Respiratory Disease in Pregnancy

Respiratory diseases affect a large proportion of the population and can cause complications when associated with pregnancy. Pregnancy induces profound anatomical and functional physiological changes in the mother, and subjects the mother to pregnancy-specific respiratory conditions. Reviewing respiratory conditions both specific and non-specific to pregnancy, the book also addresses related issues such as smoking and mechanical ventilation. Basic concepts for the obstetrician are covered, including patient history, physiology and initial examinations. Topics such as physiological changes during pregnancy and placental gas exchange are discussed for the non-obstetrician. Guidance is practical, covering antenatal and post-partum care, as well as management in the delivery suite. An essential guide to respiratory diseases in pregnancy, this book is indispensable to both obstetricians and non-obstetric physicians managing pregnant patients.

List of contributors; Section 1. The Basics – for the Obstetrician: 1. Respiratory physiology and terminology Timothy Crozier; 2. Pulmonary assessment in pregnancy Tabassum Firoz; 3. Approach to common respiratory problems in pregnancy Karen Patterson; Section 2. The Basics – for the Non-Obstetrician: 4. Cardiopulmonary physiological alterations in pregnancy Niamh Hayes and Thomas Drew; 5. Gas exchange across the placenta Brahmdeep S. Saini, Janna L. Morrison and Mike Seed; Section 3. Pulmonary Conditions Not Specific to Pregnancy: 6. Pulmonary infections in pregnancy Priya Daniel, Timothy Hills and Wei Shen Lim; 7. Asthma in pregnancy Danish Ahmad and Erika Yoo; 8. Cystic fibrosis in pregnancy Melanie Chin and D. Elizabeth Tullis; 9. Restrictive lung disease in pregnancy Stephen Lapinsky; 10. Pulmonary thromboembolic disease in pregnancy Wee-Shian Chan; 11. Pulmonary hypertension in pregnancy Liesbeth ten Klooster, Vicki J. Wilson, Ruth Newton, Karen Selby, Suarabh V Gandhi and David G Kiely; 12. Sickle chest syndromes in pregnancy Ann Kinga Malinowski and Nadine Shehata; 13. Sleep-disordered breathing in pregnancy Jennifer E. Dominguez and Ghada Bourjeily; 14. Acute respiratory distress syndrome and respiratory failure in pregnancy Justin Seashore and Alexander Duarte; 15. Other pulmonary conditions in pregnancy Muhammed Ehtisham, Humnah Khudayar and Patricia Russo-Magno; Section 4. Pulmonary Conditions Related to Pregnancy: 16. Dyspnea of pregnancy Stephen Lapinsky and Ghada Bourjeily; 17. Amniotic fluid embolism syndrome Marie Baldisseri; 18. Pregnancy-associated pulmonary edema Lisa Moore; Section 5. Other Pulmonary Issues in Pregnancy: 19. Smoking in pregnancy Catherine Chamberlain; 20. Radiological imaging of the chest in pregnancy Shital Gandhi and Siobhan Bacon; 21. Respiratory drug therapy in pregnancy Nika Mehta; 22. Biological and immunosuppressive respiratory therapy in pregnancy Bernadette Jenner and Catherine Nelson-Piercy; 23. Oxygen therapy in pregnancy Daniela Vaquez and Gustavo A. Plotnikow; 24. Airway management in pregnancy Kyle Jespersen and Michaela K. Farber; 25. Mechanical ventilation in pregnancy José Rojas-Suarez and Jezid Miranda; Index.

Stephen E. Lapinsky is the Director of the Intensive Care Unit at Mount Sinai Hospital, Toronto, and Professor of Medicine at the University of Toronto.
Lauren A. Plante is Professor in the Department of Obstetrics and Gynecology at Drexel University College of Medicine, Philadelphia.