Sleep-Disordered Breathing in Pregnancy

Lakshmy Ayyar; Fidaa Shaib; Kalpalatha Guntupalli

doi:10.1016/j.jsmc.2018.04.005

Sleep-Disordered Breathing in Pregnancy

Sleep Med Clin. 2018 Sep;13(3):349-357. doi: 10.1016/j.jsmc.2018.04.005.

Authors

Lakshmy Ayyar¹, Fidaa Shaib¹, Kalpalatha Guntupalli²

Affiliations

¹ Section of Pulmonary, Critical Care, and Sleep Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
² Section of Pulmonary, Critical Care, and Sleep Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. Electronic address: kkg@bcm.edu.

PMID: 30098752
DOI: 10.1016/j.jsmc.2018.04.005

Abstract

Sleep-disordered breathing (SDB) in pregnancy can present as snoring and/or obstructive sleep apnea (OSA), and the prevalence is increasing due to the increase in maternal obesity. Pregnant women often present with fatigue and daytime sleepiness rather than the classic symptoms. Habitual snoring, older age, chronic hypertension, and high prepregnancy body mass index are reliable indicators of increased risk for SDB and should trigger further testing. The gold standard for diagnosis of OSA is an overnight laboratory polysomnography. Although there are no studies linking SDB to poor fetal outcomes, fetal well-being remains paramount throughout the course of pregnancy.

Keywords: Gestational diabetes; Obstructive sleep apnea; Preeclampsia; Pregnancy; Sleep-disordered breathing; Snoring.

Publication types

Review

MeSH terms

Adult
Female
Humans
Pregnancy
Pregnancy Complications / diagnosis*
Pregnancy Complications / physiopathology
Sleep Apnea Syndromes / complications
Sleep Apnea Syndromes / diagnosis
Sleep Apnea Syndromes / physiopathology*
Snoring / complications
Snoring / diagnosis
Snoring / physiopathology*