الفهرس | Only 14 pages are availabe for public view |
Abstract OSA is significantly associated with perinatal complications including pregnancy hypertension, caesarean section, thromboembolism, preterm birth, 5-minute Apgar less than 7, admission to neonatal intensive care & congenital malformations. Very few parturients are diagnosed during pregnancy. If the diagnosis is verified, perioperative CPAP therapy may reduce morbidity in both the mother and baby. Parturients with a low risk of OSA with optimized comorbid conditions may safely receive labour epidural analgesia and may undergo surgery with perioperative OSA precautions. Parturients with a high risk or moderate to severe OSA should be optimised before parturition & regional anaesthesia is preferred.If general anaesthesia is inevitable, special precautions should be taken especially management of difficult intubation. Finally, appropiate postoperative care should be applied to each case according its consequences. Keywords: Polysomnogram - Maximal inflation pressure - Positive end-expiratory pressure |