Gestational diabetes and risk ofobstructive sleep apnea in the thirdtrimester

• Autores: Panta-Chumacero, Kenelma Dariana, Serna Alarcón, Víctor
• Formato: artículo
• Fecha de Publicación: 2025
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español; inglés
• OAI Identifier: oai:ginecologiayobstetricia.pe:article/2762
• Enlace del recurso: https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2762
• Nivel de acceso: acceso abierto

Introduction: Physiological changes during pregnancy predispose women tocomplications such as gestational diabetes (GD) and obstructive sleep apnea (OSA).Recent studies suggest a possible relationship between the two conditions in the third trimester; however, this relationship has not yet been sufficiently explored in local contexts. Objective: To evaluate the association between gestational diabetes (GD) and the risk of obstructive sleep apnea (OSA) in third-trimester pregnant women. Methods: An observational, cross-sectional study included 152 pregnant women with ≥28 weeks' gestational age. OSA risk was assessed using the Epworth,STOP-BANG, and Mallampati scales, while the presence of GD was determined using the IADPSG criteria. Crude prevalence ratios (cPR) and adjusted prevalence ratios (aPR) with 95% confidence intervals were calculated. Results: A significantassociation was observed between the risk of OSA and gestational diabetes (cPR = 1.465) as well as with hyperglycemia (cPR = 2.03). After the adjusted analysis, only hyperglycemia showed a significant association (aPR = 1.985). Conclusion: The risk of OSA was significantly associated with hyperglycemia in pregnancy, suggesting apossible relationship with alterations in glycemic metabolism.