ANDRADE, J. C. B.; http://lattes.cnpq.br/7018889754776854; ANDRADE, Jessica Cristina Barbosa de.
Resumo:
Obstructive sleep apnea syndrome, also called OSAS, is a sleep-related respiratory
disorder. Its main characteristic is recurrent episodes of partial or total obstruction of
the upper airways during sleep, with reduction (hypopnea) or complete cessation
(apnea) of airflow, desaturation and awakening during sleep. As a result, there may
be manifestations such as daytime sleepiness with functional impairment in daily
activities and increased risk of traffic accidents. In addition, the patient has more
morbidities such as: cardiovascular diseases (hypertension, coronary artery disease,
arrhythmias, stroke), metabolic syndrome and diabetes. This study is extremely
important to raise the prevalence of the probability of developing OSAS among highrisk pregnant women by identifying aggravating factors such as obesity and
complaints of sleep disorder using the Berlin Questionnaire and Epworth Scale in
pregnant women as a screening method. The objective of this study was to evaluate
the prevalence of obstructive sleep apnea during pregnancy in high-risk pregnant
women attended at the Instituto de Saúde Elpídio de Almeida (ISEA), as well as
cardiovascular and gestational comorbidities. This is a quantitative descriptive study,
which evaluated the risk of developing OSAS in pregnant women using the Berlin
questionnaire, Epworth sleepiness scale, socioeconomic surveys and data that
contribute to assess risk factors such as obesity, excessive daytime sleepiness and
snoring. A total of 100 high-risk pregnant women were interviewed. Through the
application of the Berlin questionnaire, 28% of the pregnant women were considered
to be at high risk for OSAS (p = 0.0). Among them, 75% were obese (n = 21). The
vast majority of patients at high risk for OSAS were in the third trimester of gestation
(53%). It was possible to conclude that risk factors such as obesity and excessive
daytime sleepiness are linked to a higher risk of OSAS risk, as well as advanced
stages of pregnancy. It is evident that more accurate studies are needed on the
subject, in order to create diagnostic strategies and to prevent the diseases.