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Journal of Sleep Disorders: Treatment and CareISSN: 2325-9639

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Research Article, J Sleep Disor Treat Care Vol: 4 Issue: 2

Obstructive Sleep Apnea during Pregnancy and the Morbidity Outcome

Poj Pinyopornpanish1*, Nuntigar Sonsuwan1 and Supatra Sirichotiyakul2
1Department of Otolaryngology Faculty of Medicine, Chiang Mai University, Thailand
2Department of Obstetrics and Gynecology Faculty of Medicine, Chiang Mai University, Thailand
Corresponding author : Dr. Poj Pinyopornpanish
Department of Otolaryngology Faculty of Medicine, Chiang Mai University, 96/5 Ratchiangsan Rd., Chiang Mai 50100, Thailand
Tel: (66)89-9549797
E-mail: [email protected]
Received: May 11, 2015 Accepted: August 07, 2015 Published: August 11, 2015
Citation: Pinyopornpanish P, Sonsuwan N, Sirichotiyakul S (2015) Obstructive Sleep Apnea during Pregnancy and the Morbidity Outcome. J Sleep Disor: Treat Care 4:2. doi:10.4172/2325-9639.1000158

Abstract

Obstructive Sleep Apnea during Pregnancy and the Morbidity Outcome

Background: There is an increasing concern that obstructive sleep apnea is a risk factor of a poor pregnancy outcome. Our research design used polysomnography, which gives an objective measurement
in defining obstructive sleep apnea in non-high risk pregnancy. This study was carried out to measure the prevalence of obstructive sleep apnea in pregnancy and show whether obstructive sleep apnea is a risk factor of poor pregnancy outcome.
Methods: A prospective cohort study had been carried out at Chiang Mai University Hospital. 50 pregnancy women who received antenatal care at Chiang-Mai University hospital were included in the study. All subjects were assessed by physical examination and polysomnography at GA 28th-32nd weeks and were followed until the end of the pregnancy to see the difference in poor pregnancy outcomes in the obstructive sleep apnea and non-obstructive sleep apnea group.
Results: The prevalence of obstructive sleep apnea in pregnancy was 12%. Obstructive sleep apnea related to overall more poor pregnancy outcomes (RR=7.33(2.45-21.86), p=0.004), more preterm labor (RR=22.0(2.70-178.99), p-0.004), more preeclampsia (p=0.012).
Conclusions: Obstructive sleep apnea was a high risk in pregnancy and should be screened for with multidisciplinary team cooperation, to establish the diagnosis and treatment to enhance maternal and child health

Keywords: OSA; Sleep apnea; Pregnancy; Morbidity; High risk pregnancy

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