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Obstructive sleep apnea (OSA) is increasingly recognized as being associated with significant morbidity in pregnancy, yet minimal guidance is available on how best to screen, diagnose, treat, and reevaluate for sleep-disordered breathing in pregnant patients. This guideline endorsed by the American Academy of Sleep Medicine and supported by the American College of Obstetricians and Gynecologists provides nine evidence-based recommendations for treating pregnant patients with OSA.
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In pregnant individuals on CPAP for OSA prior to pregnancy, we suggest switching to autotitrating PAP over continuing CPAP.
In pregnant individuals undergoing evaluation for OSA, we suggest either at-home diagnostic devices or lab-based diagnostics.
In individuals diagnosed with OSA during pregnancy, we suggest reassessment for OSA after delivery.
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Our guidelines are aimed at helping you respond to today’s clinical challenges and improve patient health outcomes. Our panel of experts has developed multimedia content to facilitate adoption of this guideline into your day-to-day practice.
Guidelines for Addressing OSA in Pregnancy Guideline panelists Ghada Bourjeily, MD, and Carolyn D’Ambrosio, MD, MS, FCCP, discuss new, multidisciplinary guideline recommendations designed to help clinicians better screen, diagnose, and manage OSA in pregnant patients.
Guideline on Sleep-Disordered Breathing in Pregnancy Released by CHEST In a release issued to the media, lead author Carolyn D’Ambrosio, MD, FCCP, speaks to the importance of this guideline in practice.
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