes.

Associated Clinical Trials

Apr 19, 2007·Cynthia Wong, Cynthia Wong

Citations

Dec 3, 2015·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Mevlüt KaradumanUğur Keskin
Feb 1, 2011·Clinics in Chest Medicine·Ghada BourjeilyVahid Mohsenin
Nov 3, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Figen Kir SahinMehmet Unlu
Jan 18, 2006·Anaesthesia·K SaravanakumarG M Cooper
Jan 26, 2012·Developmental Dynamics : an Official Publication of the American Association of Anatomists·Shi GuMichiko Watanabe
Oct 18, 2011·American Journal of Obstetrics and Gynecology·Yi-Hua ChenHerng-Ching Lin
Dec 8, 2016·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Shanthi CarnelioH David McIntyre
Nov 2, 2013·Sleep·Louise M O'BrienRonald D Chervin
Jul 20, 2018·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Farahnaz KeshavarziMohammad Rasoul Ghadami
Apr 13, 2018·Anesthesia and Analgesia·Jennifer E DominguezAshraf S Habib
Jun 16, 2005·Acta Obstetricia Et Gynecologica Scandinavica·Adam Morton
Sep 23, 2010·Current Opinion in Pulmonary Medicine·Bilgay Izci-Balserak, Grace W Pien
Sep 1, 2009·Obstetric Medicine·Ghada Bourjeily
Nov 8, 2012·Sleep & Breathing = Schlaf & Atmung·Xiao-Hong CaiLiang-Xing Wang
Aug 22, 2012·Sleep & Breathing = Schlaf & Atmung·Ihunnaya O FrederickMichelle A Williams
Apr 14, 2021·Reproductive Sciences·D'Angela S PittsLouise M O'Brien

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.