Pregnancy and OSA; Risk to Mother and Child-Pregnancy and OSA; Risk to Mother and Child

Video Transcription

Video Summary

In the video, Dr. Michelle Oken discusses the relationship between pregnancy and obstructive sleep apnea (OSA). She explains that women are more prone to developing OSA during their childbearing years and the menopausal transition. The hormonal changes during pregnancy, such as increased levels of estrogen and progesterone, can impact sleep and respiratory stability. Additionally, weight gain during pregnancy can further increase the risk of developing OSA. Dr. Oken highlights the various physiological changes that occur during pregnancy, including increased maternal fat, changes in cardiovascular and respiratory function, and alterations in hormone levels. These changes can contribute to the development or worsening of OSA. She also discusses potential complications associated with OSA during pregnancy, including gestational diabetes, preeclampsia, and fetal growth restriction.<br /><br />Dr. Oken emphasizes the importance of identifying and diagnosing OSA in pregnant women early on. She suggests using screening tools, such as questionnaires, to assess symptoms and risk factors. However, there is currently no standardized protocol for identifying and managing OSA in pregnancy. Treatment options include lifestyle changes (e.g., weight management, positional therapy), oral appliances, continuous positive airway pressure (CPAP) machines, and surgical interventions. Dr. Oken also mentions the potential role of dental sleep medicine in identifying and treating OSA in pregnant women.<br /><br />Overall, the video emphasizes the need for healthcare providers to be aware of the relationship between pregnancy and OSA and to consider OSA as a potential underlying factor in sleep disturbances during pregnancy.

Keywords

pregnancy

obstructive sleep apnea

OSA

hormonal changes

respiratory stability

weight gain

physiological changes

gestational diabetes

preeclampsia