DescriptionPurpose of Project: Screening for Obstructive Sleep Apnea (OSA) in pregnancy is a missing component in prenatal care. This project sought to identify pregnant patients with sleep apnea between 28 and 32 weeks gestation using the STOP-BANG questionnaire and refer them for further testing and management because there is no current practice to address sleep apnea in pregnancy at the project site.
Methodology: This quality improvement initiative used the FADE model to develop the project; two women’s health nurse practitioners were recruited and received an educational module. After the educational module was completed, a chart review was done, and participants completed an evaluation survey. Outcomes of interest included the number of women screened for OSA, referrals generated for those women at risk for OSA, and the number of Healthcare Common Procedure Coding System (HCPCS) codes documented in the chart.
Results: A chart review showed an increase in screening, referral, and code documentation in the prenatal chart. A McNemar test was used, showing a p-value of 0.500, indicating no difference between the number of patients that needed to be referred and those that received a referral.
Implications for Practice: The project intended to implement an OSA screening tool as part of routine prenatal care. Using the STOP-BANG questionnaire to screen for OSA in pregnancy and referring patients for additional testing and treatment of the condition can become the foundation for the development of a protocol that addresses gaps in care to improve healthcare practice.