Prevalence of Obstructive Sleep Apnea Among Pregnant Women and Its Association with Pregnancy Outcomes

Sharon, Minthami

doi:10.30699/jogcr.8.5.514

Document Type : Original Research Article

Author

Minthami Sharon

Sree Balaji Medical College and hospital, Chennai, India

https://doi.org/10.30699/jogcr.8.5.514

Abstract

Background & Objective: Obstructive sleep apnoea (OSA) is characterised by repeated episodes of upper airway obstruction resulting in hypoxemia, hypercapnia and sleep fragmentation. It is intriguing to consider the consequences of these events on pregnancy outcomes. This study was conducted to determine the prevalence of obstructive sleep apnoea among pregnant women and its association with pregnancy outcomes.
Materials & Methods: It has been found that subjects belonging to the age group 21-25 years had increased sleep disturbances and reduced quality of sleep. Also, pregnant women in the first trimester were found to have poor quality sleep.
Results: Pregnancy outcomes associated with OSA were found as high chance of caesarean section, gestational diabetes mellitus, Gestational hypertension, low birth weight and APGAR<7.
Conclusion: Hence, early detection and its prevention can improve the pregnancy outcomes.

Keywords

Main Subjects

Obstetrics and Gynecology

References

1. Pien GW, Schwab RJ. Sleep Disorders During Pregnancy. Sleep. 2004;27(7):1405-17. [DOI:10.1093/sleep/27.7.1405] [PMID]

2. Brenner S, Angermann C, Jany B, Ertl G, Störk S. Sleep-Disordered Breathing and Heart Failure: A Dangerous Liaison. Trends Cardiovasc Med. 2008;18(7):240-7. [DOI:10.1016/j.tcm.2008.11.006] [PMID]

3. Sharma SK, Nehra A, Sinha S, Soneja M, Sunesh K, Sreenivas V, et al. Sleep disorders in pregnancy and their association with pregnancy outcomes: a prospective observational study. Sleep Breath. 2016;20(1):87-93. [DOI:10.1007/s11325-015-1188-9] [PMID]

4. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation's updated sleep duration recommendations: final report. Sleep Health. 2015;1(4):233-43. [DOI:10.1016/j.sleh.2015.10.004] [PMID]

5. Facco FL, Kramer J, Ho KH, Zee PC, Grobman WA. Sleep Disturbances in Pregnancy. Obstet Gynecol. 2010;115(1):77-83. [DOI:10.1097/AOG.0b013e3181c4f8ec] [PMID]

6. Qiu C, Lawrence W, Gelaye B, Stoner L, Frederick IO, Enquobahrie DA, et al. Risk of glucose intolerance and gestational diabetes mellitus in relation to maternal habitual snoring during early pregnancy. PLoS One. 2017;12(9):e0184966. [DOI:10.1371/journal.pone.0184966] [PMID] [PMCID]

7. Reutrakul S, Zaidi N, Wroblewski K, Kay HH, Ismail M, Ehrmann DA, et al. Sleep Disturbances and Their Relationship to Glucose Tolerance in Pregnancy. Diabetes Care. 2011;34(11):2454-7. [DOI:10.2337/dc11-0780] [PMID] [PMCID]

8. Benediktsdottir B, Arnardottir ES, Bjornsdottir E, Pack A, Gislason T, editors. Pre-eclampsia and pregnancy-induced hypertension among women later diagnosed with obstructive sleep apnoea2012: Wiley-Blackwell 111 River St, Hoboken 07030-5774, Nj Usa.

9. O'Brien LM, Bullough AS, Owusu JT, Tremblay KA, Brincat CA, Chames MC, et al. Pregnancy-onset habitual snoring, gestational hypertension, and preeclampsia: prospective cohort study. Am J Obstet Gynecol. 2012;207(6):487.e1-9. [DOI:10.1016/j.ajog.2012.08.034] [PMID] [PMCID]

10. Chen Y-H, Kang J-H, Lin C-C, Wang IT, Keller JJ, Lin H-C. Obstructive sleep apnea and the risk of adverse pregnancy outcomes. Am J Obstet Gynecol. 2012;206(2):136.e1-.e5. [DOI:10.1016/j.ajog.2011.09.006] [PMID]

11. Naghi I, Keypour F, Ahari SB, Tavalai SA, Khak M. Sleep disturbance in late pregnancy and type and duration of labour. J Obstet Gynaecol. 2011;31(6):489-91. [DOI:10.3109/01443615.2011.579196] [PMID]

12. O'Keeffe M, St-Onge MP. Sleep duration and disorders in pregnancy: implications for glucose metabolism and pregnancy outcomes. Int J Obes. 2013;37(6):765-70. [DOI:10.1038/ijo.2012.142] [PMID] [PMCID]

13. Luque-Fernandez MA, Bain PA, Gelaye B, Redline S, Williams MA. Sleep-Disordered Breathing and Gestational Diabetes Mellitus: A meta-analysis of 9,795 participants enrolled in epidemiological observational studies. Diabetes Care. 2013;36(10):3353-60. [DOI:10.2337/dc13-0778] [PMID] [PMCID]

14. Bourjeily G, Ankner G, Mohsenin V. Sleep-disordered breathing in pregnancy. Clin Chest Med. 2011;32(1):175-89. [DOI:10.1016/j.ccm.2010.11.003] [PMID]

15. Thurtell MJ, Bruce BB, Rye DB, Newman NJ, Biousse V. The Berlin Questionnaire Screens for Obstructive Sleep Apnea in Idiopathic Intracranial Hypertension. J Neuroophthalmol. 2011;31(4):316-9. [DOI:10.1097/WNO.0b013e31821a4d54] [PMID] [PMCID]

Journal of Obstetrics, Gynecology and Cancer Research

Prevalence of Obstructive Sleep Apnea Among Pregnant Women and Its Association with Pregnancy Outcomes

References

References

Volume 8, Issue 5 - Serial Number 34
September and October 2023
Pages 514-519

Prevalence of Obstructive Sleep Apnea Among Pregnant Women and Its Association with Pregnancy Outcomes

References

References

Volume 8, Issue 5 - Serial Number 34September and October 2023Pages 514-519

Volume 8, Issue 5 - Serial Number 34
September and October 2023
Pages 514-519