Book contents
- Respiratory Disease in Pregnancy
- Respiratory Disease in Pregnancy
- Copyright page
- Contents
- Contributors
- Section 1 The Basics: for the Obstetrician
- 1 Respiratory Physiology and Terminology
- 2 Pulmonary Assessment in Pregnancy
- 3 Approach to Common Respiratory Problems in Pregnancy
- Section 2 The Basics: for the Non-Obstetrician
- Section 3 Pulmonary Conditions Not Specific to Pregnancy
- Section 4 Pulmonary Conditions Related to Pregnancy
- Section 5 Other Pulmonary Issues in Pregnancy
- Index
- References
3 - Approach to Common Respiratory Problems in Pregnancy
from Section 1 - The Basics: for the Obstetrician
Published online by Cambridge University Press: 14 April 2020
Book contents
- Respiratory Disease in Pregnancy
- Respiratory Disease in Pregnancy
- Copyright page
- Contents
- Contributors
- Section 1 The Basics: for the Obstetrician
- 1 Respiratory Physiology and Terminology
- 2 Pulmonary Assessment in Pregnancy
- 3 Approach to Common Respiratory Problems in Pregnancy
- Section 2 The Basics: for the Non-Obstetrician
- Section 3 Pulmonary Conditions Not Specific to Pregnancy
- Section 4 Pulmonary Conditions Related to Pregnancy
- Section 5 Other Pulmonary Issues in Pregnancy
- Index
- References
Summary
A large range of pulmonary and cardiac diseases may affect pregnant patients. The most common causes include acute viral respiratory infections, chronic pulmonary or cardiac conditions and bacterial pneumonia. Asthma is the most common pulmonary disease to complicate pregnancy, and a third of patients experience worsening of asthma control during pregnancy. In patients with chronic obstructive pulmonary disease, cystic fibrosis (CF), non-CF bronchiectasis or interstitial lung disease, and rarely in patients who have a history of lung transplantation, the physiological and biological conditions of pregnancy will not exacerbate the underlying pulmonary disease as much as reduce pulmonary reserve and disease tolerance. Pregnancy is associated with an increased risk of aspiration pneumonitis, pulmonary embolism, cardiomyopathy, acute myocardial infarction and aortic dissection. Often these occur in patients without other known risk factors.
- Type
- Chapter
- Information
- Respiratory Disease in Pregnancy , pp. 13 - 24Publisher: Cambridge University PressPrint publication year: 2020
References
Widdicombe, JG. Neurophysiology of the cough reflex. Eur Respir J. 1995 8(7):1193–202.Google Scholar
Polverino, M, Polverino, F, Fasolino, M, et al. Anatomy and neuro-pathophysiology of the cough reflex arc. Multidiscip Respir Med. 2012 7(1):5.CrossRefGoogle ScholarPubMed
Collier, SA, Rasmussen, SA, Feldkamp, ML, Honein, MA. National Birth Defects Prevention Study. Prevalence of self-reported infection during pregnancy among control mothers in the National Birth Defects Prevention Study. Birth Defects Res A Clin Mol Teratol. 2009 85(3):193–201.Google Scholar
Nooitgedagt, JE, de Greeff, SC, Elvers, BH, et al. Seroprevalence of Bordetella pertussis infection during pregnancy measured by IgG antibodies against pertussis toxin. Clin Infect Dis. 2009 49(7):1086–9.Google Scholar
Paisley, RD, Blaylock, J, Hartzell, JD. Whooping cough in adults: an update on a reemerging infection. Am J Med. 2012 125(2):141–3.CrossRefGoogle ScholarPubMed
Field, SK, Escalante, P, Fisher, DA, et al. Cough due to TB and other chronic infections: CHEST Guideline and Expert Panel Report. Chest. 2018 153(2):467–97.CrossRefGoogle Scholar
Zenner, D, Kruijshaar, ME, Andrews, N, Abubakar, I. Risk of tuberculosis in pregnancy: a national, primary care-based cohort and self-controlled case series study. Am J Respir Crit Care Med. 2012 185(7):779–84.CrossRefGoogle ScholarPubMed
Malfertheiner, SF, Malfertheiner, MV, Kropf, S, Costa, SD, Malfertheiner, P. A prospective longitudinal cohort study: evolution of GERD symptoms during the course of pregnancy. BMC Gastroenterol. 2012 12:131.CrossRefGoogle ScholarPubMed
