Respiratory disease in pregnancy |
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Authors: | Sophia StoneCatherine Nelson-Piercy |
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Institution: | Sophia Stone MD MRCOG is a Consultant in Obstetrics and Gynaecology at St Richard''s Hospital, Chichester, West Sussex, UK. Conflicts of interest: none declared; Catherine Nelson-Piercy MA FRCP FRCOG is a Consultant Obstetric Physician at Guy''s and St Thomas'' Hospitals Trust, London, UK. Conflicts of interest: none declared |
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Abstract: | Breathlessness in the absence of an underlying pathology is common in pregnancy. Asthma affects about 7% of women of child-bearing age. Treatment is the same as for the non-pregnant population and most drugs are safe in pregnancy. Educating women to continue preventer inhaled corticosteroid therapy will reduce the risk of attacks. Respiratory infections are associated with a higher morbidity in pregnancy and should be treated aggressively. Most chronic pulmonary diseases do not alter fertility. Large reserves in respiratory function allow the fetus and mother to survive without compromise in most cases. The use of chest X-rays should not be avoided in pregnancy. Women with a chronic respiratory disease should receive pre-pregnancy counselling and education. Women should be managed in a multidisciplinary setting with the respiratory team. The presence of pulmonary hypertension and cor pulmonale is associated with a high risk of death in pregnancy. |
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Keywords: | asthma pneumonia pregnancy respiratory disease tuberculosis |
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