Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-848d4c4894-x5gtn Total loading time: 0 Render date: 2024-06-08T00:20:36.644Z Has data issue: false hasContentIssue false

Chapter 29 - Respiratory Disease in Pregnancy

from Section 4 - Maternal Medicine

Published online by Cambridge University Press:  20 November 2021

By
Katharine Rankin  and
Tahir A. Mahmood
Edited by
Tahir Mahmood ,
Charles Savona Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
Get access

Summary

During the course of a normal pregnancy, the respiratory system undergoes both physiological and anatomical changes. These changes can predispose to the development of acute respiratory conditions; they can also affect the natural history of chronic pulmonary disease. Conversely, poorly controlled chronic pulmonary conditions can adversely affect the progress of pregnancy [1].

Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Obstetrics & Maternal-Fetal Medicine
 , pp. 236 - 243
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Leighton, B, Fish, J. Pulmonary disease in pregnancy. In The Global Library of Women’s Medicine. www.glowm.com/section_view/heading/Pulmonary%20Disease%20in%20Pregnancy/item/170Google Scholar
LoMauro, A, Aliverti, A. Respiratory physiology of pregnancy. Breathe. 2015;11:297–301.CrossRefGoogle ScholarPubMed
Bhatia, P, Bhatia, K. Pregnancy and the lungs. Postgrad Med J. 2000 Nov 1;76(901):683.CrossRefGoogle ScholarPubMed
Weinberger, S, Weiss, S, Cohen, W, Weiss, J, Johnson, T. Pregnancy and the lung. Am Rev Respir Dis. 1980;121:559–81.Google Scholar
Gilroy, R, Mangura, B, Lavietes, M. Rib cage and abdominal volume displacements during breathing in pregnancy. Am Rev Respir Dis. 1988;137:668–72.CrossRefGoogle ScholarPubMed
Cunningham, F, Leveno, K, Bloom, S, eds. Williams Obstetrics, 22nd ed. New York: McGraw Hill; 2005.Google Scholar
Nelson-Piercy, C. Handbook of Obstetric Medicine, 4th ed. London: Informa Healthcare; 2010.Google Scholar
Williams, D, Kenyon, A, Adamson, D. Physiology. In Bennett, P, Williamson, C, eds. Basic Science in Obstetrics and Gynaecology, 4th ed. New York: Churchill Livingstone Elsevier; 2010. pp. 173–230.CrossRefGoogle Scholar
Milne, J, Howie, A, Pack, A. Dyspnoea during normal pregnancy. Br J Obstet Gynecol. 1978;85:260.CrossRefGoogle ScholarPubMed
Stone, S, Nelson-Piercy, C. Respiratory disease in pregnancy. Obstet Gynaecol Reprod Med. 2012;22(10):290–8.Google Scholar
Skadhauge, L, Baelum, J, Siersted, H. The occurrence of asthma among young adults. A population-based study in five west Danish countries. Ugeskr Laeger. 2005;167(6):648–51.Google Scholar
Kwon, H, Triche, E, Belanger, K, Bracken, M. The epidemiology of asthma during pregnancy: prevalence, diagnosis and symptoms. Immunol Allergy Clin North Am. 2006;26(1):29–62.CrossRefGoogle ScholarPubMed
Ali, Z, Suppli Urik, C. Incidence and risk factors for exacerbations of asthma during pregnancy. J Asthma Allergy. 2013;6:53–60.Google Scholar
British Guideline on the Management of Asthma. London: British Thoracic Society; 2016 www.brit-thoracic.org.uk/document-library/clinical-information/asthma/btssign-asthma-guideline-quick-reference-guide-2016/Google Scholar
Rejno, G, Lundholm, C, Gong, T, et al. Asthma during pregnancy in a population-based study – pregnancy complications and adverse perinatal outcomes. PLoS ONE. 2014;9(8):e104755.CrossRefGoogle Scholar
Murphy, V, Namazy, J, Powell, H, et al. A meta-analysis of adverse perinatal outcomes in women with asthma. BJOG. 2011;118:1314–23.CrossRefGoogle ScholarPubMed
Schatz, M, Harden, K, Forsythe, A. The course of asthma during pregnancy, post partum and with successive pregnancies: a prospective analysis. J Allergy Clin Immunol. 1988;81:509–17.CrossRefGoogle ScholarPubMed
Juniper, E, Newhouse, M. Effect of pregnancy on asthma: systematic review and meta-analysis. In Schatz, M, Zeiger, RS, Claman, HN, eds. Asthma and Immunological Diseases in Pregnancy and Early Infancy. New York: Marcel Dekker; 1993. pp. 223–50.Google Scholar
Grosso, A, Locatelli, F, Gini, E, et al. The course of asthma during pregnancy in a recent, multicase-control study on respiratory health. Allergy Asthma Clin Immunol. 2018 Apr 17;(14):16.Google Scholar
Wankhende, U, Wadate, A. Bronchial asthma in pregnancy. Princ Crit Care Obstet. 2016;II:3-n7.CrossRefGoogle Scholar
Schatz, M, Zeiger, R, Falkoff, R, Chambers, C, Mellon, M. Asthma and allergic diseases during pregnancy. In Burks, AW, Holgate, ST, O’Hehir, RE, et al, eds. Middleton’s Allergy: Principles and Practice, 9th ed. Edinburgh: Elsevier; 2019. pp. 951–69.Google Scholar
