BibTex RIS Kaynak Göster

Evaluation of Sleep Apnea Prevalence During Pregnancy

Yıl 2015, Cilt: 12 Sayı: 5, 179 - 182, 01.09.2015

Öz

Aim: Snoring, apnea attacks and daytime sleepiness are classical symptoms of Obstructive sleep apnea OSA . Although there are many reports regarding the prevalence of snoring during pregnancy in the literature, a few have been reported in our country. We aimed to determine the relation between OSA symptoms, habituel snoring and risk factors.Material and methods: Questionnaires regarding the prevalence of sleep disorders and apnea together with sociodemographic and clinical data of the participants were obtained. Berlin Questionnaire and Epworth sleepiness scale were used to assess OSA symptoms. A hundred pregnant women from each trimester were added to the study. SPSS 19.0 programme was used for statistical calculations. Chi-square, Fischer’s Exact test, t-test were used to analyse the difference between the groups. P values less than 0.05 were regarded to be significant.Results: Two hundred and sixty-six pregnant women out of 300 were thoroughly completed the questionnaires. Eighty nine 33.5% was in first, 82 30.8% was in second, and 95 35.7% was in third trimester. Age of the participants was 16-42 27.1±5.1 . We found snoring and daytime sleepiness in 16.5% of pregnants. There was statistically significant difference in snoring between third trimester and first two trimester p:0.017 . Although statistically insignificant, the prevalence of daytime sleepiness was higher in third trimester.Conclusion: OSA syndrome can lead to significant obstetric complications. OSA should be questioned in each pregnant and be consulted for polysomnography if indicated.

Kaynakça

  • Schorr SJ, Chawla A, Devidas M, Sullivan CA, Naef RW 3rd, Morrison JC. Sleep patterns in pregnancy. A longitudinal study of polysomnograp- hy recordings during pregnancy. J Perinatol 1998; 18:427-30.
  • Edwards N, Middleton PG, Bylton DM, Sullivan CE. Sleep disordered bre- athing and pregnancy. Thorax 2002; 57: 555- 8.
  • Edwards N, Blyton DM, Hennessy A, Sullivan CE. Severity of sleep-disor- dered breathing improves following parturition. Sleep 2005; 28:737-41.
  • Facco FL, Kramer J, Ho KH, Zee PC, Grobman WA. Sleep disturbances in pregnancy. Obstet Gynecol 2010; 115: 77-83.
  • Elkus R, Popovich J Jr. Respiratory physiology in pregnancy. Clin Chest Med 1992;13:555–65.
  • Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occur- rence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993; 328:1230–5.
  • İzci B, Riha RL, Martin SE, Vennelle M, Liston WA, Dundas KC, et al. The upper airway in pregnancy and pre-eclampsia. Am J.Respir Crit Care Med 2003; 167: 137- 40.
  • Pamidi S, Pinto LM, Marc I, et al. Maternal sleep-disordered breathing and adverse pregnancy outcomes: a systematic review and metaanaly- sis. Am J Obstet Gynecol 2014; 210: 52.
  • Ding XX, Wu YL, Xu SJ, et al. A systematic review and quantitative as- sessment of sleep-disordered breathing during pregnancy and perinatal outcomes. Sleep Breath 2014;18 :703-13.
  • Reutrakul S, Zaidi N, Wroblewski K, Kay HH, Ismail M, Ehrmann DA, Van Cauter E. Interactions between pregnancy, obstructive sleep apnea, and gestational diabetes mellitus.J Clin Endocrinol Metab 2013;98:4195- 202.
  • Youssef HF, Dombrovskiy VY, Santiago TV, Nolledo MS. Sleep apnea is associated with gestational diabetes mellitus and pregnancy-induced hy- pertension. Am J Respir Crit Care Med 2007;175: 996.
  • Pien GW, Fife D, Pack AI, Nkwuo JE, Schwab RJ. Changes in symptoms of sleep-disordered breathing during pregnancy. Sleep 2005; 28:1299– 1305.
  • Izci B, Ardic S, Firat H, et al. Reliability and validity studies of the Turkish version of the Epworth Sleepiness Scale. Sleep Breath 2008;12:161-8.
  • Abrishami A, Khajehdehi A, Chung F. A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anaesth 2010;57:423- 38
  • Iber C, Ancoli-Israel S, Chesson A, Quan SF. The AASM manual for thes- coring of sleep and associated events: rules, terminology and technical specifications, 1st edition. Westchester, IL: American Academy of Sleep Medicine, 2007.
  • Louis JM, Mogos MF, Salemi JL, Redline S, Salihu HM. Obstructive sle- ep apnea and severe maternal-in fant morbidity / mortality in the United States, 1998-2009. Sleep. 2014 1;37:843-9.
  • Champagne K, Schwartzman K, Opatrny L, et al. Obstructive sleep apnoea and its association with gestational hypertension. Eur Respir J 2009;33:559-65.
  • Mullington JM, Haack M, Toth M, Serrador JM, Meier-Ewert HK. Cardio- vascular, inflammatory, and metabolic consequences of sleep deprivati- on. Prog Cardiovasc Dis. 2009;51:294–302.
  • Antony KM, Agrawal A, Arndt ME, Murphy AM, Alapat PM, Guntupalli KK, Aagaard KM. Association of adverse perinatal out comes with scre- eningmeasures of obstructive sleep apnea. J Perinatol 2014;34:441-8.
  • Taskiran N. Gebelik ve uyku kalitesi. J Turk Soc Obstet Gynecol. 2011;8:181- 7.
  • Facco FL, Kramer J, Ho KH, Zee PC, Grobman WA. Sleep disturbances in pregnancy. Obstet Gynecol 2010;115:77-83.
  • Kır Şahin F, Köken G, Coşar E, Saylan F, Fidan F, Yılmazer M, Ünlü M. Ge- belikte uyku apne sendromu ve eşlik eden hastalıklar. J Turk Soc Obstet Gynecol 2008;5: 22- 7.

