title: Diagnostic and management approach to common sleep disorders during pregnancy.
abstract: The significance for maternal and fetal health of gestational obstructive sleep apnea, primary insomnia, restless legs syndrome, and narcolepsy are summarized. The pathophysiology, signs, symptoms, and basic Sleep Medicine concepts that assist the obstetrician in suspecting these 4 conditions are described. Where appropriate, initial management options are also outlined. Referral guidelines to a Sleep Medicine specialist are included when further diagnostic, severity assessment, and management suggestions are needed.
authors.affiliation: Department of Neurology, Division of Sleep and Movement Disorders, University of Utah, Salt Lake City, Utah, USA. chris.jones@hsc.utah.edu
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Jones
mesh_terms: D005260:Female; D006801:Humans; D009290:Narcolepsy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000628:therapy; D012148:Restless Legs Syndrome / Q000503:physiopathology; D020181:Sleep Apnea, Obstructive; D020919:Sleep Disorders, Intrinsic / Q000175:diagnosis / Q000628:therapy; D007319:Sleep Initiation and Maintenance Disorders
references.citation: BMJ Open. 2012 Feb 27;2(1):e000850
references.pmid: 22371848
references.citation: Annu Rev Med. 2011;62:447-60
references.pmid: 21073334
references.citation: J Clin Sleep Med. 2012 Aug 15;8(4):389-94
references.pmid: 22893769
references.citation: Sleep. 2011 Sep 01;34(9):1155-9
references.pmid: 21886352
references.citation: Mayo Clin Proc. 2012 May;87(5):430-6
references.pmid: 22560522
references.citation: Obstet Gynecol. 2012 Apr;119(4):864-8
references.pmid: 22433352
references.citation: Pediatrics. 2012 Aug;130(2):e305-13
references.pmid: 22778296
references.citation: Sleep Med Clin. 2008 Mar;3(1):37-46
references.pmid: 19255602
references.citation: Am J Obstet Gynecol. 2012 Feb;206(2):e1-2
references.pmid: 22284158
references.citation: J Obstet Gynaecol Can. 2008 Jun;30(6):505-507
references.pmid: 18611302
references.citation: Clin Pharmacol Ther. 2010 Sep;88(3):369-74
references.pmid: 20686480
references.citation: Womens Health Issues. 2009 Jan-Feb;19(1):45-51
references.pmid: 19111787
references.citation: Respiration. 2012;83(6):559-66
references.pmid: 22377755
references.citation: J Clin Sleep Med. 2008 Dec 15;4(6):601-3
references.pmid: 19110892
references.citation: Respirology. 2012 Feb;17(2):213-22
references.pmid: 21992683
references.citation: Sleep Med Rev. 2012 Aug;16(4):297-307
references.pmid: 22075215
references.citation: J Perinatol. 2012 Jun;32(6):399-406
references.pmid: 22361975
references.citation: Sleep. 2012 Aug 01;35(8):1039-62
references.pmid: 22851801
references.citation: Sleep Breath. 2012 Dec;16(4):987-1007
references.pmid: 22038683