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: pojpinyo@hotmail.com |
| 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
