Obstructive Sleep Apnea in Pregnancy

In this episode, Dr. Jennifer Dominguez, a leading expert in topics related to morbid obesity, particularly Obstructive Sleep Apnea (OSA), talks with us regarding the importance of early recognition and management of OSA during Pregnancy. To guide our discussion, we conversed regarding the recently published consensus statement titled- The Society of Anesthesia and Sleep Medicine and the Society for Obstetric Anesthesia and Perinatology Consensus Guideline on the Screening, Diagnosis, and Treatment of Obstructive Sleep Apnea in Pregnancy publication is an excellent reference for all those caring for patients with a known or suspected diagnosis of OSA. In this episode, we emphasized the intra (e.g., intrathecal morphine) and postoperative care (e.g., monitoring) of the parturient with a known or suspected OSA.

Here are the links to the study discussed during our Podcast:
Society of Anesthesia and Sleep Medicine and the Society for Obstetric Anesthesia and Perinatology Consensus Guideline on the Screening, Diagnosis, and Treatment of Obstructive Sleep Apnea in Pregnancy
https://pubmed.ncbi.nlm.nih.gov/37411038/
Obesity in Pregnancy – https://pubmed.ncbi.nlm.nih.gov/35857661/
Monitoring
Quantifying the incidence of clinically significant respiratory depression in women with and without obesity class III receiving neuraxial morphine for post-cesarean analgesia: a retrospective cohort study – https://pubmed.ncbi.nlm.nih.gov/34053816/
Prospective Observational Investigation of Capnography and Pulse Oximetry Monitoring After Cesarean Delivery With Intrathecal Morphine – https://pubmed.ncbi.nlm.nih.gov/29958217/
Incidence of respiratory depression after epidural administration of morphine for cesarean delivery: findings using a continuous respiratory rate monitoring system https://pubmed.ncbi.nlm.nih.gov/30477999/
Enough But Not Too Much: Monitoring for Neuraxial Morphine-Associated Respiratory Depression in Obstetric Patients – https://pubmed.ncbi.nlm.nih.gov/31313670/
Society for Obstetric Anesthesia and Perinatology Consensus Statement: Monitoring Recommendations for Prevention and Detection of Respiratory Depression Associated With Administration of Neuraxial Morphine for Cesarean Delivery Analgesia – https://pubmed.ncbi.nlm.nih.gov/31082964/