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CA after giving birth - Printable Version

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CA after giving birth - Chrixy - 06-04-2020

Hi all! I’m hoping you can shed some light into what’s been going on with me. I’ve had OSA for a few years and was put on an APAP. Hated it and didn’t use much, lost some weight and don’t think I needed it as much. Then got pregnant and gained weight and needed machine again so started using regularly. AHI was always under 1 and only ever saw OA and hypopneas on report. Four months ago I had my son and the sleep depravation has been pretty bad!! I had postpartum preeclampsia but was treated quickly and don’t think I had any seizures or strokes and they put me on bp meds for a couple months. One week after giving birth I started noticing clear airway apnea’s on my report but I didn’t feel any different when I did get sleep. A month or so ago I started to stop breathing as I fall asleep and it’s gotten so bad I can’t get to sleep! Once I am asleep it seems to be ok. Cardiologist did a two week holter and no arrhythmias and were doing an echo soon but he suspects my heart is ok. Sleep dr won’t do anything until echo results. If it’s not my heart what is going on? Can sleep depravation cause this? I also told my dr that the ahi is misleading since I’m sleeping like a 5 hour block and then trying to get a nap in but score lumps it all together. The stopping breathing is typically the worst as I am trying to fall asleep especially during morning/daytime naps. I’ve also noticed that if the sleep depravation gets bad enough I go straight into a rem cycle and I get jolted awake. Please help!


RE: CA after giving birth - OpalRose - 06-04-2020

Hi Chrixy,
I'm sure we would be able to help, but we need to see some data to advise.

Download OSCAR software.  (Be sure there is an SD card in your machine)  
Follow the links in my signature line as this will show you how to organize the daily page
in OSCAR and then use the attachment feature to post results here.  

If you have a sleep study report, you can post that too.


RE: CA after giving birth - Gideon - 06-04-2020

Also, list what Meds you are taking. basically looking for something that impacts the CNS.
Important to us is which Dreamstation do you have? There are many, each with different capabilities.


RE: CA after giving birth - Sleeprider - 06-04-2020

Chrixy your story gives us some important clues to what is going on with the sleep doctor. I am certain your instinct that nothing is art with your heart is correct. Your doctor is considering switching you to ASV to treat the CA. In 2015 a study showed an increased risk in using ASV in patients with congestive heart failure and a left ventricular ejection fraction (LVEF) less than 45%. Out of an abundance of caution he is scheduling an echocardiogram to rule that out, after which he will be able to safely schedule ASV titration. ASV is an adaptive servo ventilator and works like a CPAP unless you stop breathing, and it then maintains your respiration rate and volume on a breath by breath basis using pressure support. We have many members here that use ASV and there is a preference for the Resmed Aircurve 10 ASV over the Philips model. Hope this explanation helps.


RE: CA after giving birth - Gideon - 06-04-2020

Can you post a copy of your daily charts. We would like to see how the CA presents itself.


RE: CA after giving birth - Chrixy - 06-04-2020

Thank you all. Yes I will download the software and post as soon as I can (when the little one gives me time lol)


RE: CA after giving birth - Chrixy - 06-04-2020

The past 3 nights. Will post one of my bad attempted naps next.

bad nap


RE: CA after giving birth - Chrixy - 06-04-2020

I am not on any meds, just vitamins! But I do have Lyme disease. My health in general hasn't been great the past 3 years.

DreamStation auto cpap hum dom is what it says on my machine.


RE: CA after giving birth - Chrixy - 06-05-2020

Sleep was no good last night and the baby woke up a lot. This is from me trying to sleep early this morning but could never fully fall asleep because of episodes. Does anyone know what might be going on?


RE: CA after giving birth - Chrixy - 06-05-2020

This was the whole night.