| Abstrakt: |
Background: Pregnancy-related hypertensive diseases account for a significant portion of maternal and newborn morbidity and have a yearly treatment budget of billions of dollars. A growing body of research using cross-sectional studies shows a link between pregnancy-related hypertension and sleep disordered breathing. The link between SDB and hypertension is especially important during pregnancy since these morbidities have a significant negative impact on both the mother's and the fetus's health. Aim: i) To find out the prevalence of snoring in patients with pregnancy induced hypertension ii) To observe the effect of snoring on maternal and fetal outcomes. Methods and materials: Pregnant women in their third trimester were recruited from Kamla Raja Hospital who attended the OPD and were assessed for the presence and duration of habitual snoring, an established marker for sleep-disordered breathing. Pre-eclampsia and gestational hypertension were clinically diagnosed. After informed consent, a structured questionnaire (including several variables of interest) was filled and analysed after the end of the study. Results: In the third trimester, 35.2% of women reported snoring; 67.1 percent were non-snorers both before becoming pregnant and during the third trimester; 25.2% began snoring during pregnancy; and 9.2% experienced chronic snoring. Snorers in general and those who started snoring during pregnancy in particular were more likely than non-snorers to have chronic hypertension, prenatal hypertension, and pre-eclampsia. In contrast, although snorers were more likely than non-snorers to have gestational hypertension, subsequent investigation showed that it was chronic, rather than pregnancy-onset, snorers, who appeared to be the driving force behind this association. Conclusion: Pre-eclampsia and prenatal hypertension are both strongly associated with snoring during pregnancy. Simple screening of pregnant women may have clinical value due to the considerable morbidity and healthcare expenditures associated with hypertensive disorders of pregnancy. [ABSTRACT FROM AUTHOR] |
