Sleep Disordered Breathing and Pregnancy: Prevalence and Outcomes at Delivery
type: CreativeWork
description: Introduction Sleep Disordered Breathing (SDB) during pregnancy is associated with maternal and neonatal morbidity, and in-hospital mortality. A recent prevalence study using the Nationwide Inpatient Sample reported an obstructive sleep apnea (OSA) prevalence of 7.3 per 10,000 in 2013, a rate of 24% per year over the last decade. The rise in prevalence mirrors the rise in obesity. Military Treatment Facilities (MTF) have seen an increase in obesity and related co-morbidities with an unknown prevalence of SDB. Most studies have been conducted in high-risk populations; the general prevalence of SDB and its association with adverse pregnancy outcomes in a military population needs exploration. Methods This prospective, observational study used the Facco Four Variable (FFV) model and STOP-Bang to screen parturients presenting for delivery at a MTF to determine the general prevalence of SDB. Logistic regression on parturient data who screened positive, FFV (score ≥75) and STOP-Bang (score ≥ 3) was used to examine if higher rates of adverse pregnancy outcomes (gestational hypertension, preeclampsia/eclampsia, gestational diabetes, non-elective cesarean delivery, NICU admission, hospital stay >5 days, a composite variable of adverse pregnancy outcomes) were associated with SDB. Demographic and prevalence data were compared between active duty and non-active duty participants. Results Of the study population (N=295), the FFV identified 12.3% (n=36) and STOP-Bang 7.1% (n=21) participants at high risk for SDB. Adverse pregnancy outcomes were experienced by 58% women with the FFV and 66% with STOP-Bang. Logistic regression indicated the FFV categorical score (≥75) was not predictive of adverse pregnancy outcomes. Utilizing FFV absolute score, an increased risk of APO was noted (adjusted OR=1.03, 95% CI 1.01-1.05, p=.013). Logistic regression indicated a STOP-Bang score ≥3 was predictive of an adverse pregnancy outcome (adjusted OR=3.26, 95% CI 1.23-8.62, p=.018). Conclusion Fin…
abstract: Introduction Sleep Disordered Breathing (SDB) during pregnancy is associated with maternal and neonatal morbidity, and in-hospital mortality. A recent prevalence study using the Nationwide Inpatient Sample reported an obstructive sleep apnea (OSA) prevalence of 7.3 per 10,000 in 2013, a rate of 24% per year over the last decade. The rise in prevalence mirrors the rise in obesity. Military Treatment Facilities (MTF) have seen an increase in obesity and related co-morbidities with an unknown prevalence of SDB. Most studies have been conducted in high-risk populations; the general prevalence of SDB and its association with adverse pregnancy outcomes in a military population needs exploration. Methods This prospective, observational study used the Facco Four Variable (FFV) model and STOP-Bang to screen parturients presenting for delivery at a MTF to determine the general prevalence of SDB. Logistic regression on parturient data who screened positive, FFV (score ≥75) and STOP-Bang (score ≥ 3) was used to examine if higher rates of adverse pregnancy outcomes (gestational hypertension, preeclampsia/eclampsia, gestational diabetes, non-elective cesarean delivery, NICU admission, hospital stay >5 days, a composite variable of adverse pregnancy outcomes) were associated with SDB. Demographic and prevalence data were compared between active duty and non-active duty participants. Results Of the study population (N=295), the FFV identified 12.3% (n=36) and STOP-Bang 7.1% (n=21) participants at high risk for SDB. Adverse pregnancy outcomes were experienced by 58% women with the FFV and 66% with STOP-Bang. Logistic regression indicated the FFV categorical score (≥75) was not predictive of adverse pregnancy outcomes. Utilizing FFV absolute score, an increased risk of APO was noted (adjusted OR=1.03, 95% CI 1.01-1.05, p=.013). Logistic regression indicated a STOP-Bang score ≥3 was predictive of an adverse pregnancy outcome (adjusted OR=3.26, 95% CI 1.23-8.62, p=.018). Conclusion Fin…
author: Nations, Ryan Lyle
keywords: Facco four variable model, military, pregnancy, screening, sleep disordered breathing, STOP-Bang, Nursing, Obstetrics and Gynecology
date published: 2015-12-01T08:00:00Z
date modified: 2026-07-24T05:40:56Z
provider: University of San Diego
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of San Diego