Assessment of obstructive sleep apnea-hypopnea syndrome risk at the end of pregnancy using the Berlin Questionnaire.
OBJECTIVE
To assess the risk of obstructive sleep apnea-hypopnea syndrome (OSAHS) and related factors at the end of pregnancy using the Berlin questionnaire.


METHODS
A total of 367 women at the end of pregnancy (median gestational age 39 weeks) were interviewed with the Berlin questionnaire and a general survey containing maternal socio-demographic and anthropometric information. Neonatal outcome data were also assessed.


RESULTS
Median age for the whole sample was 31 years. According to the Berlin questionnaire, 39.8% were positive for high risk of OSAHS. Upon bivariate analysis, higher risk of OSAHS was significantly related to church attendance, and higher pre-pregnancy body mass index (BMI), current BMI, weight, neck and arm circumference and systolic blood pressure at survey. Logistic regression analysis found that higher maternal pre-pregnancy BMI (OR 2.71 95% CI 1.84-4.00, p < 0.0001) and higher maternal weight at survey (OR 3.02, 95% CI 1.78-5.17, p < 0.0001) were significantly related to a higher risk of OSAHS.


CONCLUSIONS
The risk of OSAHS is relatively high at the end of pregnancy and related to a higher pre-pregnancy BMI and higher maternal weight at survey. Further studies are needed to confirm our results with a diagnostic tool, such as polysomnography or another similar yet less complicated to carry out procedure.
a Department of Obstetrics and Gynecology , Hospital Torrecárdenas , Almeria , Spain .
Ana M
AM
Fernández Alonso
b Facultad de Ciencias Médicas , Institute of Biomedicine, Research Area for Women's Health, Universidad Católica de Santiago de Guayaquil , Guayaquil , Ecuador .|c Enrique C. Sotomayor Obstetrics and Gynecology Hospital , Guayaquil , Ecuador , and.
Peter
P
Chedraui
d Department of Obstetrics and Gynecology, Facultad de Medicina , Lozano Blesa University Hospital, Universidad de Zaragoza , Zaragoza , Spain.
Faustino R
FR
Pérez-López
D000328:Adult; D001132:Arm / Q000033:anatomy & histology; D001794:Blood Pressure; D015992:Body Mass Index; D001835:Body Weight; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D009333:Neck / Q000033:anatomy & histology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology*; D011263:Pregnancy Trimester, Third; D012306:Risk; D018570:Risk Assessment; D012307:Risk Factors; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis / Q000453:epidemiology*; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult
Apnea-hypopnea syndrome; Berlin questionnaire; pregnancy; sleep-disordered breathing