Managing Pregnancy-Related Nocturnal Nasal Congestion

Turnbull, Gayla L.; Rundell, O. H.; Rayburn, William F.; Jones, Renee K.; Pearman, Carla S.

doi:10.1097/00006254-199708000-00002

Cited by 18 publications

(27 citation statements)

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“…Careful questioning is required during consultation to establish diagnosis (35). Pregnancy has been correlated with nasal congestion as well (36)(37)(38). Rare disorders such as Wegener, sarcoidosis and cystic fibrosis should also be regarded.…”

Section: Subjective Methodsmentioning

confidence: 99%

Evidence‐based recommendations regarding the differential diagnosis and assessment of nasal congestion: using the new GRADE system

Spronsen

Ingels

Jansen

et al. 2008

Allergy

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Nasal congestion is an important symptom in nasal pathology and can be defined as an objective restriction of nasal cavity airflow because of mucosal pathology and/or increased mucus secretion (excluding anatomical variants). Using the new Grading Recommendations Assessment, Development and Evaluation system, evidence‐based recommendations are made that will encompass different clinical questions regarding diagnostic modalities of nasal congestion: (i) their usefulness in assessment of presence and severity of congestion; (ii) their usefulness in assessment of etiological pathology responsible for congestion; and (iii) their usefulness in follow up and treatment effectiveness evaluation of nasal congestion.

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Section: Subjective Methodsmentioning

confidence: 99%

Evidence‐based recommendations regarding the differential diagnosis and assessment of nasal congestion: using the new GRADE system

Spronsen

Ingels

Jansen

et al. 2008

Allergy

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“…In a survey on 79 pregnant women near term, Mabry found that 30% suffered from nasal problems, while 18% reported nasal problems before becoming pregnant [4], and in a later similar survey on 66 women the cumulative incidence of nasal congestion due to pregnancy was 18 B 9% [5]. Turnbull et al [6] interpret 21% of 160 volunteers (16-39 weeks of gestation) for their study on nasal dilators to have pregnancy-related nasal congestion, although criteria were not specified.…”

Section: Introductionmentioning

confidence: 96%

The Incidence of Pregnancy Rhinitis

Ellegård

Hellgren

Torén

et al. 2000

Gynecol Obstet Invest

104

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The purpose of this study was to define the cumulative incidence of pregnancy rhinitis, and to study whether smoking, asthma, hayfever or month of conception are risk factors. A questionnaire was delivered during 1 year in 10 antenatal care centers in one Swedish county. Questions were asked by midwives on the ordinary check-up visits throughout pregnancy. Five centers with response rates of 70% or more, including 599 women, were evaluated. The cumulative incidence of pregnancy rhinitis was 22%. Smokers had a significantly increased incidence with a relative risk enhancement of 69%, whereas hayfever, asthma, and month of conception had no statistically significant influence on incidence. Pregnancy rhinitis was shown to appear at any time during gestation.

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“…The lightweight nature, secure placement and ease of use of the ENDS have contributed to its popular acceptance. The ENDS device has been advocated for the relief of the symptoms of nasal obstruction associated with viral, allergic and pregnancy-related [18] nasal congestion, as well as symptoms related to a deviated nasal septum and collapsed nasal cartilages [2,19]. The device is also promoted as a method for the reduction of snoring [20±22].…”

Section: Discussionmentioning

confidence: 99%

Nasal airflow dynamics: mechanisms and responses associated with an external nasal dilator strip

2000

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The adhesive external nasal dilator strip (ENDS) is widely advocated for prevention of snoring and promotion of nasal breathing during exercise. In the present study, the effects of the ENDS on nasal airflow resistance (Rn) in normal subjects were examined and factors determining individual responses to the ENDS explored.Using posterior rhinomanometry, 20 healthy Caucasian adults (10 males, 10 females; age: 18±56 yrs) were studied during quiet tidal breathing and voluntary hyperpnoea with (ENDS) and without (control) ENDS and with a placebo strip (placebo) before and after application of a topical nasal decongestant (oxymetazoline hydrochloride).During tidal breathing, only nine subjects showed a significantly (p<0.05) decreased inspiratory and/or expiratory Rn with the ENDS ("responders"). During the control, inspiratory Rn (at 0.4 L . s -1 ) was higher in "responders" than "nonresponders" (3.28 0.16 versus 2.600.08 cmH 2 O . L -1 . s; p=0.04). The effects of nasal decongestant and the ENDS were additive. During voluntary hyperpnoea, inspiratory Rn (at 1.0 L . s -1 ) and the hysteresis of the inspiratory transnasal pressure/flow curve were decreased with the ENDS in most subjects.It is concluded that the external nasal dilator strip influences nasal airflow dynamics by both dilation of the nasal valve and stabilization of the lateral nasal vestibule walls and may be more effective in subjects with a high resting nasal airflow resistance. Eur Respir J 2000; 15: 929±936.

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Managing Pregnancy-Related Nocturnal Nasal Congestion

Cited by 18 publications

References 0 publications

Evidence‐based recommendations regarding the differential diagnosis and assessment of nasal congestion: using the new GRADE system

Evidence‐based recommendations regarding the differential diagnosis and assessment of nasal congestion: using the new GRADE system

The Incidence of Pregnancy Rhinitis

Nasal airflow dynamics: mechanisms and responses associated with an external nasal dilator strip

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