Tracy Carbone, MD System Medical Director of Sleep Medicine Lee Health Golisano Children s Hospital of Southwest Florida Fort Myers, FL
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1 Tracy Carbone, MD System Medical Director of Sleep Medicine Lee Health Golisano Children s Hospital of Southwest Florida Fort Myers, FL
2 Background Factors Which Increase the Risks for OSA in Pregnancy Increased upper airway resistance Decreased pharyngeal diameter Estrogen induced nasal congestion and rhinitis Hypocapnia and associated respiratory alkalosis Greater negative inspiratory pressure leading to increased tendency for upper airway collapse
3 Background Snoring and excessive daytime sleepiness are classic symptoms of obstructive sleep apnea (OSA), a condition associated with significant pathophysiologic sequelae, including intermittent hypoxemia and hypertension. The presence of these pathophysiologic sequelae during pregnancy could result in significant untoward consequences to both the mother and the fetus.
4 Obstruc0ve Sleep Apnea in pregnancy Hypertensive disorders of pregnancy Gestational diabetes Fetal compromise
5 Poten0al Interac0on Between Obstruc0ve Sleep Apnea and Hypertensive Disorders of Pregnancy Obstructive Sleep Apnea Episodic hypoxia In9lammation Sympathetic activation Placental ischemia Endothelial dysfunction Hypertension Upper airway edema Pre-eclampsia
6 Poten0al Interac0on Between Obstruc0ve Sleep Apnea and Gesta0onal Diabetes Obstructive Sleep Apnea Episodic hypoxia In9lammation Reduced adiponectin Sympathetic activation Insulin resistance Increased cortisol Gestational diabetes
7 Preeclampsia One of the top three causes of maternal death Affects about 7% of all pregnant women Usually begins after twenty weeks of pregnancy Represents a serious medical condition characterized by high blood pressure, proteinuria, and rapid weight gain Associated with maternal liver and kidney disease Approximately 1 in 20 women with preeclampsia will develop eclampsia, characterized by seizures Preeclampsia resolves following delivery
8 Gesta0onal Diabetes Like other kinds of diabetes, gestational diabetes affects how a pregnant woman s cells use glucose Extra glucose in the mother s bloodstream crosses the placenta and triggers the developing baby s pancreas to make too much insulin
9 IUGR Defined as a fetus who is at or below the tenth percentile in weight for his/her gestational age Secondly, there is a pathological process present that prevents the expression of normal growth potential. Commonly associated with uteroplacental insufficiency, as seen in preeclampsia
10 Early Studies Franklin and colleagues studied 502 women with singleton pregnancies. They reported that snoring was an independent predicator of maternal hypertension and fetal growth restriction (Chest 2000; 117: ).
11 Early Studies Izci and co-investigators studied 167 healthy women and 82 preeclamptic women in the third trimester of pregnancy and 160 non-pregnant women (Sleep Medicine 2005, 6: ). They found that snoring and sleepiness increased in the last trimester, particularly in patients with preeclampsia.
12 Later Studies Louis and colleagues (AJOG 2010;202:261.e1-5) analyzed 57 pregnancies complicated by OSA, diagnosed by standard 15-channel polysomnography Ø OSA patients had more preeclampsia and preterm births Reid and co-investigators (SLEEP 2011;34(8): ) compared 34 women with gestational hypertension to 26 healthy women with uncomplicated pregnancies and found more SDB in the more obese gestational hypertensive group
13 Objec0ve The objective of our study was to determine if snoring and/or excessive sleepiness during pregnancy were associated with unfavorable pregnancy outcomes.
14 Methodology The study group consisted of postpartum mothers on the obstetrics floor at The Valley Hospital in Ridgewood, NJ. between 5/08 and 5/09 The study was approved by The Valley Hospital Institutional Review Board, and parental consent for study participation and chart reviews were obtained.
15 Methodology The mothers had delivered a healthy infant within the previous 24-hour period. Mothers were randomly selected and asked to complete two standardized questionnaires (the Epworth Sleepiness Scale and the Snoring Symptoms Inventory) used to identify symptoms of obstructive sleep apnea, specifically excessive daytime sleepiness and snoring.