Gebelikte Uyku Apne Sıklığının Değerlendirilmesi

Yıl 2015, Cilt: 12 Sayı: 5, 179 - 182, 01.09.2015

Öz

Giriş: Obstruktif uyku apnesinin OUA klasik semptomları horlama, apne atakları ve gün boyu uyku halidir. Gebelerde horlama sıklığının daha fazla olduğunu bildiren yayınlar mevcut olmakla birlikte ülkemizde bu konuyu irdeleyen çok araştırma bulunmamaktadır. Çalışmamızda, sağlıklı gebelerde farklı trimesterlerde OUA semptomlarının sıklığını, habituel horlama ile risk faktörleri arasındaki ilişkiyi araştırmayı amaçladık.Gereç ve Yöntemler: Gebelerde uyku bozukluklarını ve apne prevalansını ortaya koymak amacıyla hazırlamış olduğumuz ve gebeliğe ait bilgilerin, demografik verilerin, eşlik eden hastalıkların ve OUA semptomlarının sorgulandığı anket formları dolduruldu. Anket formları yüzyüze görüşme tekniği ile dolduruldu. OUA sorgulanması amacıyla literaturede en sık tercih edilen Berlin uyku anketi ve Epworth uykululuk skalası kullanıldı. Her trimesterden 100 gebe çalışmaya dahil edildi. Orta ve ağır apnesi olduğunu düşündüğümüz gebeler bilgilendirilerek polisomnografi önerildi. İstatistiksel analiz için SPSS 19.0 programı kullanıldı. Gruplar arasındaki farkların analizleri için Ki-kare, Fischer’s Exact test, t-test kullanıldı. Ortalamalar ortalama ± standart sapma olarak verildi. Sonuçlardan p0.05 .Sonuç: Obstruktif uyku apne sendromu önemli obstetrik komplikasyonlara yol açabileceği için tüm gebeler OUA bulguları açısından sorgulanmalı ve gerekli görülen gebelerde polisomnografik inceleme önerilmelidir.

