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The Influence of Continuous Positive Airway Pressure Ventilation Treatment on the Prognosis of Pregnant Women with Obstructive Sleep Apnea and Their Infants |
Zhao Qianqian, Sun Weifeng, Gong Shuo |
Department of Obstetrics,Shangqiu First People's Hospital,Shangqiu Henan 476000 |
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Abstract Objective To explore the impact of continuous positive airway pressure(CPAP)treatment on the prognosis of pregnant women with moderate to severe obstructive sleep apnea(OSA)and their infants.Currently,there are multiple clinical trial results available in the clinical setting. Methods A total of 89 pregnant women with OSA(moderate to severe)were included.Among them,45 had moderate OSA and were divided into a control group of 25 patients and a CPAP intervention group of 20 patients.The remaining 44 patients with severe OSA were divided into a control group of 21 patients and a CPAP intervention group of 23 patients.The pregnancy complications(severe complications of gestational hypertension,diabetes,heart disease,fetal growth restriction,and fetal distress)and maternal and infant outcomes(preterm birth,cesarean section,neonatal asphyxia,and perinatal death)were compared between the CPAP intervention group and the control group. Results In pregnant women with moderate OSA,the CPAP treatment group had a significantly lower incidence of severe complications of gestational hypertension compared to the control group(P<0.05).In pregnant women with severe OSA,the CPAP treatment group had significantly lower incidences of severe complications of gestational hypertension,diabetes,fetal growth restriction,fetal distress,and preterm birth compared to the control group(P<0.05). Conclusion CPAP treatment for pregnant women with moderate to severe OSA can significantly reduce the incidence of severe complications of gestational hypertension,as well as the incidences of diabetes,fetal growth restriction,fetal distress,and preterm birth in those with severe OSA,thereby significantly improving the prognosis of both the mother and the infant.
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Received: 12 February 2025
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