Medical management of rhinitis in pregnancy

Gupta, Keshav Kumar; Anari, Shahram

doi:10.1016/j.anl.2022.01.014

Cited by 9 publications

(21 citation statements)

References 60 publications

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Section: Description Of the State Of Knowledgementioning

confidence: 99%

“…"Pregnancy-induced rhinitis" refers to chronic non-allergic rhinitis that did not exist prior to pregnancy but appears during pregnancy and totally resolves after birth [4,8]. Despite the fact that rhinitis does not pose a life-threatening risk to mother or child, it is crucial to maximise treatment because it may have a significant impact on the patient's quality of life [3,4]. PIR is classified as a hormonal rhinitis, caused by hormonal imbalances during menstrual cycles, puberty, pregnancy, menopause, and specific endocrine disorders like hypothyroidism and acromegaly, according to Nonallergic rhinitis: Position paper of the European Academy of Allergy and Clinical Immunology [1,9].…”

Section: Description Of the State Of Knowledgementioning

confidence: 99%

“…Early prenatal care patients have a lesser tendency to use topical nasal decongestants and are less likely to experience drugrelated rhinitis. The main measures that can positively reduce PIR symptoms are regular physical activity, weight control, and raising the head of the bed to an angle of 30-45 degrees may also help in improving nasal obstruction during the night [4,6,8,16].…”

Section: Description Of the State Of Knowledgementioning

confidence: 99%

“…Nasal congestion is the primary symptom of pregnancy rhinitis, which completely resolves after delivery without any other indicators of a respiratory infection or an allergy [3]. Since pregnancy-induced rhinitis is a distinct condition from allergic rhinitis, it may not respond to treatment for allergic rhinitis [4].…”

Section: Introduction and Purposementioning

confidence: 99%

“…Therefore, each patient-specific management of PIR must take careful consideration of a variety of circumstances [4].…”

Section: Introduction and Purposementioning

confidence: 99%

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Pregnancy-induced rhinitis: nose problems at the obstetrician's office

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Introduction and purpose Pregnancy-induced rhinitis (PIR) manifests as nasal congestion, with resolution of symptoms after delivery. Pregnancy-induced rhinitis is a distinct condition from allergic rhinitis, it may not respond to treatment for allergic rhinitis. The first stage in providing adequate and effective management of PIR is to have a clear and appropriate diagnosis. Therefore, each patient-specific management of PIR must take careful consideration of a variety of circumstances. The aim of this study was to conduct a literature review on pregnancy-induced rhinitis. A literature review was carried out in the PubMed, MEDLINE, and Scopus databases using the terms ‘rhinitis and pregnancy’. Brief description of the state of knowledge Physiological factors underlying PIR are not well understood at the moment. There is no single explanation for the pathophysiological mechanism that would account for the changes in PIR. Nasal congestion is the primary nasal symptom in pregnancy-induced rhinitis. It can result in night-time mouth breathing and poor sleep quality. The mother's sleep may be negatively impacted by nasal congestion resulting in maternal hypertension, pre-eclampsia, and intrauterine growth retardation. Increasing awareness not only benefits pregnant patients' quality of life but also has a favourable impact on how a pregnancy turns out. Summary PIR has gained relevance in recent years due to its major effects on maternal quality of life as well as the identification of a relationship with OSAS in the mother and potential harmful consequences on the foetus. The mother's quality of life is significantly impacted by PIR, as shown, thus both the otorhinolaryngologist and the obstetrician must use caution in the early identification and treatment of pregnancy-induced rhinitis.

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