Exacerbation of underlying pulmonary disease in pregnancy

Critical Care Clinics
Rubin CohenLinda S Efferen

Abstract

This article examines the management and outcomes of pregnant women with cystic fibrosis, primary pulmonary hypertension, and sarcoidosis. Pregnancy and the puerperium are associated with important cardiopulmonary changes that can adversely affect the clinical condition. Management of pregnant women with CF should be done with careful attention to complications of altered body weight, diabetes, and liver disease. Primary pulmonary hypertension is characterized by a progressive increase in pulmonary pressure and resistance in the absence of an identified cardiac or pulmonary cause. A multidisciplinary approach to the management of patients with primary pulmonary hypertension is of great importance for a successful maternal and fetal outcome. Good maternal and fetal outcomes are possible in women with restrictive lung disease in general and sarcoidosis in particular. The management of pregnancy, labor, and delivery are not altered by the presence of sarcoidosis.

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Nov 6, 2012·International Journal of Obstetric Anesthesia·C M BaronD J Funk
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Jun 1, 2011·Obstetric Medicine·Kelly L HolderM Ryan Laye

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