Magazine article Clinical Psychiatry News

Does OSA Raise Gestational Diabetes Risk

Magazine article Clinical Psychiatry News

Does OSA Raise Gestational Diabetes Risk

Article excerpt

SAN FRANCISCO -- Pregnant women who have obstructive sleep apnea have a 2.3-fold increased risk of gestational diabetes and a 4.2-fold increased risk of pregnancy-induced hypertension, compared with women without the sleep disorder, according to a poster presentation at the International Conference of the American Thoracic Society.

Previous research has suggested that obstructive sleep apnea (OSA) may induce systemic hypertension and diabetes mellitus in the general population, but the connection was much less clear in pregnant women, investigator Dr. Michael S. Nolledo of the Robert Wood Johnson Medical School, Princeton, N.J., said in a press briefing.

"A lot of times for patients who are pregnant and for ob.gyns., sleep-disordered breathing is not on the radar screen," he said. When a woman who's pregnant goes to see her obstetrician, the physician asks a zillion things but almost never inquires about risk factors for sleep apnea.

Dr. Nolledo suggested that physicians dealing with women with gestational diabetes or pregnancy-induced hypertension (PIH) should inquire about sleep-disordered breathing, especially because OSA is so simple to treat with continuous positive airway pressure (CPAP).

"It may be a condition that you need treatment for just for the time you're carrying your baby," he said. "Once you deliver, the sleep apnea may resolve."

Dr. Nolledo acknowledged, however, that his study contains no direct evidence that treating sleep apnea will improve PIH or gestational diabetes. …

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