Written by Editorial Team
The magic of getting a newborn in hand is just beyond words. Everything seems so new and strange in the first few months. But then, sometimes, a few mothers start facing issues with the sleep pattern of the babies. It is important to understand sleep apnea in babies. Few babies sleep for a long time while there are others who are disturbed with their sleep.
This disturbance during sleep can be due to sleep-related breathing disorders in babies. It is not as simple as it sounds. If not discovered in time, it can cause various complications. A partial reduction in breathing that occurs during an infant’s sleep is called ‘hypopnea’. On the other hand, complete pauses in breathing are called “apneas”. In this article, we will speak about the symptoms, causes, and treatments.
Sleep apnea is a potentially dangerous breathing disorder observed in babies while they sleep. In this condition, the baby will experience a repeated interruption in their breathing. Generally, it is observed that this frequency of reduction increases during rapid eye movement.
Depending on the cause, sleep apnea in babies is categorized into three types:
Obstructive apneas happen due to a blockage in the upper airway. This happens when the soft tissue at the backside of the throat caves in and blocks the airway during sleep. This type of sleep apnea is rare in healthy babies. It is commonly found in preterm babies.
Central sleep apnea happens when the baby’s body reduces or stops its effort to breathe as the brain fails to signal the related muscles to breathe. This happens due to some issues in the brain or in the heart. It is most commonly contracted by children older than one year.
As the name implies, this is a combination of OSA and CSA. In this type, central apnea will be followed by obstructive apnea. Premature babies can contract this type of apnea.
Sleep apnea is not a rare issue among premature babies and that too, who weigh less than 2.2 pounds. Preterm infants are more likely to suffer from this issue when compared to full-term infants and those who are under six months of age. Sleep apnea is called ‘apnea of prematurity in babies born before 37 weeks of pregnancy. While babies born at 37 weeks and after will have the ‘apnea of infancy.
Infant sleep apnea can happen due to two reasons:
1. It happens as a consequence of a developmental issue from an immature brainstem.
2. It also can happen as a consequence of an underlying medical condition. Such as,
Some risk factors increase the chances of sleep apnea in babies:
Your child can contract it through genes. If there is another member of your family experiencing this condition, your child has more chance of contracting it.
Overweight babies pose a higher risk of contracting sleep apnea.
Birth defects in the baby’s face, neck, and parts of the mouth can increase the risk of sleep apnea. Likewise, inborn genetic issues (like Down’s syndrome) can also increase the risk of sleep apnea in babies.
It is found that a large number of preterm babies suffer from sleep apnea due to their underdeveloped respiratory systems.
The main symptom is an irregularity in breathing patterns. Some babies with sleep apnea tend to stop breathing for 20 seconds or longer during sleep. Obviously, their heart rate also slows down incredibly.
Other symptoms of sleep apnea include wetting the bed, a comparatively slow growth rate, and morning headaches. While there are a few kids who are hyperactive and aggressive for no reason, these symptoms vary from one infant to another.
Having sleepiness in the daytime is a problem for some, and for others, it could be even sweating during sleep. They snore because they have trouble breathing. You can even observe a few infants who sleep with their necks extended.
The doctors will be doing a Polysomnogram and other physical tests besides going through the entire medical history of the infant. Depending on the condition of the baby, a number of tests like oximetry and electrocardiogram will be done.
With the advanced treatments in the medical field, there are multiple treatment options, depending on the condition and severity of the problem with the child. It is important to treat the underlying issue that causes sleep apnea in your child.
The complications include obesity, an enhanced risk of heart stroke, and problems with blood circulation. There are even cases where the issue is with the cardiovascular systems. When you witness the symptoms, consult a doctor immediately, otherwise, there will be a strain on the heart of the baby.
You will be suggested to use the positive airway pressure machine, as suggested by the doctor. This will keep the airway open, and the baby will start feeling better soon after.
Note: It is very important to learn how to perform infant CPR for the parents of babies with sleep apnea. In case the baby lies unresponsive, administer it until medical help arrives.
Early diagnosis is the best way to prevent complications of sleep apnea in babies. When you consult the right pediatrician, they will suggest tests that help them to understand the condition of the baby and the treatment to provide.
First and foremost, the parents need to stop worrying about themselves as proper treatment can help the baby. The most important part here is to understand that your baby is facing sleep issues and initiate the treatment procedure. Use preventative measures, stay prepared with the medicines the doctor prescribes and take immediate action to ensure the baby remains healthy.
Sleep apnea can be hereditary. This doesn’t mean your child will “definitely” have it. But if someone in the family has it, your child may have it.
No, it is not. Though sleep apnea can run in a family, it is not purely genetic. Your baby could be the first in the family to suffer from this condition.
Babies stop breathing for a few seconds. If you suspect your child is not breathing for a few seconds at a stretch, when they are asleep, please share the concern with your doctor. They will be able to diagnose with additional tests.
As the baby grows, the airways get bigger. Many children outgrow this disorder as airways get bigger. Sometimes there will be a need for external intervention.
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