Is your sleep apnea putting your baby at risk?

Washington: Babies born to mothers with sleep apnea have a higher risk of congenital anomalies and are likelier to need resuscitation at birth, according to a recent study.

Preliminary results show that newborns of mothers with sleep apnea were more likely to be admitted to the intensive care unit (25.3% vs. 8.1%) or special care nursery (34.9% vs. 13.6%), and they were 2.76 times more likely to have resuscitation at birth and 2.25 times more likely to have a longer hospital stay. The risk for congenital anomalies also was 26 percent higher in babies of women with sleep apnea.

"Our results have shown that babies born to mothers with a diagnosis of obstructive sleep apnea are more likely to require resuscitative efforts at birth, be born preterm, and to require a stay in the neonatal intensive care unit compared to babies who were not exposed to maternal sleep apnea," said lead author Ghada Bourjeily from the Brown University.

Using data collected by the National Perinatal Information Centre, the research team led by Bourjeily analyzed more than 1.4 million linked maternal and newborn records with a delivery hospitalization from 2010-2014. Less than 1 percent of the mothers had a diagnosis code of obstructive sleep apnea; however mothers with sleep apnea had a higher likelihood of having obesity, pre-gestational hypertension and diabetes.

"These findings add to our understanding of the extent of morbidities of maternal sleep apnea for the mother as well as the baby," said Bourjeily. "The results further highlight the importance of identifying this condition in pregnancy and testing the impact of therapy on these complications."

The research abstract is published in an online supplement of the journal Sleep.