Table 1

Potential drivers for overdiagnosis of SDBP

CategoryFactorConsiderations in SDBP
Broadening disease definitionsLowered diagnostic thresholdsShould snoring in pregnancy be considered a pathology?
TechnologyAvailability of testingIs widespread testing more feasible with less-costly HSAT technologies compared with traditional gold-standard PSG?
Public health interventionsWidespread screeningShould prenatal healthcare systems introduce screening regimes to detect SDBP?
Culture of medical careValue of diagnosis for its own sakeWhat are the labelling consequences of making a diagnosis of SDBP?
Clinician errorOverestimation of the benefit of therapyDoes “treatment” of SDBP improve maternal and fetal outcomes?

Adapted from [51].