Nutrition for Pregnant Women Who Have Cystic Fibrosis

Michel, Suzanne H.; Mueller, Donna H.

doi:10.1016/b978-0-12-800051-9.00001-8

Cited by 6 publications

(10 citation statements)

References 39 publications

(66 reference statements)

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“…Impaired pre-pregnancy nutrition is a significant risk factor for suboptimal maternal and fetal outcomes. 15,62 A higher preconception body weight has been associated with favourable pregnancy outcomes, including a reduced rate of caesarean section. 23,30,31 In general, it is recommended a pre-pregnancy BMI of 22 kg/m 2 be targeted 40 and pregnancy be approached with caution if BMI is 18 kg/m 2 .…”

Section: Nutritionmentioning

confidence: 99%

“…This requires an appraisal of dietary intake and blood levels. 62 Most patients with CF have pancreatic insufficiency leading to malabsorption of fat soluble vitamins A, D, E and K and require supplementation. Generally, vitamin A supplementation is contraindicated during pregnancy due to concerns of teratogenicity.…”

Section: Nutritionmentioning

confidence: 99%

“…31 Many women with CF (especially those with pancreatic insufficiency) may struggle to meet such increased requirements. 62 Dietetic counselling with focus on optimizing energy and nutrient intake is important before conception. During pregnancy, the recommendation for CF mothers is to eat a diet with 120-150% Figure 2.…”

Section: Nutritionmentioning

confidence: 99%

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Pregnancy and cystic fibrosis: Approach to contemporary management

et al. 2014

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Over the previous 50 years survival of patients with cystic fibrosis has progressively increased. As a result of improvements in health care, increasing numbers of patients with cystic fibrosis are now considering starting families of their own. For the health care professionals who look after these patients, the assessment of the potential risks, and the process of guiding prospective parents through pregnancy and beyond can be both challenging and rewarding. To facilitate appropriate discussions about pregnancy, health care workers must have a detailed understanding of the various important issues that will ultimately need to be considered for any patient with cystic fibrosis considering parenthood. This review will address these issues. In particular, it will outline pregnancy outcomes for mothers with cystic fibrosis, issues that need to be taken into account when planning a pregnancy and the management of pregnancy for mothers with cystic fibrosis or mothers who have undergone organ transplantation as a result of cystic fibrosis.

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Section: Nutritionmentioning

confidence: 99%

Section: Nutritionmentioning

confidence: 99%

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Pregnancy and cystic fibrosis: Approach to contemporary management

et al. 2014

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“…These increased energy requirements become even harder to maintain during pregnancy for patients with CF, and inadequate weight gain may negatively impact pregnancy outcomes. Better outcomes are associated with close‐to‐normal maternal weight, better pulmonary function, and pancreatic sufficiency in the preconception period . In fact, a BMI <18 kg/m 2 is considered to be a relative contraindication to pregnancy in patients with CF .…”

Section: Discussionmentioning

confidence: 99%

“…Better outcomes are associated with close‐to‐normal maternal weight, better pulmonary function, and pancreatic sufficiency in the preconception period . In fact, a BMI <18 kg/m 2 is considered to be a relative contraindication to pregnancy in patients with CF . Patients without CF who have a normal BMI should gain 11–16 kg, whereas it is recommended that women with CF gain at least 11 kg throughout their pregnancy .…”

Section: Discussionmentioning

confidence: 99%