TY - JOUR
T1 - Clinical manifestations of obstructive sleep apnoea in pregnancy
T2 - More than snoring and witnessed apnoeas
AU - Bourjeily, G.
AU - Barbara, N.
AU - Larson, L.
AU - He, M.
PY - 2012/7
Y1 - 2012/7
N2 - Sleep disordered breathing and its symptoms have been associated with a multitude of fetal and maternal complications including gestational hypertensive disorders, gestational diabetes and possibly pre-term labour and other markers of alterations in fetal wellbeing. The disease remains underdiagnosed in the general population but likely also in pregnancy, mostly because providers do not appropriately screen for the disorder. Sleep disordered breathing may manifest differently in women, since women report more fatigue and less snoring than men do. This paper discusses typical presentations of sleep disordered breathing but also reports some less obvious presentations to help providers recognise those manifestations and screen for the disorder when warranted. Our case series describes patients with diagnoses such as chronic hypertension, pre-eclampsia, pulmonary hypertension, nocturnal asthma and panic attacks, who were diagnosed with sleep disordered breathing and offered treatment with CPAP during pregnancy.
AB - Sleep disordered breathing and its symptoms have been associated with a multitude of fetal and maternal complications including gestational hypertensive disorders, gestational diabetes and possibly pre-term labour and other markers of alterations in fetal wellbeing. The disease remains underdiagnosed in the general population but likely also in pregnancy, mostly because providers do not appropriately screen for the disorder. Sleep disordered breathing may manifest differently in women, since women report more fatigue and less snoring than men do. This paper discusses typical presentations of sleep disordered breathing but also reports some less obvious presentations to help providers recognise those manifestations and screen for the disorder when warranted. Our case series describes patients with diagnoses such as chronic hypertension, pre-eclampsia, pulmonary hypertension, nocturnal asthma and panic attacks, who were diagnosed with sleep disordered breathing and offered treatment with CPAP during pregnancy.
KW - Continuous positive airway pressure
KW - Obesity
KW - Obstructive sleep apnoea
KW - Pregnancy
UR - http://www.scopus.com/inward/record.url?scp=84861810586&partnerID=8YFLogxK
U2 - 10.3109/01443615.2012.658892
DO - 10.3109/01443615.2012.658892
M3 - Article
C2 - 22663313
AN - SCOPUS:84861810586
SN - 0144-3615
VL - 32
SP - 434
EP - 438
JO - Journal of Obstetrics and Gynaecology
JF - Journal of Obstetrics and Gynaecology
IS - 5
ER -