Obstruktives Schlafapnoesyndrom und Schwangerschaft
T. Schäfer, S. Schiermeier, K. Rasche · Pneumologie · 2018 · Heft 03 · S. 187-196
Bibliografische Angaben
Zusammenfassung
Abstract Pregnancy has a significant influence on respiratory regulation and respiratory mechanics as well as on sleep regulation. Due to its increased size, the uterus restricts the maximum voluntary ventilation; the pregnancy hormone progresterone, on the other hand, causes compensatory bronchodilatation and marked hyperventilation with arterial PCO2 values of the pregnant women below 30 mmHg. Sleep quality decreases during pregnancy, especially due to increasing hormone levels of progesterone, general metabolism, nocturia, fetal movements, and the promotion of sleep-related breathing disorders. In the embryo,…