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Respiratory Function in Pregnant Women

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Abstract

Respiratory disorders during pregnancy are connected with its physiology. About half of pregnant women suffer from dyspnea on exertion and some 20 % also from dyspnea at rest. Symptoms may intensify in obese patients. Smoking and respiratory disorders influence the well-being of the fetus. This study evaluates respiratory function in pregnant women as assessed by spirometry. The tests were carried out in 54 pregnant women in the 2nd and 3rd trimester. We found reduced values of vital capacity and expiratory reserve volume in all women, which suggests the existence a restrictive respiratory disorder in physiological pregnancy. Smoking seems to cause obstructive disorders; in smoking patients there was a reduction of the Tiffenau ratio. Participation in birth classes had a positive influence on inspiratory capacity. High BMI before pregnancy, excessive weight gain during pregnancy, or age of becoming pregnant did not appreciably influence spirometry results.

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References

  • Alaily, A. B., & Carrol, K. B. (1978). Pulmonary ventilation in pregnancy. British Journal of Obstetrics and Gynaecology, 85, 518–524.

    Article  PubMed  CAS  Google Scholar 

  • Brancazio, L. R., Laifer, S. A., & Schwartz, T. (1997). Peak expiratory flow rate in normal pregnancy. Obstetrics & Gynecology, 89, 383–386.

    Article  CAS  Google Scholar 

  • Castro, L. C., & Avina, R. L. (2002). Maternal obesity and pregnancy outcomes. Current Opinion in Obstetrics and Gynecology, 14, 601–606.

    Article  PubMed  Google Scholar 

  • Contreras, G., Gutiérrez, M., Beroíza, T., Fantín, A., Oddó, H., Villarroel, L., Cruz, E., & Lisboa, C. (1991). Ventilatory drive and respiratory muscle function in pregnancy. The American Review of Respiratory Disease, 144, 837–841.

    Article  PubMed  CAS  Google Scholar 

  • Das, T. K., & Jana, H. (1991). Maternal airways function during normal pregnancy. Indian Journal of Medical Sciences, 45, 265–268.

    PubMed  CAS  Google Scholar 

  • Das, T. K., Moutquin, J. M., & Parent, J. G. (1991). Effect of cigarette smoking on maternal airway function during pregnancy. American Journal of Obstetrics and Gynecology, 165, 675–679.

    Article  PubMed  CAS  Google Scholar 

  • Dietl, J. (2005). Maternal obesity and complications during pregnancy. Journal of Perinatal Medicine, 33, 100–105.

    Article  PubMed  Google Scholar 

  • Galtier-Dereure, F., & Bringer, J. (2002). Obesity and pregnancy. Annales d’ Endocrinologie, 63, 470–475.

    CAS  Google Scholar 

  • Goodland, R. L., Reynolds, J. G., McCoord, A. B., & Pommerenke, W. T. (1953). Respiratory and electrolyte effects induced by estrogen and progesterone. Fertility and Sterility, 4, 300–317.

    PubMed  CAS  Google Scholar 

  • Grindheim, G., Toska, K., Estensen, M.-E., & Rosseland, L. A. (2012). Changes in pulmonary function during pregnancy: A longitudinal cohort study. An International Journal of Obstetrics & Gynaecology, 119, 94–101.

    Article  CAS  Google Scholar 

  • McAuliffe, F., Kametas, N., Costello, J., Rafferty, G. F., Greenough, A., & Nicolaides, K. (2002). Respiratory function in singleton and twin pregnancy. An International Journal of Obstetrics & Gynaecology, 109, 765–769.

    Article  Google Scholar 

  • Milne, J. A. (1979). The respiratory response to pregnancy. Postgraduate Medical Journal, 55, 318–324.

    Article  PubMed  CAS  Google Scholar 

  • Milne, J. A., Howie, A. D., & Pack, A. I. (1978). Dyspnoea during normal pregnancy. British Journal of Obstetrics and Gynaecology, 85, 260–263.

    Article  PubMed  CAS  Google Scholar 

  • Puranik, B. M., Kaore, S. B., Kurhade, G. A., Agrawal, S. D., Patwardhan, S. A., & Kher, J. R. (1994). A longitudinal study of pulmonary function tests during pregnancy. Indian Journal of Physiology and Pharmacology, 38, 129–132.

    PubMed  CAS  Google Scholar 

  • Rode, L., Nilas, L., Wojdemann, K., & Tabor, A. (2005). Obesity- related complications in Danish single cephalic term pregnancies. Obstetrics & Gynecology, 105, 537–542.

    Article  Google Scholar 

  • Schatz, M., Dombrowski, M. P., Wise, R., Momirova, V., Landon, M., Mabie, W., Newman, R. B., Rouse, D. J., Lindheimer, M., Miodovnik, M., Caritis, S. N., Leveno, K. J., Meis, P., Wapner, R. J., Paul, R. H., O’Sullivan, M. J., Varner, M. W., Thurnau, G. R., & Conway, D. L. (2006). Spirometry is related to perinatal outcomes in pregnant women with asthma. American Journal of Obstetrics & Gynecology, 194, 12012–12016.

    Article  Google Scholar 

  • Tyler, J. M. (1960). The effects of progesterone on the respiration of patients with emphysema and hypercapnia. Journal of Clinical Investigation, 39, 34–41.

    Article  PubMed  CAS  Google Scholar 

  • Unterborn, J. (2001). Pulmonary function testing in obesity, pregnancy and extremes of body habitus. Clinics in Chest Medicine, 22, 759–767.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgements

We would like to thank the staff of the birth classes of the University Hospital No 1 in Wroclaw and the birth classes in the Wroclaw Informative-Educational Centers for their kindness and help during the study.

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The authors declare no conflicts of interest in relation to this article.

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Correspondence to L. Hirnle .

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Hirnle, L. et al. (2013). Respiratory Function in Pregnant Women. In: Pokorski, M. (eds) Neurobiology of Respiration. Advances in Experimental Medicine and Biology, vol 788. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6627-3_23

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