16 The Epworth Sleepiness Scale 0= no chance of dozing 1= slight chance of dozing 2= moderate chance of dozing 3= high chance of dozing 0-9 = Normal Range = Borderline = Abnormal SITUATION Sitting and reading Watching TV Sitting inactive in a public place (e.g. theater or a meeting) As a passenger in a car for an hour without a break Lying down to rest in the afternoon when circumstances permit Sitting and talking to someone Sitting quietly after a lunch without alcohol In a car, while stopped for a few minutes in traffic CHANCE OF DOZING
17 Snoring Symptoms Inventory 25 questions pertaining to the potential presence of obstructive sleep apnea Score: Strongly agree=4 Agree=3 Neither=2 Disagree=1 Strongly disagree=0 Otolaryngol Head Neck Surg Jan; 134(1):56-62
18 Snoring Symptoms Inventory 1) My sleep is disturbed 2) My family complains about my snoring 3) I feel tired 4) I am concerned about disturbing my partner s sleep or the sleep of others in the home 5) I have a dry mouth or throat 6) I am embarrassed when I stay overnight with friends or relatives 7) I have a blocked nose 8) Because of my snoring, I sometimes have to sleep in a separate room to my partner or others in the home
19 Snoring Symptoms Inventory 9) I am concerned that my snoring puts a strain on my personal relationship(s) 10) I worry about falling asleep whilst driving 11) I am embarrassed when I am on holiday or staying in hotels 12) I feel bad tempered and irritable 13) I sometimes fall asleep during the day 14) I have a sore throat 15) My sex life has been affected by my snoring 16) I have problems concentrating on my work
20 Snoring Symptoms Inventory 17) I am unable to concentrate during the day 18) I lack self confidence 19) I have a choking feeling 20) I feel depressed because I cannot do anything about my snoring 21) I get headaches 22) I have problems breathing 23) I feel frightened of going to sleep 24) I am embarrassed by my snoring 25) My neighbours complain about my snoring
21 Methodology Medical chart reviews were conducted Maternal data regarding age, race, smoking, alcohol use, health status, medications, pregnancy, labor, and delivery information were noted Newborn infant charts were also reviewed Gestational age, birthweight, and Apgar scores were recorded
22 Results- Maternal Data 107 mothers enrolled in study Mean age was 34 years old with a standard deviation of 5 years
23 Results- Maternal Data Caucasian- 82.2% Hispanic- 6.5% Asian- 5.6% African American- 3.7% Other- 2.8% Smoked during pregnancy- 3.7% Used alcohol during pregnancy- 5.6%
24 Methods of Delivery Methods of Delivery Percentage (%) Scheduled C/Section 38.7 NSVD 29.2 Unscheduled C/Section 23.6 Emergency C/Section 0.9
25 Rela0onship of Epworth Sleepiness Scale (ESS) to Snoring Symptoms Inventory (SSI) In 107 observations, the overall means and standard deviations for the 2 measures were: ESS= 8.8 +/- 4 SSI= /- 16 The relationship between these measures was assessed using a Pearson Correlation Statistic (r), which showed a high correlation between the measures (r= 0.486; p< ).
26 Rela0onship of Epworth Sleepiness Scale (ESS) to Snoring Symptoms Inventory (SSI) Pearson Correlation Statistic was used to assess the relationship between ESS and SSI totals and total maternal weight gain, labor duration (hrs), systolic and diastolic blood pressures, infant gestational age (wks), and infant birthweight (gms).
27 Rela0onship of ESS and SSI Totals to Pregnancy Outcomes Mean ± s.d. ESS SSI Total Weight Gain 34 ± 13 r= p= Labor Duration (hrs) 4.0 ± 5 r= p= r= p= r= p= o.918 Systolic BP 124 ± 17 r= p= Diastolic BP 75 ± 11 r= p= Infant weight (gms) 3430 ± 496 r= p= r= p= r= p= r= p= Gestational Age (wks) 38.7 ± 1 r= p= r= p= 0.013
28 Rela0onship of ESS and SSI to Preeclampsia ESS mean ± s.d. p-value SSI mean ± s.d. p-value Preeclampsia No 8.5 ± ± 16 Preeclampsia Yes 12.7 ± ±
29 Conclusions In our population, pregnant women who demonstrated excessive daytime sleepiness also had symptoms of sleep disturbance due to snoring. Elevated scores on the ESS and SSI were associated with adverse maternal and neonatal outcomes, specifically preeclampsia and lower infant birthweights and younger gestational ages.
