Evaluation of obstructive sleep apnea symptoms in pregnant women with chronic disease

Karaduman, Mevlüt; Sarı, Oktay; Aydoğan, Ümit; Akpak, Yaşam Kemal; Semiz, Altug; Yılanlıoğlu, Necip Cihangir; Keskin, Uğur

doi:10.3109/14767058.2015.1127346

Cited by 12 publications

(9 citation statements)

References 27 publications

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“…According to studies in the past, the male to female prevalence ratio of OSAS varied from 2:1-4:1 in the community to 8:1 or greater in the clinics [4][5][6] . It has been estimated that females with OSAS was underdiagnosed to a large extent 7 .…”

Section: Gender Differences Of Clinical and Polysomnographic Findingsmentioning

confidence: 99%

Gender differences of clinical and polysomnographic findings with obstructive sleep apnea syndrome

Zhou

et al. 2021

Sci Rep

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Obstructive sleep apnea syndrome (OSAS) is underdiagnosed in females and gender differences in clinical and polysomnographic findings have not been widely investigated in China. We examined clinical and polysomnographic differences between males and females with OSAS in order to determine the influence of gender on clinical presentation and polysomnographic features. Data were collected from 303 adult patients diagnosed with OSAS (237 males and 66 females) from 2017 to 2019. All the patients completed physical examination, Epworth sleepiness scale, and whole night polysomnography. AVONA, univariate and multivariate logistic regression analyses were conducted to assess gender differences of clinical and polysomnographic findings with OSAS. P < 0.05 was statistically significant. The average age was 48.4 ± 12.6 years for females and 43.4 ± 12.4 years for males. Compared with female patients with OSAS, male patients were taller and heavier, had higher systolic blood pressure in the morning, shorter duration of slow wave sleep, more micro-arousal events, greater AHI, and more complex sleep apnea events. There are obvious gender differences of clinical and polysomnographic characteristics with OSAS. Understanding gender differences will contribute to better clinical recognition of OSAS in females as well as the provision of proper health care and therapeutic practice.

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Section: Gender Differences Of Clinical and Polysomnographic Findingsmentioning

confidence: 99%

Gender differences of clinical and polysomnographic findings with obstructive sleep apnea syndrome

Zhou

et al. 2021

Sci Rep

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“…This discrepancy is potentially related to differences in populations and ethnicities; notably, our study included high-risk pregnant women and pregnant women from the entire population. The prevalence of OSAS in pregnant women (low-risk pregnant women) in Turkey is 11.4-12.5% [16,17].…”

Section: Discussionmentioning

confidence: 99%

Obstructive sleep apnea syndrome is associated with maternal complications in pregnant women

2021

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Objectives: This study was performed to evaluate the relationship between obstructive sleep apnea syndrome and pregnancy complications.Material and methods: A total of 500 women (18-45 years) who had delivered (vaginal delivery or caesarean section) between January 2017 and March 2017 in our clinic were included in the study. Patients at high risk for obstructive sleep apnea syndrome were identified using the Stop Bang questionnaire. Based on the results of the questionnaire, pregnancy complications were compared between high-risk pregnant women (Group 1) and low-risk pregnant women (Group 2).Results: Age, body mass index, smoking rate, and the rate of systemic disease (e.g., diabetes and/or hypertension) were higher in Group 1 than in Group 2 (p < 0.05). Rates of preeclampsia, gestational diabetes, preterm labor, premature rupture of the membranes, and cesarean section were significantly higher in Group 1 than in Group 2 (p < 0.05). Conclusions:Obstructive sleep apnea syndrome is associated with a higher rate of maternal complications among pregnant women. Affected patients should be carefully monitored.

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“…Table 5 presents a summary of the findings of the current study and previous studies in other countries that used the BQ to assess symptoms and risk of OSA. [ 16 17 18 24 25 27 28 29 30 31 ] This might be related to maternal age, gestational age, and BMI at the time of the survey. In addition, ethnicity and race cannot be ruled out as possible factors.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of symptoms and risk of obstructive sleep apnea in Saudi pregnant women

et al. 2020

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BACKGROUND: This case-control study aimed to assess the prevalence of symptoms and risk of obstructive sleep apnea (OSA) among Saudi pregnant women. METHODS: The study included consecutive Saudi pregnant women attending the antenatal service between July 2015 and December 2016. Pregnant women were compared with an age-matched group of nonpregnant women. OSA symptoms and risk were assessed using a validated Arabic version of the Berlin questionnaire (BQ). RESULTS: The study included 742 pregnant women and 742 age-matched nonpregnant women. At the time of the survey, 8.2% were in the first trimester; 33.4% in the second trimester; and 58.4%in third trimester. Snoring was reported by 14% of pregnant women, and 5% reported breathing pauses during sleep. Based on the BQ stratification for risk of OSA, 19.3% of pregnant women and 16.6% of the control group were at high risk for OSA. A comparison between the high OSA-risk and low OSA-risk pregnant women revealed that the pregnant women in high risk group were older (30.9 ± 5.9 years vs. 29 ± 5.4 years, P = 0.001), had a higher body mass index (BMI) (34.3 ± 5.2 kg/m 2 vs. 28.7 ± 5.8 kg/m 2 , P < 0.001), and higher parity (1.9 ± 2 vs. 1.5 ± 1.7, P = 0.020). A multivariate logistic regression analysis revealed the following independent variables, BMI (odds ratio [OR] 1.173 [95% confidence interval [CI] 1.129–1.219],P < 0.001), pregnancy-induced hypertension (OR 7.85 [95% CI 1.691–36.447], P = 0.013), and the presence of restless legs syndrome (OR 2.209 [95% CI 1.332–3.279],P < 0.001). CONCLUSIONS: OSA symptoms and risk were relatively common among Saudi pregnant women. Increasing the awareness among physicians about this association is essential to improve early detection of the disorder.

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Evaluation of obstructive sleep apnea symptoms in pregnant women with chronic disease

Abstract: OSAS can lead to the adverse consequences in pregnancy, should be questioned for all pregnants especially those with chronic diseases. Pregnant women with OSAS should be monitored more carefully in terms of diabetes and hypertension in antenatal care.

Cited by 12 publications

References 27 publications

Gender differences of clinical and polysomnographic findings with obstructive sleep apnea syndrome

Gender differences of clinical and polysomnographic findings with obstructive sleep apnea syndrome

Obstructive sleep apnea syndrome is associated with maternal complications in pregnant women

Prevalence of symptoms and risk of obstructive sleep apnea in Saudi pregnant women

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