Use of a Simple Clinical Tool for Airway Assessment to Predict Adverse Pregnancy Outcomes
Document Type
Article
Publication Date
2015
Keywords
Mallampati, obstructive sleep apnea, OSA, small for gestational age, sleep disordered breathing
Digital Object Identifier (DOI)
https://doi.org/10.1055/s-0034-1383845
Abstract
Objective: Obstructive sleep apnea (OSA) is a risk factor for adverse perinatal outcomes. We aimed to test the hypothesis that maternal Mallampati class (MC), as a marker for OSA, is associated with adverse perinatal outcomes.
Study Design: We performed a retrospective secondary analysis of a prospective cohort of term births (≥ 37 weeks). Fetal anomalies and aneuploidy were excluded. Primary outcome was small for gestational age (SGA). Secondary outcomes included preeclampsia, neonatal cord arterial blood gas pH < 7.10 and < 7.05, base excess < − 8 and < − 12 mEq/L. Outcomes were compared between mothers with low MC airways and high MC airways using logistic regression.
Results: A total of 1,823 women met the inclusion criteria. No significant differences were found in the risk of SGA (adjusted odds ratio [aOR] 0.9, 95% confidence interval [CI] 0.6–1.2), preeclampsia (aOR 1.2, 95% CI 0.8–1.9) or neonatal acidemia (aOR 0.8, 95% CI 0.3–2.0), between high and low MC.
Conclusion: High MC is not associated with adverse perinatal outcomes.
Was this content written or created while at USF?
Yes
Citation / Publisher Attribution
American Journal of Perinatology, v. 32, issue 3, p. 257-262
Scholar Commons Citation
Trudell, Amanda S.; Louis, Judette M.; Tuuli, Methodius G.; Caughey, Aaron B.; Odibo, Anthony O.; and Cahill, Alison G., "Use of a Simple Clinical Tool for Airway Assessment to Predict Adverse Pregnancy Outcomes" (2015). Obstetrics & Gynecology Faculty Publications. 20.
https://digitalcommons.usf.edu/obg_facpub/20
