Research recommendations
Is screening for OSA during pregnancy useful? We found, as in the
literature, many cases of mild or moderate OSA, for which CPAP treatment
is not recommended. Moreover, the effectiveness of CPAP has not been
assessed in pregnant women, and supplementary studies are needed. We did
not find that women with OSA had high rates of complications during
pregnancy and delivery, except for the gestational diabetes that is very
frequent in obese women. Moreover, diagnosing OSA imposed the constraint
of a night of hospitalization and had nontrivial financial costs. It
therefore appears important to target women at risk before proposing OSA
screening and to assess the real impact of this screening on the course
and outcomes of pregnancy.