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Screening Extremely Obese Pregnant Women for Obstructive Sleep Apnea

Dominguez, J.E.; Grotegut, C.A.; Cooter, M.; Krystal, A.D.; Habib, A.S.

doi: 10.1097/01.aoa.0000575172.83294.d5
Mechanisms, Equipment, Hazards
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(Am J Obstet Gynecol. 2018;219:613.e1.1–10)

Obstructive sleep apnea (OSA), in addition to its multiple comorbidities, is associated with a significantly increased risk of preeclampsia and gestational diabetes mellitus in obese, pregnant women. However, current OSA diagnostic tools are costly and time-consuming to implement on a wide scale, and although portable at-home, unattended sleep apnea testing is emerging, such tools may be impractical in this particular patient population. This study evaluated the validity of existing OSA screening tools in a cohort of extremely obese pregnant women [body mass index (BMI) ≥40 kg/m2] and determined what screening factors were most strongly associated with OSA in this cohort.

Departments of Anesthesiology and Obstetrics and Gynecology, Duke University Medical Center, Durham, NC

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