Research recommendations
Is screening for OSA during pregnancy useful? We found, as in the literature, many cases of mild or moderate OSA, for which CPAP treatment is not recommended. Moreover, the effectiveness of CPAP has not been assessed in pregnant women, and supplementary studies are needed. We did not find that women with OSA had high rates of complications during pregnancy and delivery, except for the gestational diabetes that is very frequent in obese women. Moreover, diagnosing OSA imposed the constraint of a night of hospitalization and had nontrivial financial costs. It therefore appears important to target women at risk before proposing OSA screening and to assess the real impact of this screening on the course and outcomes of pregnancy.