Respiratory Disease in Pregnancy

Luis D. Pacheco, Antonio Saad

Research output: Chapter in Book/Report/Conference proceedingChapter

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 languageEnglish (US)
Title of host publicationGabbe's Obstetrics
Subtitle of host publicationNormal and Problem Pregnancies, Ninth Edition
PublisherElsevier
Pages822-838.e4
ISBN (Electronic)9780323937276
ISBN (Print)9780323938020
DOIs
StatePublished - 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

Fingerprint

Dive into the research topics of 'Respiratory Disease in Pregnancy'. Together they form a unique fingerprint.

Cite this