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Maternal respiratory conditions 

Maternal respiratory conditions
Chapter:
Maternal respiratory conditions
Author(s):

Harini Narayan

DOI:
10.1093/med/9780199673643.003.0003
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date: 30 October 2020

This chapter provides up-to-date information about respiratory conditions that can affect pregnancy, including severe asthma, cystic fibrosis, sarcoidosis etc. The fact file for each condition summarizes aspects of epidemiology, immunology, pathogenesis, variable course during pregnancy, symptomatology, diagnosis, potential pregnancy complications and outcomes. Essential investigations and assessments and antenatal management are detailed in the care pathway for each topic, with clearly referenced national and international guidelines and good practice evidence, emphasizing the prevention of exacerbations and complications. For each condition, essential investigations and assessments throughout pregnancy and the multidisciplinary management required in pregnancies complicated by pulmonary disease are presented in practical terms. Pharmacological treatment and adjuvant management strategies are discussed. Guidance for appropriate referrals to regional/tertiary centres, integration between primary, secondary and tertiary settings are incorporated in the care pathways, as are documentation and communication of essential measures for intrapartum, postnatal, and neonatal care. Patient information is provided for each condition.

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