Kaynakça

  • Schorr SJ, Chawla A, Devidas M, Sullivan CA, Naef RW 3rd, Morrison JC. Sleep patterns in pregnancy. A longitudinal study of polysomnograp- hy recordings during pregnancy. J Perinatol 1998; 18:427-30.
  • Edwards N, Middleton PG, Bylton DM, Sullivan CE. Sleep disordered bre- athing and pregnancy. Thorax 2002; 57: 555- 8.
  • Edwards N, Blyton DM, Hennessy A, Sullivan CE. Severity of sleep-disor- dered breathing improves following parturition. Sleep 2005; 28:737-41.
  • Facco FL, Kramer J, Ho KH, Zee PC, Grobman WA. Sleep disturbances in pregnancy. Obstet Gynecol 2010; 115: 77-83.
  • Elkus R, Popovich J Jr. Respiratory physiology in pregnancy. Clin Chest Med 1992;13:555–65.
  • Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occur- rence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993; 328:1230–5.
  • İzci B, Riha RL, Martin SE, Vennelle M, Liston WA, Dundas KC, et al. The upper airway in pregnancy and pre-eclampsia. Am J.Respir Crit Care Med 2003; 167: 137- 40.
  • Pamidi S, Pinto LM, Marc I, et al. Maternal sleep-disordered breathing and adverse pregnancy outcomes: a systematic review and metaanaly- sis. Am J Obstet Gynecol 2014; 210: 52.
  • Ding XX, Wu YL, Xu SJ, et al. A systematic review and quantitative as- sessment of sleep-disordered breathing during pregnancy and perinatal outcomes. Sleep Breath 2014;18 :703-13.
  • Reutrakul S, Zaidi N, Wroblewski K, Kay HH, Ismail M, Ehrmann DA, Van Cauter E. Interactions between pregnancy, obstructive sleep apnea, and gestational diabetes mellitus.J Clin Endocrinol Metab 2013;98:4195- 202.
  • Youssef HF, Dombrovskiy VY, Santiago TV, Nolledo MS. Sleep apnea is associated with gestational diabetes mellitus and pregnancy-induced hy- pertension. Am J Respir Crit Care Med 2007;175: 996.
  • Pien GW, Fife D, Pack AI, Nkwuo JE, Schwab RJ. Changes in symptoms of sleep-disordered breathing during pregnancy. Sleep 2005; 28:1299– 1305.
  • Izci B, Ardic S, Firat H, et al. Reliability and validity studies of the Turkish version of the Epworth Sleepiness Scale. Sleep Breath 2008;12:161-8.
  • Abrishami A, Khajehdehi A, Chung F. A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anaesth 2010;57:423- 38
  • Iber C, Ancoli-Israel S, Chesson A, Quan SF. The AASM manual for thes- coring of sleep and associated events: rules, terminology and technical specifications, 1st edition. Westchester, IL: American Academy of Sleep Medicine, 2007.
  • Louis JM, Mogos MF, Salemi JL, Redline S, Salihu HM. Obstructive sle- ep apnea and severe maternal-in fant morbidity / mortality in the United States, 1998-2009. Sleep. 2014 1;37:843-9.
  • Champagne K, Schwartzman K, Opatrny L, et al. Obstructive sleep apnoea and its association with gestational hypertension. Eur Respir J 2009;33:559-65.
  • Mullington JM, Haack M, Toth M, Serrador JM, Meier-Ewert HK. Cardio- vascular, inflammatory, and metabolic consequences of sleep deprivati- on. Prog Cardiovasc Dis. 2009;51:294–302.
  • Antony KM, Agrawal A, Arndt ME, Murphy AM, Alapat PM, Guntupalli KK, Aagaard KM. Association of adverse perinatal out comes with scre- eningmeasures of obstructive sleep apnea. J Perinatol 2014;34:441-8.
  • Taskiran N. Gebelik ve uyku kalitesi. J Turk Soc Obstet Gynecol. 2011;8:181- 7.
  • Facco FL, Kramer J, Ho KH, Zee PC, Grobman WA. Sleep disturbances in pregnancy. Obstet Gynecol 2010;115:77-83.
  • Kır Şahin F, Köken G, Coşar E, Saylan F, Fidan F, Yılmazer M, Ünlü M. Ge- belikte uyku apne sendromu ve eşlik eden hastalıklar. J Turk Soc Obstet Gynecol 2008;5: 22- 7.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Suna Kabil Kucur Bu kişi benim

Cüneyt Kucur Bu kişi benim

Ali Seven Bu kişi benim

Beril Yüksel Bu kişi benim

İlay Gözükara Bu kişi benim

Murat Polat Bu kişi benim

İsa Özbay Bu kişi benim

Fatih Şahbaz Bu kişi benim

Nadi Keskin Bu kişi benim

Yayımlanma Tarihi 1 Eylül 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 12 Sayı: 5

Kaynak Göster

Vancouver Kucur SK, Kucur C, Seven A, Yüksel B, Gözükara İ, Polat M, Özbay İ, Şahbaz F, Keskin N. Gebelikte Uyku Apne Sıklığının Değerlendirilmesi. JGON. 2015;12(5):179-82.