Pneumonia During Pregnancy

Infection par le SARS-CoV-2 chez les femmes enceintes : état des connaissances et proposition de prise en charge par CNGOF

“…Trois patientes ont pu rentrer à leur domicile sans complication connue au moment de la rédaction de l'article. Dix (77%) ont été césarisées, en particulier pour anomalies du RCF (rythme cardiaque foetal) (3 patientes), rupture (16,17). Ainsi, les patientes développant une pneumopathie quelle qu'en soit l'étiologie devaient, dans une étude assez ancienne, dans 25% des cas être hospitalisées dans des unités de soins intensifs avec une assistance ventilatoire (18).…”

No. 225-Management Guidelines for Obstetric Patients and Neonates Born to Mothers With Suspected or Probable Severe Acute Respiratory Syndrome (SARS)

“…18 Viral pneumonia is associated with higher morbidity and mortality than bacterial pneumonia responsive to antibiotics. 22 Physiologic changes in pregnancy, including altered cell-mediated immunity 23 and alterations in pulmonary function, 24e26 are hypothesized to affect the susceptibility to and severity of pneumonia.…”

Pneumonia Complicating Pregnancy

“…15 Some of the physiologic changes of pregnancy may also predispose pregnant women to a severe pneumonia course, including elevation of the diaphragm by up to 4 cm, decrease in functional residual capacity, increase in oxygen consumption, and increase in lung water. 2,16,17 These alterations may decrease the ability of the pregnant woman to clear respiratory secretions and potentially aggravate airway obstruction associated with pulmonary infections. The elevation of the diaphragm, the associated decrease in functional residual capacity, and the increase in oxygen consumption during pregnancy make the pregnant woman less able to tolerate even brief periods of hypoxia, particularly in the third trimester.…”