Sleep Apnea Syndrome in Obese Women During Pregnancy
Excess weight or obesity is associated with an increased risk of health disorders: high blood pressure, diabetes, cardiovascular risks, dyslipidemia and sleep apneas. During pregnancy in obese women, the risk of preeclampsia increases by three and the risk of fetal death in utero by five. Snoring and Obstructive sleep apnea (OSA) may be associated with increased risk of adverse pregnancy outcomes, including maternal cardio pulmonary status, fetal heart rate and fetal acidosis-basis status by recurrent upper-airway obstruction, hypoventilation, and intermittent nocturnal hypoxia. Reports in pregnancy have identified in association with OSA and preeclampsia, intrauterine growth restriction and stillbirth.
The prevalence of OSA among women is estimated to be 2-5%, but it remains underdiagnosed during pregnancy. In sleep apnea syndrome, a few data have shown better pregnancy and fetal outcome with the use continuous positive airway pressure (CPAP) therapy.
the hypothesis is in obese pregnant women that there could be a significant association between sleep apnea syndrome and hypertensive disorders, preeclampsia and adverse fetal outcomes This is a prospective study of Women with a body mass index of 35 kg.m2 or greater. The aim of this study is to determinate the prevalence of sleep apnea syndrome in obese pregnant women and the benefit of CPAP on the maternal and fetal outcome.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
North
-
Lille, North, France, 59037
- CHRU,Hôpital Jeanne de Flandre
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- age >18 years
- BMI > 35
- > 24th weeks of pregnancy
- informed consent,
- health assurance
Exclusion Criteria:
- no informed consent
- twin pregnancy or more
- no health assurance
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: OSA in obese patient during pregnancy
OSA in polysomnography
|
|
|
Experimental: no OSA in obese patient during pregnancy
no OSA in polysomnography
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Occurrence of apnea objectified by polysomnography according to specific neurophysiological criteria
Time Frame: during the sleep time, an average 8 hours
|
during the sleep time, an average 8 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
occurrence of vascular disease
Time Frame: from inclusion at the beginning of the management of pregnancy to delivery
|
High blood pressure (HTAG), Essential or chronic hypertension, preeclampsia, Severe preeclampsia
|
from inclusion at the beginning of the management of pregnancy to delivery
|
|
Evaluation of fetal impact by correlation of birth weight to gestational age
Time Frame: from inclusion at the beginning of the management of pregnancy to delivery
|
from inclusion at the beginning of the management of pregnancy to delivery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Anne-Frédérique Dalmas, MD, University Hospital, Lille
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Nervous System Diseases
- Nutrition Disorders
- Female Urogenital Diseases and Pregnancy Complications
- Overnutrition
- Body Weight
- Respiratory Tract Diseases
- Respiration Disorders
- Sleep Wake Disorders
- Hypertension, Pregnancy-Induced
- Overweight
- Apnea
- Sleep Disorders, Intrinsic
- Dyssomnias
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Signs and Symptoms
- Obesity
- Pre-Eclampsia
- Sleep Apnea Syndromes
- Sleep Apnea, Obstructive
- Pregnancy Complications
- Diagnostic Techniques and Procedures
- Diagnosis
- Monitoring, Physiologic
- Polysomnography
Other Study ID Numbers
Other Study ID Numbers
- 2008_32
- 2009-A01018-49 (Other Identifier: ID-RCB number, ANSM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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