Dyspnea in pregnancy: An unusual cause

Pandey, Divya; Garg, Deepali; Tripathi, Brajendra Nath; Pandey, Sandhya

doi:10.4103/2278-960x.129290

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…6 As a result, lung volumes are compromised including functional residual capacity (FRC), total lung capacity (TLC), and vital capacity (VC). 7,8 Dynamic pulmonary function tests like FVC, FEV 1 , FEV 1% , and FEF 25-75% also decrease due to the gravid state of advanced pregnancy. 1,2 Besides the size of the gravid uterus, many of the physiological changes in the respiratory system are mediated by increased progesterone levels.…”

Section: Introductionmentioning

confidence: 99%

<p>Evaluation of Pulmonary Function Tests Among Pregnant Women of Different Trimesters in Debre Berhan Referral Hospital, Shoa, Ethiopia</p>

Amare¹,

Haile²

2020

IJWH

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Section: Introductionmentioning

confidence: 99%

<p>Evaluation of Pulmonary Function Tests Among Pregnant Women of Different Trimesters in Debre Berhan Referral Hospital, Shoa, Ethiopia</p>

Amare¹,

Haile²

2020

IJWH

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“…[1][2][3][4][5][6][7][8][9][10][11][12] On further analysis, most of them were un-booked with no prior antenatal supervision, belonging to lower socioeconomic background. Maximum females thus came as referral cases from peripheral centers drained by our hospital, following lack of awareness about the entity or unsatisfactory and inadequate treatment practices by less skilled practitioners available there.…”

Section: Discussionmentioning

confidence: 99%

“…that occur during pregnancy. [2][3][4] Also, pregnancy has been identified as a stressor to the cardiovascular and the respiratory systems. 5 Any amount of breathing difficulties during gestation may indicate a decompensation.…”

mentioning

confidence: 99%

“…6 Due to varied etiology and lack of sufficient research on such patients, especially in LMIC countries, optimal management of women presenting with dyspnea in pregnancy remains elusive. [1][2][3][4][5][6][7][8][9][10][11] Keeping this in mind, the present research is conceived to find out the etiology and outcome of patients presenting with dyspnea in obstetric emergency. This would be in turn instrumental in formulating institutional guidelines for management of such women, which could be widely applied across nation.…”

mentioning

confidence: 99%

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Managing dyspnea in pregnancy-an errand uphill: an experience from the critical care obstetric unit of a tertiary care facility in India

Marwah

Suri

Mittal

2017

Int J Reprod Contracept Obstet Gynecol

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Background: The occurrence of dyspnea in a gravid woman induces the query in the treating obstetrician regarding its root cause being either underlying or new cardiac or pulmonary disease, or due to the pregnancy itself. Attainment to this conclusion requires grasp of the cardiopulmonary changes befalling during normal pregnancy, as well as detection of the ailment of dyspnea during antenatal period. Objective of present study was to find out the incidence and feto-maternal outcome of patients presenting with dyspnea in pregnancy and puerperium.Methods: This study was conducted in Department of Obstetrics and Gynaecology in Vardhaman Mahavir Medical College and Safdarjung hospital over a period of one year, wherein review of all women who had presented with a diagnosis of dyspnea in pregnancy and puerperium, and admitted and treated in the Critical care obstetric unit of the department was done. Thorough evaluation was done and case files were exhaustively reviewed, data was anonymously extracted, and outcomes analyzed. All causes of mortality were also recorded. The primary outcome was incidence of dyspnea in pregnancy. Secondary outcomes measured were socio-demographic variables, timing of presentation-antepartum=first trimester, second trimester, third trimester/postpartum<48 hours, 3-7 days,>7 days, causative factors for dyspnea, any other obstetric complications, mode of delivery, fetal outcome (fetus weight, Apgar score, need for NICU admission), need for ICU/HDU admission, duration and course in the hospital, mortality, and cause of death in case of mortality. Data recording was done on a predesigned proforma and deciphered at the end of study and analyzed.Results: Incidence of dyspnea was 1.97% of all admissions. Pulmonary edema following hypertensive disorders of pregnancy, was the leading cause. 28.5 % women succumbed to their illness. Majority were preterm births (88/112), requiring NICU admission.Conclusions: The clinician should be able to determine the underlying cause of dyspnea, differentiating it from physiologic progesterone-induced hyperventilation. Strategy of expeditious delivery during the third trimester is often warranted after weighing fetal outcome and maternal risk in such women.

