while it has been shown that untreated osa in postmenopausal women is associated with a range of cardiovascular, pulmonary, and metabolic comorbidities, a body of literature is emerging that suggests osa may also have serious implications for the health of mothers and fetuses during and after pregnancy. significantly more women met criteria for osa (apnea-hypopnea index [ahi] ≥5/h) in the third trimester compared to the first (26.7% vs 10.5%) with age and bmi as the most significant predictors of osa. additional prospective studies are needed to determine whether cpap may have a role in the treatment and prevention of hdp.
peripartum morbidity and mortality are increased for women with osa9,29; osa and obesity were identified as important risk factors for anesthesia-related maternal mortality in a statewide analysis of maternal deaths.101 while specific guidelines regarding the management of osa during pregnancy are lacking, the american society of anesthesiologists’ (asa’s) practice guidelines for the perioperative management of patients with osa provide guidance that can be applied to this population.102,103 studies have not yet shown whether osa treatment may improve pregnancy outcomes associated with osa, but the asa and society for anesthesia and sleep medicine guidelines are clear that for surgical patients, preoperative evaluation and treatment of osa is optimal. there are little data on the incidence of respiratory depression in the obstetric population, but reported incidence ranges between 0% and 0.9%.115–118 however, we are not aware of any studies that have been able to establish the true risk of respiratory depression with nm in morbidly obese or osa patients. hst to ascertain osa risk may be a viable screening tool for high-risk women, but further studies are needed to confirm the feasibility and cost-effectiveness of this approach. all studies include objective methods to define obstructive sleep apnea; meta-analyses include both symptom-based and objective assessments.
sleep apnea is a sleep disorder where there are pauses in breathing. it can be hard to tell the difference between normal pregnancy exhaustion and tiredness caused by sleep apnea, but if you just can’t stay awake in the afternoons, or are dozing off while driving, tell your doctor. a sleep study is the definitive test for sleep apnea. a sleep study will reveal if you stop breathing during the night, and if so, how often and to what degree. the incidence of sleep apnea in women of childbearing age is somewhere between one to 10 percent. women are more likely to develop sleep apnea during pregnancy and after menopause. during pregnancy, the physical changes you experience may contribute to the development of sleep apnea.
sleep apnea is more common in pregnant women with high blood pressure and/or gestational diabetes, but high blood pressure and gestational diabetes don’t seem to_ cause _sleep apnea. cpap treatment is highly effective for obstructive sleep apnea, but some people find the machine and mask cumbersome. if you need cpap, but are uncomfortable with the machine, let your physician know; don’t just stop using it. although surgery is not usually done on pregnant women unless absolutely necessary, it can be performed before or after pregnancy if a structural defect if found to cause your sleep apnea. sleep apnea is more common in obese women (and men), so watch your pregnancy weight gain. i have never felt so amazing and well rested in my life.” “i have sleep apnea. it is about 10 bucks at walgreens or target (that is where i found it) and you get these little vicks cartridges to put in it.
sleep apnea during pregnancy can lead to long-term health complications, such as increased risk of high blood pressure, preeclampsia, emerging data suggest that women with osa in pregnancy are at higher risk of pregnancy- and anesthesia-related complications. a small number of sleep apnea may nevertheless occur. although the precise prevalence is not known, it’s estimated to affect 10% of pregnant women. sleep apnea, .
all pregnant women have an increased risk of obstructive sleep apnea because higher levels of estrogen during pregnancy can cause the mucus membranes in your nose to swell, leading to nasal congestion. as you work harder to breathe, the lining of your airway can swell too, constricting airflow. obstructive sleep apnea is common during pregnancy, with prevalence estimates ranging from 10.5% in the first trimester to 26.7% in the third trimester. women with untreated sleep apnea during pregnancy face numerous health risks to themselves and their unborn children. women with sleep apnea were also more women are more likely to develop sleep apnea during pregnancy and after menopause. but while restless sleep and shortness of breath are common in pregnancy ( as a result, the prevalence of obesity-related comorbid conditions complicating pregnancy is also increasing. one of these conditions is osa, .
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