Sawicki, E, Stewart, K, Wong, S, et al. Management of asthma by pregnant women attending an Australian maternity hospital. Aust NZ J Obstet Gynaecol. 2012;52(2):183–8.Google Scholar
Nelson-Piercy, C. Asthma in pregnancy. Thorax. 2001;56:32.CrossRefGoogle ScholarPubMed
Geake, J, Tay, G, Callaway, L, Bell, S. Pregnancy and cystic fibrosis: approach to contemporary management. Obstet Med. 2014;7(4):147–55.CrossRefGoogle ScholarPubMed
Burden, C, Ion, R, Chung, Y, Henry, A, Downey, D, Trinder, J. Current pregnancy outcomes in women with cystic fibrosis. Eur J Obstet Gynecol Reprod Biol. 2012;164:142–5.CrossRefGoogle ScholarPubMed
Thorpe-Beeston, J, Madge, S, Gyi, K, Hodson, M, Bilton, D. The outcome of pregnancies in women with cystic fibrosis – single centre experience 1998–2011. BJOG. 2013;120:354–61.CrossRefGoogle ScholarPubMed
Siegel, B, Siegel, S. Pregnancy and delivery in a patient with cystic fibrosis of the pancreas. Obstet Gynecol. 1960;16:438–40.Google Scholar
Dodge, J, Lewis, P, Stanton, M, Wilsher, J. Cystic fibrosis mortality and survival in the UK: 1947–2003. Eur Respir J. 2007;29:522–6.Google Scholar
Cystic Fibrosis in Pregnancy. UK Obstetric Surveillance System. www.npeu.ox.ac.uk/ukoss/current-surveillance/cfipGoogle Scholar
Renton, M, Priestley, L, Bennett, L, Mackillop, L, Chapman, S. Pregnancy outcomes in cystic fibrosis: a 10-year experience from a UK centre. Obstet Med. 2015;8(2):99–101.CrossRefGoogle ScholarPubMed
Cystic Fibrosis Foundation. About Cystic Fibrosis. www.cff.org/What-is-CF/About-Cystic-Fibrosis/Google Scholar
Gyi, K, Hodson, M, Yacoub, M. Pregnancy in cystic fibrosis lung transplant recipients. Case series and review. J Cyst Fibros. 2006;5:171–5.Google Scholar
Lau, E, Moriarty, C, Ogle, R, Bye, P. Pregnancy and cystic fibrosis. Paediatr Respir Rev. 2010;11:90–4.CrossRefGoogle ScholarPubMed
Edenborough, FP, Borgo, G, Knoop, C, et al. Guidelines for the management of pregnancy in women with cystic fibrosis. J Cyst Fibros. 2008 Jan 1;7:S2–32.CrossRefGoogle Scholar
Michel, S, Mueller, D. Nutrition for pregnant women who have cystic fibrosis. J Acad Nutr Diet. 2012;112(12):1943–8.CrossRefGoogle ScholarPubMed
Whitty, J. Cystic fibrosis in pregnancy. Clin Obstet Gynecol. 2010;53(2):369–76.Google Scholar
Goddard, J, Bourke, S. Cystic fibrosis and pregnancy. TOG. 2009;11:19–24.CrossRefGoogle Scholar
Alpert, S, Cormier, A. Normal electrolyte and protein content in milk from mothers with cystic fibrosis: an explanation for the initial report of elevated milk sodium concentration. J Pediatr. 1983;102:77–80.Google Scholar
Hadid, V, Patenaude, V, Oddy, L, Abenhaim, H. Sarcoidosis and pregnancy: obstetric and neonatal outcomes in a population-based cohort of 7 million births. J Perinat Med. 2015;43(2):201–7.Google Scholar
Subramanian, P, Chinthalapalli, H, Krishnan, M, et al. Pregnancy and sarcoidosis. An insight into the pathogenesis of hypercalciuria. Chest. 2004;126(3):995–8.Google ScholarPubMed
Rurak, D, Cooper, C, Taylor, M. Fetal oxygen consumption and PO2 during hypercapnia in pregnant sheep. J Dev Physiol. 1986;8(6):447–59.Google Scholar
Lapinsky, S, Tram, C, Mehta, S, Maxwell, C. Restrictive lung disease in pregnancy. Chest. 2014;145(2):394–8.CrossRefGoogle ScholarPubMed
Boggess, K, Easterling, T, Raghu, G. Management and outcome of pregnant women with interstitial and restrictive lung disease. Am J Obstet Gynecol. 1995;173(4):1007–14.CrossRefGoogle ScholarPubMed
King, TJ. Restrictive lung disease in pregnancy. Clin Chest Med. 1992;13(4):607–22.Google Scholar
Say, L, Chou, D, Gemmill, A, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014 Jun 1;2(6):e323–33.CrossRefGoogle ScholarPubMed
Sugarman, J, Colvin, C, Moran, AC, Oxlade, O. Tuberculosis in pregnancy: an estimate of the global burden of disease. Lancet Glob Health. 2014 Dec 1;2(12):e710–6.Google Scholar
Knight, M, Kurinczuk, J, Nelson-Piercy, C, Spark, P, Brocklehurst, P. Tuberculosis in pregnancy in the UK. BJOG Int J Obstet Gynaecol. 2009 Mar 1;116(4):584–8.Google ScholarPubMed
Sobhy, S, Babiker, Z, Zamora, J, Khan, K, Kunst, H. Maternal and perinatal mortality and morbidity associated with tuberculosis during pregnancy and the postpartum period: a systematic review and meta-analysis. BJOG Int J Obstet Gynaecol. 2017 Apr 1;124(5):727–33.CrossRefGoogle ScholarPubMed
World Health Organization. Treatment of Tuberculosis Guidelines. World Health Organization; 2010.Google Scholar
Nhan-Chang, C, Jones, T. Tuberculosis in pregnancy. Clin Obstet Gynecol. 2010;53:311–21.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×