Obstructive Sleep Apnea Syndrom during pregnancy: prevalence of main symptoms and relationship with Pregnancy Induced-Hypertension and Intra-Uterine Growth Retardation

La Revue de médecine interne
D Calaora-TournadreF Pierre

Abstract

To investigate the frequency of main symptoms of Obstructive Sleep Apnea Syndrom (OSAS) and their relationship with Pregnancy Induced-Hypertension (PIH) as well as Intrauterine Growth Retardation (IGR) as suggested by recent studies. Four hundred (and) thirty-eight enquiry forms completed during post-partum period were analysed, after exclusion of multiple pregnancies. Collected data were demographic characteristics, obstetrical events, sleep disorders during last trimester, screening of snoring and vigilance troubles with an Epworth score. Forty-five percentages of the patients reported to have habitual snoring during pregnancy. Among these, 85% were non-snorers before pregnancy. Daytime somnolence concerned 84,5% of the population with an Epworth score significatively increased (P<0,0001). The prevalence of PIH was found to be 4,5%, with two apparently independent risk factors: the body mass index (OR=1,1) and an association between snoring and increased vigilance trouble (OR=2,6). No statistical difference was found concerning IGR. SAS symptoms are frequent during pregnancy and snoring appears to be linked with PIH. However, polysomnographic data are not yet sufficient to explain pathophysiological mechanisms and find releva...Continue Reading

References

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Citations

Aug 31, 2007·Respiration; International Review of Thoracic Diseases·Ahmet UrsavasR Oktay Gozu
Oct 18, 2011·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·Riva TaumanAriel Many
Aug 21, 2015·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Ana M Fernández AlonsoFaustino R Pérez-López
Feb 1, 2011·Clinics in Chest Medicine·Ghada BourjeilyVahid Mohsenin
Oct 28, 2008·Sleep Medicine Reviews·Christine M LinSonia Ancoli-Israel
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Dec 24, 2013·American Journal of Obstetrics and Gynecology·Roberto Romero, M Safwan Badr
May 5, 2012·Therapeutic Advances in Respiratory Disease·Ghada BourjeilyKathleen O'Connor
Feb 20, 2013·Sleep & Breathing = Schlaf & Atmung·Ghada BourjeilyMariam Louis
Aug 9, 2012·Sleep & Breathing = Schlaf & Atmung·Ghada BourjeilyMargaret Miller

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