Restrictive lung diseases in pregnancy
ENT Diseases: Diagnosis and Treatment during Pregnancy and Lactation, Springer International Publishing Ag, ss.871-888, 2022
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2022
- Doi Numarası: 10.1007/978-3-031-05303-0_66
- Yayınevi: Springer International Publishing Ag
- Sayfa Sayıları: ss.871-888
- Anahtar Kelimeler: Postpartum period, Pregnancy, Pulmonary disease, Pulmonology, Restrictive lung disease
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
"Restrictive lung disease" refers to a range of conditions that may occur within the lung itself, the pleura or outside the lung proper and which all share the common features of placing limits on the ability of the lung to expand, leading to restricted pulmonary volume, greater exertion needed to breathe and insufficient ventilation, with or without inadequate oxygenation. In pregnant women, there are a number of anatomical and physiological adaptations that take place, which also affect the respiratory system. One such physiological adaptation is a decrease in pulmonary volume [1], coupled with a greater need for breathing. Women who already suffer from a restrictive lung disease may find that pregnancy imposes a further strain on the respiratory system [2]. However, such cases are not particularly common, given that restrictive lung disease usually develops at a later stage in life than childbearing [3]. In the majority of pregnant women, the reserve capacity of the respiratory system offsets the effects of this strain on ventilation, and no harm is done to the fetomaternal unit. For pregnancy to come to a safe conclusion, a woman should usually have an FVC of at least 1 L or 50% of the predicted value. In certain cases, a pregnancy may still succeed with very marked pulmonary restriction, but women with such conditions should be advised against becoming pregnant and if this does occur, may need to consider a termination of pregnancy [4].