Alaska Sleep Education Center

Sleep Apnea and Preeclampsia

The Connection Between Sleep Apnea and Preeclampsia
  That little snore of yours that your partner finds so adorable may not seem like much  But when it comes to pregnancy that little snore has the potential of causing preeclampsia a less than desired condition involving high blood pressure 
  When it comes to the health of you and your baby that cute little snore is not worth the risk If youre pregnant or planning on becoming pregnant you might want to get your sleep apnea checked out sooner rather than later
 What Is Sleep Apnea
  Sleep apnea is a condition when a person stops breathing temporarily numerous times throughout the night  One reason for this could be due to a lack of the brains communication to the muscles called Central Sleep Apnea 
  The most common form of sleep apnea is Obstructive Sleep Apnea which is when the airways are partially or completely blocked during sleep  You can read more about types of sleep apnea in our blog The 3 Types of Sleep Apnea Explained Obstructive Central Mixed 
Pregnant lady at her check=up.
 
What Is Hypertension or High Blood Pressure
While the name may seem self explanatory it can be difficult to fully understand what high blood pressure or hypertension actually does  Luckily the American Heart Association answers that question in a way thats easy to understand
High blood pressure is when your blood pressure the force of your blood pushing against the walls of your blood vessels is consistently too high When the heart beats it creates pressure that pushes blood through a network of tube shaped blood vessels which include arteries veins and capillaries
  This pressure blood pressure is the result of two forces The first force systolic pressure occurs as blood pumps out of the heart and into the arteries that are part of the circulatory system  The second force diastolic pressure is created as the heart rests between heart beats
 
 Blood pressure numbers to know and look for at your doctor visit.
 
  Unfortunately those with sleep apnea often experience heart disease and an increase of blood pressure when left untreated  And though sleep apnea is not always coupled with heart disease a connection between the two is not uncommon 
  This is due to blood oxygen levels dropping during the brief pauses in breathing at night which then causes the brain to send a signal to constrict vessels in order to increase oxygen flow  This restriction in blood oxygen can lead to an increased blood pressure level during waking hours for those experiencing sleep apnea 
   Leaving high blood pressure untreated for too long can lead to a plethora of cardio issues You can and should regardless of your risk status check your blood pressure levels with an automated cuff either at your doctors office at your pharmacys seated station or even in the comfort of your own home where youll feel the most relaxed
  If you are noticing a rise in numbers a few lifestyle changes like more water and physical activity can help to lower them  If youre finding that your numbers are still high and rising then be sure to visit your family practitioner or hypertension specialist 
Poor sleep can lead to preeclampsia.
 
What Is Preeclampsia
  Sometimes known as toxemia preeclampsia is defined as a rapidly progressive condition characterized by high blood pressure and usually the presence of protein in the urine
  When a pregnant woman experiences high blood pressure the force of pressure can cause blood vessels to contract while small blood vessels clamp down in the kidneys liver brain and other organs in the body and show protein in the urine  This may not sound like much but the results could be catastrophic for both baby and mom 
  Affecting roughly 5 of pregnancies preeclampsia typically occurs after 20 weeks and can sometimes last up to six weeks post partum  When left untreated it can affect the blood vessels in the placenta and damage babys blood and oxygen intake which can lead to issues with fetal development 
  It can also eventually lead to eclampsia a serious condition that causes seizures that could be followed by a coma and the loss of the pregnancy if not the death of the mother  The only cure is delivery which can cause a whole new set of complications if the babys development isnt far enough along to sustain outside the womb 
  Health care professionals have yet to identify the causes of preeclampsia but some speculation includes changes in biology of the placenta a variety of hormones and other proteins that are in the mothers circulation improper cardiovascular adaptations to the pregnant state and even an underlying maternal risks for cardiovascular disease
  Other than high blood pressure some signs of preeclampsia include swelling of the face and feet sudden weight gain impaired vision nausea and blinding headaches  Of course many of these symptoms are also a side effect of being pregnant and some women dont experience any symptoms at all 
  Your best indicator as to whether you are developing the fatal condition is your blood pressure so be sure to keep a close watch on your numbers throughout your pregnancy 
OSA is dangerous for mom and baby.
 
Whats the Connection
  Explained in our blog Pregnancy and Sleep Apnea OSA and Increasing Weight Gain untreated Obstructive Sleep Apnea  in pregnant women can lead to complications during pregnancy including high blood pressure enlarged heart pulmonary blood clots more frequent preeclampsia neonatal intensive care unit admissions and cesarean delivery Thats why its so important to diagnose OSA and take steps to treat it
  Even if you didnt have hypertension or sleep apnea before pregnancy it doesnt mean youre not at risk 
  Not only can obesity and weight gain during pregnancy contribute to the risk of airways being blocked but even an increase in estrogen during pregnancy can cause the mucus membranes lining the airway to swell and constrict airflow posing the risk of developing Obstructive Sleep Apnea 
  Not to mention that women are far less frequently diagnosed with OSA leading to a lack of treatment and prevention of related complications 
  So while you might not think much of your nightly snoring there are reasons to be concerned when it comes to pregnancy  While the two may seem irrelevant to one another the connection and a lack of diagnosis can cause some serious side effects that you wont want to ignore 
  If you are pregnant or planning on becoming pregnant in the near future and think you may have sleep apnea youll want to be sure to visit your nearest sleep clinic right away 
   Luckily the sleep experts at Alaska Sleep Clinic are well versed in a variety of sleep related complications including Obstructive Sleep Apnea  If you live in Alaska call Alaska Sleep Clinics board certified sleep specialists for a free 10 minute consultation 
 
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Jennifer Hines
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Alaska Sleep Clinic's Blog

Our weekly updated blog aims to provide you with answers and information to all of your sleeping questions.

Brent Fisher, MBA, FACHE, FACMPE
President and Chief Executive Officer

“Alaska Sleep Clinic has a history of providing the most comprehensive sleep medicine services in the state of Alaska. Its potential has only begun. I am here to take these high-quality, comprehensive services to all Alaskans.”

Experience

Brent Fisher has held leadership positions spanning a wide variety of complex and start-up organizations: manufacturing (pharmaceutical & medical device), software development, hospitals (academic and community), medical groups, consulting, hospice, military, engineered devices, engineered plastics, and private equity.

Publications and Organizations

His writings have been published in various magazines, trade journals, and medical journals, including the Physician Executive Journal, Healthcare Executive, Modern Healthcare, Group Practice Journal, New England Journal of Medicine, and Journal of Healthcare Management (Best Article Award).

He has served on the Board of Directors of professional associations, civic organizations, and businesses.

Hobbies and Activities

Brent enjoys being with his family, serving in the community, hiking, camping, fishing, and hunting.