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Review
. 2021 Sep;42(3):483-496.
doi: 10.1016/j.ccm.2021.04.008.

Pulmonary Considerations for Pregnant Women

Nicholas Nassikas  1 , Isabelle Malhamé  2 , Margaret Miller  3 , Ghada Bourjeily  4
Affiliations
Review

Pulmonary Considerations for Pregnant Women

Nicholas Nassikas et al. Clin Chest Med. 2021 Sep.

Abstract

Maternal mortality is increasing in the United States; many maternal deaths are linked to substandard care and withholding diagnostic tests or therapeutic options for fear of harm. Respiratory conditions are common in this population; however, caring for pregnant women with respiratory disease is complicated by physiologic changes. Safety of diagnostic tests as well as therapeutic interventions, changes in pharmacodynamics, and potential teratogenicity complicate the care of this population further. Appropriate care of pregnant women with respiratory conditions requires a good understanding of these nuances in the management, to provide appropriate care and improve the health and well-being of pregnant women.

Keywords: Imaging; Pharmacotherapy; Preconception counseling; Pregnancy; Pulmonary disease.

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Conflict of interest statement

Conflicts of interest All authors have no conflicts of interest to report.

Figures

Fig. 1.
Fig. 1.
Approach to pharmacotherapy for the pregnant and breastfeeding woman. (Adapted from Miller, M. A., Mehta, N., Clark-Bilodeau, C., & Bourjeily, G. (2020). Sleep Pharmacotherapy for Common Sleep Disorders in Pregnancy and Lactation. Chest, 157(1), 184–197.With permission.)
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