Sleep Apnea Screening: An Overlooked Aspect of Routine Prenatal Care
ACOG ePoster. Saeed H. Apr 27, 2018; 211668; 33D
Haleema Saeed
Haleema Saeed
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Introduction: Obstructive sleep apnea (OSA) in pregnancy can lead to adverse maternal and neonatal outcomes such as pre-eclampsia, intrauterine growth restriction (IUGR), gestational diabetes (GDMA) and preterm birth. Polysomnography screening is “gold standard” for OSA but can be logistically challenging and not cost-effective. In this study, we will investigate simple screening tools such as the Berlin (BQ) and STOP-BANG questionnaires (SBQ) for OSA in pregnancy.

Methods: We screened 169 pregnant women using the BQ and SBQ in the third trimester. A chart review was performed for primary outcomes: pre-eclampsia, IUGR and GDMA. Secondary outcomes were gestational age at time of delivery, Apgars, and birth weight. Demographics such as age, race, BMI, gravidity and smoking history were also reviewed.

Results: Of the 169 women who participated in the study, 58 women(34.3%) were screened as high risk on the SBQ. Of these, 34.5% were subsequently diagnosed with pre-eclampsia(p=
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