Table 3.

Treatment recommendations for gestational OSA.

CPAP

◇ Recommended in SDB general population with AHI ≥15 (level A)

◇ Recommended in hypertensive pregnant women with clinical symptoms and AHI ≥ 5

◇ Improved cardiac output in pre-eclampsia without adverse effects

◇ However, early nasal CPAP was not sufficient to prevent pregnancy negative outcome in a prospective longitudinal study34

Sleep Hygiene: recommendations for pregnant women with snoring and mild OSA

◇ Lateral positioning

◇ Avoidance of alcohol and sedatives

◇ Bed timing

Not supported during pregnancy

◇ Oral appliances

◇ Surgical procedures

◇ Supplemental night oxygen