Department of Anesthesiology, Obstetric Anesthesiology, Division of Women's Anesthesia, Duke University Medical Center, Mail Sort #9, DUMC Box 3094, Durham, NC 27710, USA.
Division of Maternal Fetal Medicine, Department of OB/GYN, Medical College of Georgia, Augusta University, 1120 15th Street, BA-7410, Augusta, GA 30912, USA.
Obstet Gynecol Clin North Am. 2018 Jun;45(2):233-247. doi: 10.1016/j.ogc.2018.01.001.
The spectrum of sleep-disordered breathing (SDB) ranges from mild snoring to obstructive sleep apnea, the most severe form of SDB. Current recommendations are to treat these women with continuous positive airway pressure despite limited data. SDB in early and mid-pregnancy is associated with preeclampsia and gestational diabetes. Pregnant women with a diagnosis of obstructive sleep apnea at delivery were at significantly increased risk of having cardiomyopathy, congestive heart failure, pulmonary embolism, and in-hospital death. These effects were exacerbated in the presence of obesity. Postpartum, these women are at risk for respiratory suppression and should be monitored.
睡眠呼吸紊乱（SDB）的范围从轻度打鼾到阻塞性睡眠呼吸暂停，这是 SDB 最严重的形式。尽管数据有限，但目前的建议是对这些女性进行持续气道正压通气治疗。妊娠早期和中期的 SDB 与先兆子痫和妊娠期糖尿病有关。分娩时诊断为阻塞性睡眠呼吸暂停的孕妇发生心肌病、充血性心力衰竭、肺栓塞和院内死亡的风险显著增加。肥胖使这些影响更加严重。产后，这些女性有呼吸抑制的风险，应进行监测。
