Study on assessment of Obstructive sleep apnea (OSA) risk in Obese pregnant women


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Article type :

Original Article

Author :

Durga K, S Yuvarajan, Praveen Radhakrishnan, Antonious Maria Selvam, Arun Selvaraj, Vinod Krishnadas

Volume :

5

Issue :

3

Abstract :

Introduction: Obstructive sleep apnea is a major public health concern which is associated with cardiovascular and cerebrovascular comorbidities. Eventhough association of OSA with adverse fetomaternal outcomes is documented, screening for OSA in pregnancy is a challenging task. So the purpose of our study is to assess the risk of OSA in obese pregnant ladies by using established STOP BANG Questionnare for OSA. Materials and Methods: This cross sectional study on assessment of obstructive sleep apnea risk among the obese pregnant women was done in tertiary care centre in the rural population of Puducherry. Results: 21 obese pregnant women were included in our study. The mean age of our study population was 29.5 years. Most of the study subjects (85.7%) had history of snoring both reported by them and their bed partners. History of tiredness was reported by 14 patients (66.6%).Chocking or history of gasping was reported by only 4 patients (19%). Results of our study showed that 42.9% of the obese pregnant women had high risk, 42.9% had intermediate risk and 14.3% for OSA as per the STOP BANG scoring.  Conclusion: Thus our study subjects were having higher risk of OSA which needed further evaluation with polysomnography. Thus the STOPBANG questionnaire can be used to screen for obstructive sleep apnea (OSA) in obese women during pregnancy.

Keyword :

 OSA, Pregnancy, Obesity, STOP BANG.
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