Obstructive sleep apnea in pregnancy and fetal outcome
Obstructive sleep apnea in pregnancy and fetal outcome
复制标题
DOI：
10.1016/j.ijgo.2007.08.012
复制
发表时间：
2008-02-01
影响因子：
3.8
通讯作者：
Unlu, Mehmet
中科院分区：
文献类型：
--
作者：
Sahin, Figen Kir;Koken, Gulengul;Unlu, Mehmet
目的：同时对阻塞性睡眠呼吸暂停（OSA）孕妇进行多导睡眠图（PSG）和无负荷试验（NST）记录，观察其在母体去饱和过程中NST的变化，判断母儿结局。方法：采用前瞻性观察研究，对孕妇进行OSA症状问卷调查.结果：35例孕妇中4例（11.4%）诊断为阻塞性睡眠呼吸暂停（OSA）。3例（75%）胎儿心脏减速伴母体氧饱和度下降。与未患OSA的新生儿相比，诊断为OSA的新生儿的平均Apgar评分和出生体重较低。三个新生儿从诊断为OSA的妇女被收进新生儿保健单位。结论：妊娠期阻塞性睡眠呼吸暂停对母儿预后有重要影响。孕妇应评估OSA的症状，疑似病例应提供PSG。(c)2007年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To simultaneously investigate the polysomnography (PSG) and nonstress test (NST) records of pregnant women with obstructive sleep apnea (OSA) to observe NST changes during maternal desaturation and determine maternal and fetal outcomes. Methods: A prospective observational study of pregnant women assessed by questionnaire for symptoms of OSA. Women with self-reported frequent snoring or apnea were offered PSG and NST Result: OSA was diagnosed in 4 (11.4%) of the 35 pregnant women who underwent PSG. Three (75%) had fetal heart decelerations accompanying maternal desaturation. The neonates of women diagnosed with OSA had lower mean Apgar scores and birth weights compared with neonates of women without OSA. Three neonates from the women diagnosed with OSA were admitted to the newborn healthcare unit. Conclusion: OSA in pregnancy has important maternal and fetal outcomes. Pregnant women should be assessed for symptoms of OSA and suspected cases should be offered PSG. (c) 2007 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.