Abstract
Sleep disordered breathing is under recognized in pregnant women. Women affected by SDB or obstructive sleep apnea (OSA) are more likely to experience pregnancy complications and adverse pregnancy outcomes including preeclampsia, preterm birth, and cesarean delivery. The risk factors for sleep disordered breathing and OSA are include: older age, obesity, African-American race, craniofacial abnormalities, and smoking. Women with known SDB/OSA who become pregnant should be evaluated by a sleep medicine specialist to optimize CPAP settings. During labor, pain relief strategies which limit the use of opioid medications should be employed in order to reduce the risk of respiratory suppression. Untreated sleep apnea is associated with subsequent diabetes, hypertension and fatal and nonfatal cardiovascular disease. Management of SDB in pregnant women should address both short term and long term risks of the disease.
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