Abstract

Materials and methods In a prospective cohort design, 158 women answered a version of the STOP-Bang questionnaire adapted for pregnant women using age cutoff at 35 yrs. and excluding male gender (STOP-Ban); risk for sleep apnea was considered present when score>2. Obstetric history and physical examination were obtained. Both gestational and pre-gestational diabetes were considered for the analyses. The hospital records were reviewed for delivery outcomes. Preterm birth, premature rupture of membranes, non-elective cesarean section, low birth weight, and non-reassuring fetal condition were considered adverse delivery outcomes. Seven classical gestational risk factors were used to adjust the multivariate models.

Highlights

  • Diabetes is a well-known obstetric risk factor

  • Diabetes mellitus and symptoms of sleep apnea are associated with adverse delivery outcomes

  • Diabetes increased 12% while positive STOP-Ban increased 3.84 (1.48-9.9) times risk of delivery complications (P=0.004)

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Summary

Background

Diabetes is a well-known obstetric risk factor. Sleep apnea is an emerging risk factor for diabetes and may affect gestation as well. Apnea symptoms such as snoring, tiredness and observed apneas predict the risk for sleep apnea. Hypertension, age and obesity are predictors of apnea, diabetes and gestational complications

Objective
Materials and methods
Conclusion
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