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Williams Obstetrics, 23e
| Section VII. Obstetrical Complications > |
Chapter 46. Pulmonary Disorders
Sections: Pulmonary Disorders: Introduction, Pulmonary Physiology, Asthma, Acute Bronchitis, Pneumonia, Tuberculosis, Sarcoidosis, Cystic Fibrosis, Carbon Monoxide Poisoning, References.
Topics Discussed: lung diseases.
Excerpt:"A number of acute and chronic pulmonary disorders are encountered during pregnancy. The most common is asthma, which affects up to 4 percent of women. Together with community-acquired pneumonia, it accounted for almost 10 percent of nonobstetrical antepartum hospitalizations in one managed care plan (Gazmararian and colleagues, 2002). Acute and chronic lung disorders are superimposed upon several important adaptive changes of pulmonary physiology and function during pregnancy. And although there is no evidence that pulmonary function is impaired because of pregnancy, advanced pregnancy may intensify the pathophysiological effects of some lung diseases. One example is the disparate number of maternal deaths during the influenza pandemics of 1918 and 1957. Another is the poor tolerance for pregnancy of women with severe chronic lung disease...."
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