Fill Malfertheiner, S, Malfertheiner, MV, Monkemuller, K, et al. Gastroesophageal reflux disease and management in advanced pregnancy: a prospective survey. Digestion. 2009 79(2):115–20.Google Scholar
Madanick, RD. Management of GERD-related chronic cough. Gastroenterol Hepatol (N Y). 2013 9(5):311–13.Google Scholar
Malfertheiner, M, Malfertheiner, P, Costa, SD, et al. Extraesophageal symptoms of gastroesophageal reflux disease during pregnancy. Z Gastroenterol. 2015 53(9):1080–3.Google ScholarPubMed
Einarson, A, Lyszkiewicz, D, Koren, G. The safety of dextromethorphan in pregnancy : results of a controlled study. Chest. 2001 119(2):466–9.Google Scholar
Erebara, A, Bozzo, P, Einarson, A, Koren, G. Treating the common cold during pregnancy. Can Fam Physician. 2008 54(5):687–9.Google ScholarPubMed
Gerson, LB. Treatment of gastroesophageal reflux disease during pregnancy. Gastroenterol Hepatol (N Y). 2012 8(11):763–4.Google Scholar
Jensen, D, Ofir, D, O’Donnell, DE. Effects of pregnancy, obesity and aging on the intensity of perceived breathlessness during exercise in healthy humans. Respir Physiol Neurobiol. 2009 167(1):87–100.Google Scholar
Parshall, MB, Schwartzstein, RM, Adams, L, et al. An official American Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnoea. Am J Respir Crit Care Med. 2012 185(4):435–52.Google Scholar
Milne, JA, Howie, AD. Pack AI Dyspnoea during normal pregnancy. Br J Obstet Gynaecol. 1978 85:260–3.Google Scholar
Jensen, D, Webb, KA, Wolfe, LA, O’Donnell, DE. Effects of human pregnancy and advancing gestation on respiratory discomfort during exercise. Respir Physiol Neurobiol. 2007 156(1):85–93.Google Scholar
Milne, JA, Howie, AD, Pack, AI. Dyspnoea during normal pregnancy. Br J Obstet Gynaecol. 1978 85(4):260–3.Google Scholar
Winer-Muram, HT, Boone, JM, Brown, HL, et al. Pulmonary embolism in pregnant patients: fetal radiation dose with helical CT. Radiology. 2002 224(2):487–92.CrossRefGoogle ScholarPubMed
Lenfant, C. Chest pain of cardiac and noncardiac origin. Metabolism. 2010 59(Suppl 1):S41-6.Google Scholar
Shah, S, Banh, ET, Koury, K, et al. Pain management in pregnancy: multimodal approaches. Pain Res Treat. 2015 2015:987483.Google Scholar
Seglem, KB, Orstavik, R, Torvik, FA, et al. Pre-pregnancy mental distress and musculoskeletal pain and sickness absence during pregnancy – a twin cohort study. Eur J Public Health. 2017 27(3):477–81.CrossRefGoogle ScholarPubMed
James, AH, Jamison, MG, Biswas, MS, et al. Acute myocardial infarction in pregnancy: a United States population-based study. Circulation. 2006 113(12):1564–71.CrossRefGoogle ScholarPubMed
Stein, PD, Beemath, A, Matta, F, et al. Clinical characteristics of patients with acute pulmonary embolism: data from PIOPED II. Am J Med. 2007 120(10):871–9.Google Scholar
Belohlavek, J, Dytrych, V, Linhart, A. Pulmonary embolism, part I: epidemiology, risk factors and risk stratification, pathophysiology, clinical presentation, diagnosis and nonthrombotic pulmonary embolism. Exp Clin Cardiol. 2013 18(2):129–38.Google ScholarPubMed
Woo, KM, Schneider, JI. High-risk chief complaints I: chest pain – the big three. Emerg Med Clin North Am. 2009 27(4):685–712.Google Scholar
Eslick, GD. Classification, natural history, epidemiology, and risk factors of noncardiac chest pain. Dis Mon. 2008 54(9):593–603.Google Scholar
Weinberger, SE, Weiss, ST, Cohen, WR, Weiss, JW, Johnson, TS. Pregnancy and the lung. Am Rev Respir Dis. 1980 121(3):559–81.Google Scholar
Krans, EE, Patrick, SW. Opioid use disorder in pregnancy: health policy and practice in the midst of an epidemic. Obstet Gynecol. 2016 128(1):4–10.Google Scholar
Swinburne, AJ, Fedullo, AJ, Gangemi, R, Mijangos, JA. Hereditary telangiectasia and multiple pulmonary arteriovenous fistulas: clinical deterioration during pregnancy. Chest. 1986 89(3):459–60.Google Scholar
Veil-Picard, M, Cattin, J, Chopard, R, et al. Hypoxaemia during pregnancy: pulmonary arteriovenous dilatation as a likely cause. Eur Respir Rev. 2014 23(134):531–3.Google Scholar