Respiratory Disease in Pregnancy

Mehta, Niharika

doi:10.21767/2476-1974.100014

Cited by 2 publications

(4 citation statements)

References 5 publications

(6 reference statements)

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“…The gravid uterus increases intragastric pressures, and high levels of progesterone and relaxin decrease lower esophageal sphincter tone 12,13. A normal delay in gastric emptying and elevation of the diaphragm up to four centimeters (cm) increase aspiration risk, elevating the risk of aspiration pneumonia and complicating intubating conditions 14…”

Section: Discussionmentioning

confidence: 99%

“…The course of pneumonia in pregnant patients can be further complicated by decreased secretion clearance and worsening airway obstruction 13,61. Secondary to pregnancy physiology and treatments routinely administered in the course of delivery, aspiration during labor represents another significant source of infection 14. Epidural blocks may blunt or inhibit the cough reflex, further increasing the risk of aspiration pneumonitis and pneumonia 65…”

Section: Discussionmentioning

confidence: 99%

“…ICU admission threshold should be lower for pregnant individuals, as they have decreased tolerance for hypoxemia and may quickly deteriorate with pneumonia 13. Blood gas interpretation in pregnant patients should take into account the expected physiologic alkalemia, which may blunt initial laboratory findings of hypercapneic respiratory failure 14. Anatomical compression of the inferior vena cava in late pregnancy can reduce cardiac preload causing hypotension, exacerbated by the addition of positive pressure from mechanical ventilation 11,24.…”

Section: Discussionmentioning

confidence: 99%

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Sepsis in Pregnancy: Recognition and Resuscitation

Bridwell

Carius

Long

et al. 2019

WestJEM

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The normal physiologic changes of pregnancy complicate evaluation for sepsis and subsequent management. Previous sepsis studies have specifically excluded pregnant patients. This narrative review evaluates the presentation, scoring systems for risk stratification, diagnosis, and management of sepsis in pregnancy. Sepsis is potentially fatal, but literature for the evaluation and treatment of this condition in pregnancy is scarce. While the definition and considerations of sepsis have changed with large, randomized controlled trials, pregnancy has consistently been among the exclusion criteria. The two pregnancy-specific sepsis scoring systems, the modified obstetric early warning scoring system (MOEWS) and Sepsis in Obstetrics Score (SOS), present a number of limitations for application in the emergency department (ED) setting. Methods of generation and subsequently limited validation leave significant gaps in identification of septic pregnant patients. Management requires consideration of a variety of sources in the septic pregnant patient. The underlying physiologic nature of pregnancy also highlights the need to individualize resuscitation and critical care efforts in this unique patient population. Pregnant septic patients require specific considerations and treatment goals to provide optimal care for this particular population. Guidelines and scoring systems currently exist, but further studies are required.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sepsis in Pregnancy: Recognition and Resuscitation

Bridwell

Carius

Long

et al. 2019

WestJEM

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“…Por otra parte, es conocido que las embarazadas tienen mayor riesgo de desarrollar complicaciones cuando adquieren infecciones respiratorias virales debido a los cambios inmunitarios y cardiopulmonares propios de la gestación [10][11][12] .…”

Section: Introductionunclassified

Evaluación de un modelo remoto de seguimiento de pacientes embarazadas y puérperas con infección por SARS-CoV-2

et al. 2020

Rev. chil. obstet. ginecol.

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Introduction: Given the scenario of obstetric patients diagnosed with the new coronavirus disease , the need for proper follow-up both obstetric and of the infection, during the period of home isolation, is essential. A remote monitoring program was developed by the Maternal Fetal Medicine Unit (MFM) of our center from the diagnosis of the infection until medical discharge according to the current criteria of the Ministry of Health (MINSAL). Objective: To assess patient satisfaction of remote monitoring of pregnant and postpartum patients diagnosed with SARS-CoV-2 infection. Methods: This is a descriptive-survey research. We performed a patient satisfaction survey through an online platform to pregnant and postpartum patients with remote monitoring for SARS-CoV-2 infection in our center. The survey was anonymous and voluntary. The instrument for this purpose was the Spanish adapted version of "Telehealth Usability Questionnaire" (TUQ) that has been previously validated. Results: The survey was answered by 94,5% of the patients. The results show that 86% of the patients rated the virtual control as "Very Good" or "Good"; 91% did not experienced technical problems. 14% of the patients prefer virtual control, 26% prefer face-to-face control and 60% both virtual and face-to-face control. 80% fulfilled all their needs with virtual control. Conclusions: In the context of pandemic and SARS-CoV-2 infection, remote monitoring has been positively evaluated with acceptable levels of patient's satisfaction.

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Respiratory Disease in Pregnancy

Cited by 2 publications

References 5 publications

Sepsis in Pregnancy: Recognition and Resuscitation

Sepsis in Pregnancy: Recognition and Resuscitation

Evaluación de un modelo remoto de seguimiento de pacientes embarazadas y puérperas con infección por SARS-CoV-2

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