Obstructive Sleep Apnea, Obesity, and Obstetric Consequences

Preeclampsia, cesarean deliveries, and admissions to neonatal intensive care units were more common with maternal OSA.

Maternal obesity raises risk for cesarean delivery, anesthesia complications, venous thromboembolism, preterm birth, and fetal macrosomia. Obesity is also associated with obstructive sleep apnea (OSA), but the effects of OSA on obstetric outcomes are unclear. The Sleep Apnea in Pregnancy Screening Study was designed to identify risk factors and pregnancy outcomes in obese women with OSA. Pregnant obese women (body-mass index [BMI] ≥30 kg/m²) seen at an urban tertiary center were home-screened for OSA with portable polysomnography. OSA was defined as ≥5 instances hourly of airflow cessation for ≥10 seconds.

Prevalence of OSA among the 182 participants was 15.4%. Women with OSA had a median of 12.9 hypopneic episodes per hour of sleep and spen…

Reviewing Author

Diane J. Angelini, EdD, CNM, FACNM, FAAN, NEA-BC

Disclosures

RoyaltiesOB Triage: Emergency Care Protocols (Springer Publications)

Editorial boardsJournal of Perinatal and Neonatal Nursing

Diane J. Angelini, EdD, CNM, FACNM, FAAN, NEA-BC

Disclosures

RoyaltiesOB Triage: Emergency Care Protocols (Springer Publications)

Editorial boardsJournal of Perinatal and Neonatal Nursing

Obstructive Sleep Apnea, Obesity, and Obstetric Consequences

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Reviewing Author