Pulmonary Disorders Complicating Pregnancy

Leidecker, Katie; Dorman, Karen

doi:10.1097/jpn.0000000000000148

Cited by 7 publications

(5 citation statements)

References 24 publications

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“…Studies investigating the long-term effects of asthma of mothers during pregnancy on the offspring have found an increase in wheezing incidence at 15 months of age and childhood respiratory diseases overall, while others found no developmental effects [ 9 , 10 ]. However, several historical and prospective cohort and cross-sectional studies have been conducted on how pregnancy affects maternal asthma and vice versa [ 11 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Prospective cohort study of pregnancy complications and birth outcomes in women with asthma

Fazel

Kundi

Jensen‐Jarolim

et al. 2018

Arch Gynecol Obstet

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BackgroundAsthma is the most common potentially serious medical complication in pregnancy. The purpose of this study was to determine the association between maternal asthma and a spectrum of adverse neonatal and maternal outcomes.MethodsEvents during pregnancy and birth outcome were evaluated in 34 asthmatic as well as 1569 non-asthmatic pregnant women who were enrolled in a prospective cohort study undertaken at the antenatal clinics of Mobini Hospital in Iran. The women were interviewed and classified according to clinical severity and asthma control as per GINA guidelines. Information on asthma symptoms was collected by a questionnaire as well as by spirometry and physical examination. All subjects were followed until delivery, and postpartum charts were reviewed to assess neonatal and maternal outcomes. Eosinophil cells counts were obtained and total IgE was measured by ELISA. Results were assessed by multivariate logistic regression adjusting for maternal age and parity, and for birth outcomes, for gestational diabetes, and hypertension/pre-eclampsia.ResultsThe well-known relationship between family history of asthma and asthma in pregnancy was again supported (p < 0.001). Women with asthma had more bleeding events 3 weeks or more before delivery (OR 3.30, 95% CI 1.41–7.26), more often placenta problems (OR 6.86, 95% CI 1.42–33.02), and gestational diabetes mellitus (OR 3.82, 95% CI 1.06–13.75). No significant differences between asthmatic and non-asthmatic mothers regarding duration of gestation, birthweight, low Apgar scores, or neonatal respiratory difficulties were found. Total IgE antibody levels and eosinophil counts did not differ by asthma control and severity.ConclusionsAsthma in pregnancy poses some risk for pregnancy complications and adverse perinatal outcomes. Managing asthma effectively throughout pregnancy could benefit women and their babies and help to reduce the health burden associated with asthma during pregnancy.

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Section: Introductionmentioning

confidence: 99%

Prospective cohort study of pregnancy complications and birth outcomes in women with asthma

Fazel

Kundi

Jensen‐Jarolim

et al. 2018

Arch Gynecol Obstet

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“…Fourthly, in pregnant women, with the increase of circulating blood volume, microvascular permeability increases gradually, and the upper respiratory tract is congested and swollen, which is very bene cial for tuberculosis bacteria to invade the human body into the blood. Pregnancy causes hypoxia in the lungs caused by the rise of the diaphragm and the decrease of lung dilatation, resulting in lung susceptibility to tuberculosis infection [11]. Fifthly, postpartum tuberculosis infection or recurrence may be caused by rapid changes in hormone levels, changes in cellular immunity, decrease in diaphragm, nutritional consumption and lack of sleep [12].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy With Atypical Pulmonary Tuberculosis in COVID-19 Outbreak:A Case Report

Zhang

Liang

Wang

et al. 2021

Preprint

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BackgroundPregnant women due to reduced resistance, the probability of tuberculosis infection increased, easy to lead to the occurrence of tuberculosis, so pregnancy with tuberculosis is a risk to the health of pregnant women infectious diseases. However, the clinical symptoms of pregnancy with pulmonary tuberculosis are atypical, confused with the physiological reactions of pregnancy, and lack of clinical awareness, especially under the influence of the global COVID-19 epidemic, lung atypical lesions are prone to misdiagnosis or delayed diagnosis.Case presentationA 21-year-old woman was infected with Mycobacterium tuberculosis during the third trimester of pregnancy. The diagnosis and treatment of the patient were reported.ConclusionThe interaction between tuberculosis and pregnancy is like a double-edged sword. Reaising doctors’awareness on tuberculosis is fundamental, and early diagnosis and standardized treatment are the key to improve the outcome of pregnancy.

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“…Fourth, in pregnant women, with the increase in circulating blood volume, microvascular permeability increases gradually, and the upper respiratory tract becomes congested and swollen, which is very bene cial for TB bacterial invasion into blood circulation. Pregnancy causes hypoxia in the lungs due to the rise of the diaphragm and decrease in lung dilatation, resulting in lung susceptibility to TB infection [11]. Fifth, postpartum TB infection or recurrence may be caused by rapid changes in hormone levels, changes in cellular immunity, the lowering of the diaphragm, nutritional consumption and a lack of sleep [12].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy with Atypical Pulmonary Tuberculosis During the COVID-19 Outbreak: A Case Report

ZHANG

Liang

Wang

et al. 2021

Preprint

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Background: During pregnancy, due to reduced immunological resistance, the probability of tuberculosis infection is increased, easily leading to the occurrence of tuberculosis; thus, pregnancy with tuberculosis is a risk to the health of pregnant women with infectious diseases. However, the clinical symptoms of pregnancy with pulmonary tuberculosis are atypical, often confused with the physiological reactions of pregnancy, and there is a lack of clinical awareness, especially in the context of the global COVID-19 pandemic. Specifically, atypical lung lesions are prone to misdiagnosis or delayed diagnosis.Case presentation: A 21-year-old woman was infected with Mycobacterium tuberculosis during the third trimester of pregnancy. The diagnosis and treatment of the patient are reported.Conclusion: The interaction between tuberculosis and pregnancy is a double-edged sword. Increasing awareness of tuberculosis among doctors is essential, and early diagnosis and standardized treatment are key to improving the outcome of pregnancy.

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Pulmonary Disorders Complicating Pregnancy

Cited by 7 publications

References 24 publications

Prospective cohort study of pregnancy complications and birth outcomes in women with asthma

Prospective cohort study of pregnancy complications and birth outcomes in women with asthma

Pregnancy With Atypical Pulmonary Tuberculosis in COVID-19 Outbreak:A Case Report

Pregnancy with Atypical Pulmonary Tuberculosis During the COVID-19 Outbreak: A Case Report

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