30 Maternal OSA in NICU Babies Our second study looked at mothers on the postpartum floor who had delivered an infant admitted to the NICU within the past 24 hours The Institutional Review Board at The Valley Hospital approved this study, and maternal consent for participation and chart reviews was obtained. Data was collected between 6/09-3/12
31 Conclusions: NICU In this population, pregnant women who demonstrated excessive daytime sleepiness again had symptoms of sleep disturbances due to snoring. Elevated scores on the SSI were associated with adverse maternal outcomes, specifically, higher Hb and Hct and pre-eclampsia (p=0.001). Elevated SSI scores correlated with an increased incidence of gestational diabetes (p=0.003), and both preeclampsia and gestational diabetes correlated with the incidence of fetal IUGR (p=0.006 and p=0.045, respectively). High SSI scores were associated with lower 5 minute Apgar scores at birth.
32 Conclusions In our population of pregnant women who demonstrated excessive daytime sleepiness, there were also symptoms of sleep disturbance due to snoring. Elevated scores on the SSI were associated with adverse maternal outcomes, specifically, higher Hb and Hct, preeclampsia, and gestational diabetes. In addition, poorer infant outcomes were likely.
33 Acknowledgements Kim Cahill, RN, MSN Alexa Violaris Richard Shaw Labor and Delivery, Newborn Nursery, and NICU nurses
34 OSA and Maternal Deaths Study published in May, 2014 in SLEEP (Louis et al) found that after controlling for obesity and other potential confounders, OSA was found to be associated with preeclampsia (OR 2.5), eclampsia (OR 5.4), cardiomyopathy (OR 9.0), and pulmonary embolism (OR 4.5). Risk of in-hospital mortality was more than 5 times higher in women with OSA. Adverse effects of OSA on these outcomes was exacerbated by obesity.
35 Popula0on-Based Study of OSA in Pregnancy Bin and co-investigators in New South Wales used linked birth and hospital records for all women who gave birth from (n=636,227). Sleep apnea in the year before pregnancy or during pregnancy was identified from hospital records. Sleep apnea was significantly associated with pregnancy hypertension (adjusted RR 1.43), planned delivery (1.15), preterm birth (1.50), 5 minute Apgar <7 (1.60), NICU admission (1.26), LGA infant (1.27). Bin et al., J Clin Sleep Med, June,2016
36 Summary Maternal OSA has been associated with gestational diabetes, preeclampsia, eclampsia, cardiomyopathy, pulmonary embolus and maternal death. Maternal OSA has been associated with fetal growth restriction and poorer infant outcomes.
37 Evalua0on for OSA Clinical tools, questionnaires and prediction algorithms should not be used alone to diagnose OSA Home Sleep Testing (if negative, inconclusive, or technically inadequate) In Lab Polysomnography
38 In Lab Polysomnography Patients with significant cardiorespiratory disease Potential muscle weakness due to neuromuscular disorder Awake hypoventilation or suspected sleep related hypoventilation Chronic opioid medication use History of stroke Severe insomnia J Clin Sleep Med. 2017;13(3):
39 Treatment for Maternal OSA Positive Airway Pressure AutoPAP CPAP
40 Key to Effec0ve Treatment Early testing Early initiation of treatment
41 Suggested Screening for OSA in Pregnancy Mothers with the following factors are considered to be high risk: (1) Previous diagnosis of OSA (2) Obesity (3) Hypertension (4) Cardiac disease ( i.e., cardiomyopathy, arrhythmia ) (5) Previous pregnancy complicated by preeclampsia
42 Screening for OSA in Pregnancy Mothers with the following potential risk factors may benefit from screening: (1) History of previous losses during pregnancy (2) History of habitual snoring or worsening snoring during pregnancy (3) Excessive sleepiness worsening during pregnancy
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