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Prevalence of clinical symptoms of sleep apnea hyponea syndrome during pregnancy

Sameh M'Saad, Imene Badri, Jihene Trabelsi, Faten Marouen, Samy Kammoun
European Respiratory Journal 2015 46: PA2385; DOI: 10.1183/13993003.congress-2015.PA2385
Sameh M'Saad
Respiratory Department, Hedi Chaker Hospital. Faculty of Medicine, Sfax, Tunisia
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Imene Badri
Respiratory Department, Hedi Chaker Hospital. Faculty of Medicine, Sfax, Tunisia
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Jihene Trabelsi
Respiratory Department, Hedi Chaker Hospital. Faculty of Medicine, Sfax, Tunisia
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Faten Marouen
Respiratory Department, Hedi Chaker Hospital. Faculty of Medicine, Sfax, Tunisia
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Samy Kammoun
Respiratory Department, Hedi Chaker Hospital. Faculty of Medicine, Sfax, Tunisia
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Abstract

Background: Women appear to be increasingly susceptible to snoring and sleep disorders breathing during pregnancy. However pregnant women with obstructive sleep apnea-hypopnea syndrome (OSAHS) are less likely to be assessed or to receive a diagnosis.

Objective: the aim of this report was to evaluate the prevalence of common symptoms of OSAHS in pregnant women and secondarily to seek a link with Pregnancy-induced blood hypertension and intrauterine growth retardation (IUGR).

Method: An observational study of 120 pregnant women who responded to a predetermined questionnaire 24 hours after giving birth in a maternity.

Results: the mean age was 28±5,6 years, the mean parity was 1.88±1,1 and the average duration of pregnancy was 39.33±1,6 weeks. IUGR, Pregnancy-induced blood hypertension and gestational diabetes mellitus was identified in 4.2%; 2.5% and 1.7% of participants, respectively. No women had developed eclampsia or pre-eclampsia. The most 3 frequently reported sleep-related symptoms were nycturia (84.2%), poor sleep quality (55%) and sleep onset insomnia (38.3%). Snoring occurred in 17.5%of the patients while 98,2% of them did not snore before pregnancy. The prevalence of this symptom was significantly higher in eldest women (p < 0.03). The average Epworth sleep score was 3.18 (0 à 12) and was significantly correlated with IUGR (0.045) but not with Pregnancy-induced blood hypertension or premature birth. Obesity was significantly more frequent among women with daytime sleepiness or snoring.

Conclusion: OSAHS in pregnancy seems to have important fetal outcomes. Pregnant women should be assessed for symptoms of OSAHS and suspected cases should be offered polysomnography.

  • Apnoea / Hypopnea
  • Sleep disorders
  • Sleep studies
  • Copyright ©ERS 2015
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Prevalence of clinical symptoms of sleep apnea hyponea syndrome during pregnancy
Sameh M'Saad, Imene Badri, Jihene Trabelsi, Faten Marouen, Samy Kammoun
European Respiratory Journal Sep 2015, 46 (suppl 59) PA2385; DOI: 10.1183/13993003.congress-2015.PA2385

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Prevalence of clinical symptoms of sleep apnea hyponea syndrome during pregnancy
Sameh M'Saad, Imene Badri, Jihene Trabelsi, Faten Marouen, Samy Kammoun
European Respiratory Journal Sep 2015, 46 (suppl 59) PA2385; DOI: 10.1183/13993003.congress-2015.PA2385
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