Obstructive Sleep Apnea in Pregnancy

被引：16
作者：
Kapsimalis, Fotis [1 ]
Kryger, Meir [2 ]
机构：
[1] Henry Dunant Hosp, Sleep Lab, Dept Thorac Med, 107 Mesogeion Ave, Athens 11526, Greece
[2] Univ Connecticut, Gaylord Hosp, Gaylord Sleep Med, Wallingford, CT 06942 USA
来源：
SLEEP MEDICINE CLINICS | 2007年 / 2卷 / 04期
关键词：
D O I：
10.1016/j.jsmc.2007.07.002
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
During pregnancy several physical and hormonal alterations may affect normal sleep and the respiratory system and predispose pregnant women to the development of sleep-disordered breathing (SDB) or worsen pre-existing obstructive sleep apnea syndrome (OSAS). SDB has been associated with several complications of pregnancy affecting maternal and fetal health. Clinicians should evaluate more closely obese pregnant women and those who develop hypertension. Early recognition and treatment of SDB may improve the outcome of pregnancy but the indications for treatment of OSAS need to be investigated. The diagnosis of OSAS in pregnancy requires a high index of suspicion and prevention of suspected SDB should be incorporated in the management of pregnancy. © 2007 Elsevier Inc. All rights reserved.
引用
收藏
页码：603 / 613
页数：11
相关论文
共 91 条
[1]  
AWE RJ, 1979, OBSTET GYNECOL, V53, P182
[2]   Nasal stuffiness during pregnancy [J].
Bende, M ;
Gredmark, T .
LARYNGOSCOPE, 1999, 109 (07) :1108-1110
[3]   RELATIVE VALIDITY OF SELF-REPORTED SNORING AS A SYMPTOM OF SLEEP-APNEA IN A SLEEP CLINIC POPULATION [J].
BLIWISE, DL ;
NEKICH, JC ;
DEMENT, WC .
CHEST, 1991, 99 (03) :600-608
[4]   NOCTURNAL HYPOXEMIA IN LATE PREGNANCY [J].
BOURNE, T ;
OGILVY, AJ ;
VICKERS, R ;
WILLIAMSON, K .
BRITISH JOURNAL OF ANAESTHESIA, 1995, 75 (06) :678-682
[5]   PHARYNGEAL SIZE IN SNORERS, NONSNORERS, AND PATIENTS WITH OBSTRUCTIVE SLEEP-APNEA [J].
BRADLEY, TD ;
BROWN, IG ;
GROSSMAN, RF ;
ZAMEL, N ;
MARTINEZ, D ;
PHILLIPSON, EA ;
HOFFSTEIN, V .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 315 (21) :1327-1331
[6]   BREATHING DURING SLEEP IN NORMAL PREGNANT-WOMEN [J].
BROWNELL, LG ;
WEST, P ;
KRYGER, MH .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1986, 133 (01) :38-41
[7]   CHANGES IN SLEEP AND SLEEP ELECTROENCEPHALOGRAM DURING PREGNANCY [J].
BRUNNER, DP ;
MUNCH, M ;
BIEDERMANN, K ;
HUCH, R ;
HUCH, A ;
BORBELY, AA .
SLEEP, 1994, 17 (07) :576-582
[8]   Obstructive sleep apnea syndrom during pregnancy: prevalence of main symptoms and relationship with pregnancy induced-hypertension and intra-uterine growth retardation [J].
Calaora-Tournadre, D. ;
Ragot, S. ;
Meurice, J. C. ;
Pourrat, O. ;
D'Halluin, G. ;
Magnin, G. ;
Pierre, F. .
REVUE DE MEDECINE INTERNE, 2006, 27 (04) :291-295
[9]   Attenuated endothelium-dependent vascular relaxation in patients with sleep apnoea [J].
Carlson, JT ;
Rangemark, C ;
Hedner, JA .
JOURNAL OF HYPERTENSION, 1996, 14 (05) :577-584
[10]   OBSTRUCTIVE SLEEP-APNEA DURING PREGNANCY - THERAPY AND IMPLICATIONS FOR FETAL HEALTH [J].
CHARBONNEAU, M ;
FALCONE, T ;
COSIO, MG ;
LEVY, RD .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1991, 144 (02) :461-463
12345678910