Document Detail

Management of a parturient with respiratory failure secondary to cystic fibrosis.
MedLine Citation:
PMID:  15601277     Owner:  NLM     Status:  MEDLINE    
A 21-year-old with end-stage respiratory failure and cor pulmonale due to cystic fibrosis became pregnant. Her forced expiratory volume in 1 s (FEV1) was 17% of that predicted antenatally, and termination was strongly advised on the grounds that continuing pregnancy was likely to be fatal. She elected to continue with the pregnancy and gave birth by lower segment caesarean section at 29 weeks and 5 days' gestation. Despite a problematic postnatal course, she was successfully discharged home and, 7 months postnatally, continues to live at home with her partner and their baby. There are no previous reports of cystic fibrosis patients with this level of respiratory impairment surviving pregnancy.
A J D Cameron; T A J Skinner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  60     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2004-12-16     Completed Date:  2005-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  77-80     Citation Subset:  AIM; IM    
Auckland City Hospital, Private Bag 92-024, Auckland, New Zealand.
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MeSH Terms
Anesthesia, Conduction / methods
Anesthesia, Obstetrical / methods
Cesarean Section
Cystic Fibrosis / complications*
Postnatal Care / methods
Pregnancy Complications / therapy*
Prenatal Care / methods*
Respiratory Insufficiency / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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