Abstract
Respiratory diseases are among the most common medical conditions affecting pregnancy and are a cause for intensive care unit (ICU) admission in obstetric patients. For the most part, treatment of respiratory diseases during pregnancy should follow the same basic principles as in the nonpregnant population. Appropriate early empiric antibiotic therapy is essential in community-acquired pneumonia and tuberculosis. Preventive strategies are paramount and should be included in the management of asthma among pregnant women. Most agents used in the treatment of acute asthma exacerbations are deemed safe in pregnancy. Acute respiratory distress syndrome (ARDS) is a form of inflammatory noncardiogenic pulmonary edema that carries a poor prognosis. Lung-protective mechanical ventilation is essential and should be used in pregnancy as indicated. Transfusion-related acute lung injury (TRALI) is the most common cause of transfusion-related mortality in the developed world. Modern management of cystic fibrosis allows women to reach reproductive age. Pregnancy supervision in women with this condition requires a multidisciplinary team, including maternal-fetal medicine, pulmonology, and genetic specialists.
Original language | English (US) |
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Title of host publication | Gabbe's Obstetrics |
Subtitle of host publication | Normal and Problem Pregnancies, Ninth Edition |
Publisher | Elsevier |
Pages | 822-838.e4 |
ISBN (Electronic) | 9780323937276 |
ISBN (Print) | 9780323938020 |
DOIs | |
State | Published - Jan 1 2024 |
Keywords
- acute respiratory distress syndrome
- asthma
- community-acquired pneumonia
- cystic fibrosis
- Pregnancy
- sarcoidosis
- transfusion-related acute lung injury
- tuberculosis
ASJC Scopus subject areas
- General Medicine