{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:30:05Z","timestamp":1790613005471,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,5,29]],"date-time":"2017-05-29T00:00:00Z","timestamp":1496016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Liverpool Primary Care Trust"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2017,8]]},"abstract":"Summary<\/jats:title>Obstructive sleep apnoea (OSA<\/jats:styled-content>) is an often\u2010overlooked diagnosis, more prevalent in the obese population. Screening method accuracy, uptake and hence diagnosis is variable. There is limited data available regarding the obese pregnant population; however, many studies highlight potential risks of apnoeic episodes to mother and foetus, including hypertension, diabetes and preeclampsia. A total of 162 women with a body mass index (BMI<\/jats:styled-content>)\u2009\u2265\u200935 were recruited from a tertiary referral hospital in the northwest of England. They were invited to attend three research antenatal clinics, completing an Epworth Sleepiness Scale (ESS<\/jats:styled-content>) questionnaire at each visit. A monitor measuring the apnoea hypopnoea index (AHI<\/jats:styled-content>) was offered at the second visit. Data taken from consent forms, hospital notes and hospital computer records were collated and anonymized prior to statistical analysis. A total of 12.1% of women had an ESS<\/jats:styled-content> score of >10, suggesting possible OSA<\/jats:styled-content>. Rates increased throughout pregnancy, although unfortunately, the attrition rate was high; 29.0% of women used the RUSleeping<\/jats:styled-content> (RUS<\/jats:styled-content>) meter, and only one (2.1%) met pre\u2010specified criteria for OSA<\/jats:styled-content> (AHI<\/jats:styled-content>\u2009\u2265\u200915). This individual had OSA<\/jats:styled-content> categorized as severe and underwent investigations for preeclampsia, eventually delivering by emergency caesarean section due to foetal distress. The accuracy of the ESS<\/jats:styled-content> questionnaire, particularly the RUS<\/jats:styled-content> monitor, to screen for OSA<\/jats:styled-content> in the pregnant population remains unclear. Further research on a larger sample size using more user\u2010friendly technology to confidently measure AHI<\/jats:styled-content> would be beneficial. There are currently no guidelines regarding screening for OSA<\/jats:styled-content> in the obese pregnant population, yet risks to both mother and foetus are well researched.<\/jats:p>","DOI":"10.1111\/cob.12196","type":"journal-article","created":{"date-parts":[[2017,5,29]],"date-time":"2017-05-29T22:46:39Z","timestamp":1496097999000},"page":"239-244","source":"Crossref","is-referenced-by-count":5,"title":["Screening methods for obstructive sleep apnoea in severely obese pregnant women"],"prefix":"10.1111","volume":"7","author":[{"given":"H.","family":"Longworth","sequence":"first","affiliation":[{"name":"Liverpool Women's NHS Foundation Trust Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"McCallin","sequence":"additional","affiliation":[{"name":"School of Medical Education University of Liverpool Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. P.","family":"Narayanan","sequence":"additional","affiliation":[{"name":"Department of Obesity and Endocrinology Institute of Ageing and Chronic Disease, University of Liverpool Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. A.","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Institute of Translational Medicine, University of Liverpool Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Quenby","sequence":"additional","affiliation":[{"name":"Lancaster University, Lancaster Medical School, Clinical Research Hub, Lancaster Lancashire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Rycroft","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Institute of Translational Medicine, University of Liverpool Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Charnley","sequence":"additional","affiliation":[{"name":"Faculty of Education, Health and Community Liverpool John Moores University Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Abayomi","sequence":"additional","affiliation":[{"name":"Faculty of Education, Health and Community Liverpool John Moores University Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Topping","sequence":"additional","affiliation":[{"name":"Liverpool Women's NHS Foundation Trust Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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H.","family":"Wilding","sequence":"additional","affiliation":[{"name":"Department of Obesity and Endocrinology Institute of Ageing and Chronic Disease, University of Liverpool Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2009.02.080057"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/27.7.1405"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-12-144"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.12.1357"},{"key":"e_1_2_9_6_1","first-page":"309","article-title":"Differences between men and women in the clinical presentation of patients diagnosed with obstructive sleep apnea syndrome","volume":"28","author":"Shepertycky MR","year":"2005","journal-title":"Sleep"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/30.3.312"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4104\/pcrj.2012.00096"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2012-202718"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/32.2.150"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-016-1345-9"},{"key":"e_1_2_9_12_1","first-page":"136.e1","article-title":"Obstructive sleep apnea and the risk of adverse pregnancy outcomes","volume":"206","author":"Chen Y","year":"2012","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.3644"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6874-10-17"},{"key":"e_1_2_9_15_1","first-page":"52.e1","article-title":"Maternal sleep\u2010disordered breathing and adverse pregnancy outcomes: a systematic review and metaanalysis","volume":"210","author":"Pamidi S","year":"2014","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_16_1","first-page":"261.e1","article-title":"Maternal and neonatal morbidities associated with obstructive sleep apnea complicating pregnancy","volume":"202","author":"Louis JM","year":"2010","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcdt.2012.07.003"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.4464"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-15"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/28.10.1299"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27032"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-008-0181-y"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12129"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.120.5.1448"},{"key":"e_1_2_9_26_1","doi-asserted-by":"crossref","unstructured":"National Institute of Clinical Excellence. 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