gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Risk assessment of obstructive sleep apnea in thirdtrimester of pregnancy



Introduction.Changing anatomy and physiology of women during pregnancy can result in thedevelopment of obstructive sleep apnea syndrome (OSAS). Increased risk of OSAS isconnec-ted mainly with abnormally increased body mass and also hypertension. Irregular airflow throughthe upper respiratory tract manifested by snoring can lead to more complex pathologies suchas postpartum depression, preeclampsia and ischemic placenta.

Aim. Assessing the level of risk of obstructive sleep apnea in pregnancy.

Material and methods.147 pregnant women from the Perinatology Department of MedicalUniversity of £ódŸ were interviewed to assess their sleep alterations. By means of the BerlinSleep Questionnaire (BSQ) the risk of development of OSAS and its relation with abnormal daytime sleepiness (verified by Epworth Sleepiness Scale - ESS), trimester and the most popularaddictions were evaluated.

Results.34,7% of questioned women in the third trimester of pregnancy revealed an increasedrisk of obstructive sleep apnea. The connection between BSQ and ESS scores was not con-firmed statistically.

Conclusions.Due to the fact that OSAS can exacerbate organic causes of some pathologies itis vital to underline the necessity of minimalizing its risk factors by the control of body massand blood pressure in this group of patients.