{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T03:29:32Z","timestamp":1774063772753,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:00:00Z","timestamp":1713398400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp;amp; Practice"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Obstructive sleep apnea (OSA) affects maternal and neonatal health during pregnancy. This study aimed to identify characteristics and comorbidities associated with sleep clinic referral in high\u2010risk pregnancies with Body Mass Index (BMI) \u226535\u00a0kg\/m<jats:sup>2<\/jats:sup>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Retrospective cohort study for individuals in a high\u2010risk pregnancy clinic at a tertiary Australian hospital from 1 January to 31 December 2020 with BMI\u226535\u00a0kg\/m<jats:sup>2<\/jats:sup>. The primary outcome measure was sleep clinic referral. Exposure data included multiple comorbidities and formal tools (Epworth Sleepiness Scale and STOP\u2010BANG). Multivariable analysis was used to identify factors associated with referral. Descriptive data on barriers to diagnosis and treatment were collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 161 pregnant individuals, 38.5% were screened using formal tools and 13.7% were referred to sleep clinic. Having STOP\u2010BANG performed was associated with sleep clinic referral (Odds Ratio: 18.04, 95% Confidence Interval:4.5\u201371.7, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). No clinical characteristics were associated with the likelihood of performing STOP\u2010BANG. The COVID\u201019 pandemic was a treatment barrier for three individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Current screening practices identify pregnant individuals with the highest pre\u2010test probability of having OSA. Future research should evaluate real\u2010world strategies to improve identification and management in this high\u2010risk population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/osp4.754","type":"journal-article","created":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T05:53:51Z","timestamp":1713506031000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Referral practices and treatment of obstructive sleep apnea in pregnancies with obesity"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0008-5652","authenticated-orcid":false,"given":"Samantha","family":"Warhurst","sequence":"first","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Canberra Health Services  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ekavi","family":"Georgousopoulou","sequence":"additional","affiliation":[{"name":"Centre for Health and Medical Research ACT Health Directorate  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farah","family":"Sethna","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Centenary Hospital for Women and Children Canberra Health Services  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsin\u2010Chia","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Canberra Health Services and Medical School College of Health and Medicine Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.09.006"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.3644"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2017.06.035"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0238733"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.07.033"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2021.10.010"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2016.01.003"},{"issue":"1","key":"e_1_2_9_9_1","first-page":"34","article-title":"Obstructive sleep apnea in pregnancy: early lessons from our sleep pregnancy clinic","volume":"120","author":"Antony KM","year":"2021","journal-title":"Wis Med J"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31816d83e4"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7754"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.09.001"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000000848"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2030"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12931\u2010023\u201002445\u2010y"},{"key":"e_1_2_9_16_1","unstructured":"Canberra Health Services.Canberra Health Services Strategic Plan 2020\u20102023. 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