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“…3 These symptoms may be correlated to functional changes, the hematopoietic system, weight gain, and so on that occur during pregnancy. [4][5][6] Difficulty in breathing during pregnancy could direct a de-compensation. The evaluation and managing of the critically ill obstetric patient with respiratory compromise presents obstetricians with a unique clinical challenge.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Clinical and Echocardiographic Findings of Pregnant Women with Dyspnea

Muzaffar

Fatima

Akbar

et al. 2022

PAFMJ

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Objective: To measure the frequency of dyspnea in pregnant patients and to evaluate the clinical and echocardiographic findings of pregnant women had dyspnea. Study Design: Analytical descriptive cross-sectional. Place and duration of study: Gynae and Obstetric Department of Tertiary Care Facility from Feb 2022 to Apr 2022. Methodology: It was an analytical cross sectional study conducted during three months. Consecutive pregnant females through non-probability consecutive sampling were included in the study. Patients who had diagnosed history of cardiac disease, respiratory illness, anemic and had covid-19 infection history of 3 months were excluded. The calculated sample size was 323. The pregnant females were assessed for dyspnea (shortness of breath) during pregnancy. Those patients who had dyspnea were referred to cardiac facility for 2D-ECHO (Echocardiography) to determine the cause of dyspnea. Frequency & percentage and mean ± SD were calculated for qualitative and quantitative data respectively. Chi square test was applied to find association between categorical variables. Student t-test was applied for continuous data. Results:A total of 323 pregnant females of age more than 18 years were included in the study. Out of 87(26.9%) pregnant females who had dyspnea during their pregnancy, 2(2.1%) females were from 1st trimester, 26(23.2%) of 2nd trimester and 59(50.8%) of 3rd trimester. ECHO showed that mean left ventricle end-diastolic diameter (LVEDd) was 46±8mm, LVEF 58.8±7%, sPAP 25.40±3.5mmHg and LVESd 29.33±8.8mm. As compared to the normal range sPAP, LVESd were in lower range, while LVEDd value was higher than the normal range (27.2 mm). Study population who had dyspnea and hypertension (HTN) were (n=13)15.4% (p=1.000) and (n=7)7.7% were had Diabetes (DM) (p=1.000). Cardiac disease was found to be higher in females who had dyspnea i.e.(n=67) 76.9% (p=<0.0001) Conclusion: The left ventricular end-diastolic diameter (LVEDd), left ventricle end-systolic diameter (LVESd), and systolic pulmonary artery pressure (sPAP) of pregnant women with dyspnea were all outside of the normal range. So that the cardiac causes of dyspnea can be clinically identified, we advise ladies with dyspnea to visit a cardiologist and have an echocardiography test.

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Dyspnea in pregnancy: An unusual cause

Cited by 5 publications

References 7 publications

<p>Evaluation of Pulmonary Function Tests Among Pregnant Women of Different Trimesters in Debre Berhan Referral Hospital, Shoa, Ethiopia</p>

<p>Evaluation of Pulmonary Function Tests Among Pregnant Women of Different Trimesters in Debre Berhan Referral Hospital, Shoa, Ethiopia</p>

Managing dyspnea in pregnancy-an errand uphill: an experience from the critical care obstetric unit of a tertiary care facility in India

Assessment of Clinical and Echocardiographic Findings of Pregnant Women with Dyspnea

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