Sleep Apnea, Obstructive
Conditions
Keywords
Obstructive sleep apnea, Preeclampsia, Pregnancy, Stopbang
Brief summary
The purpose of this study is to find the correlation between high risk OSA (obstructive sleep apnea) patient, based on Stop-bang screening tool and preeclampsia
Detailed description
Obstructive sleep apnea (OSA) has been associated with preeclampsia and intrauterine growth retardation (IUGR). Since the gold standard diagnosis of OSA is polysomnogram which is limited by cost and availability. Therefore, various screening tools were proposed in order to identify high risk OSA patient such as Stop-bang questionnaire. From the previous study, Stop-bang showed a high predictive performance and the score equal or higher than 3 determines high risk for OSA.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
\- Pregnant women who were scheduled for cesarean delivery or admitted to the antepartum unit at Ramathibodi hospital
Exclusion criteria
* Age \< 18 year old * Previous diagnose OSA * Patients who have used continuous positive airway pressure (CPAP) or bi-level positive airway pressure (Bi-PAP) fro OSA treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of pre-eclampsia between high and low risk of OSA patient based on Stop-bang screening test | 1 day |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| prevalence of pre-eclampsia between high and low risk of OSA patient, based on Epworth sleepiness scale | 1 day | — |
| prevalence of pre-eclampsia between high and low risk of OSA patient, based on Berlin questionnaire | 1 day | — |
| prevalence of pre-eclampsia between high and low risk of OSA patient, based on American society check list | 1 day | — |
| The prevalence of maternal adverse event between high risk and low risk of OSA patient | 1 day | Maternal adverse events include hypoxemia, arrythmia, perioperative myocardial infarction, heart failure |
| The prevalence of neonatal adverse event between high risk and low risk of OSA patient | 1 day | Neonatal adverse events include IUGR, neonatal intensive care unit admission, low apgar score |