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Anesthesia for the Pregnant Patient with Obstructive Sleep Apnea

  • Tülay Özkan Seyhan
  • Dilan Büyük
Chapter

Abstract

Obstructive sleep apnea (OSA) is one of the sleep-related breathing disorders. Most prominent symptoms are snoring, periodic awakening during sleep, and daytime sleepiness. Over a period of time, OSA leads to increase in vascular resistance and metabolic disturbances. Pregnancy-related physiological changes make pregnant patients prone to OSA or increase the severity of previously existing OSA. OSA is related to increased maternal and fetal morbidity including systemic and pulmonary hypertension, preeclampsia, gestational diabetes, fetal growth retardation, preterm birth, lower Apgar scores at birth, and cesarean delivery. The diagnostic tools, except polysomnography, are limited to general nonpregnant population. This chapter focuses on the problems related to OSA, its diagnosis, and management during pregnancy.

Keywords

Pregnancy Obstructive sleep apnea Polysomnography STOP-BANG Questionnaire Berlin Questionnaire Epworth Sleepiness Scale Anesthetic management 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Tülay Özkan Seyhan
    • 1
  • Dilan Büyük
    • 1
  1. 1.Istanbul University, Istanbul Faculty of Medicine, Department of Anesthesiology, Capa ClinicsIstanbulTurkey

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