| The effects of rhinitis, asthma, and acute respiratory distress syndrome as acute or chronic pulmonary conditions during pregnancy. | |
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MedLine Citation:
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PMID: 16714914 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pulmonary complications from both obstetrical and non-obstetrical causes contribute to a mortality rate as high as 80% in the pregnant population. The effect of numerous mechanical and biochemical physiologic alterations during pregnancy can influence the maternal and fetal outcomes in a woman with a pulmonary complication. Progesterone, the primary hormone of pregnancy, is a respiratory stimulant that enhances carbon dioxide release and alters the maternal pH in favor of releasing oxygen to the fetus. During systemic compromise, which may be experienced as an acute asthmatic attack or respiratory distress syndrome, desaturation and carbon dioxide retention ensue. Under these conditions, the fetus is at risk for perinatal hypoxemia. Although prompt recognition and treatment are important to minimize maternal, fetal, and neonatal morbidity and mortality, evidence-based literature regarding critical care techniques that promote optimal obstetrical outcomes is limited. Therefore, a collaborative approach to the care of these women is warranted. In addition to critical care, emergency medicine, and obstetrical nurses, the medical team may include an obstetrician, a perinatologist, a neonatologist, a pulmonologist, an intensivist, and an immunologist. |
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Authors:
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Carol A Curran |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Journal of perinatal & neonatal nursing Volume: 20 ISSN: 0893-2190 ISO Abbreviation: J Perinat Neonatal Nurs Publication Date: 2006 Apr-Jun |
Date Detail:
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Created Date: 2006-05-22 Completed Date: 2006-07-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8801387 Medline TA: J Perinat Neonatal Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 147-54, quiz 155-6 Citation Subset: N |
Affiliation:
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CNSA/Clinical Nurse Specialists & Associates, Virginia Beach, Va 23452, USA. cnsa@mindspring.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adaptation, Physiological / physiology Asthma* / diagnosis, epidemiology, therapy Cause of Death Chronic Disease Critical Care Evidence-Based Medicine Female Humans Maternal Mortality Neonatal Nursing / organization & administration Nursing Assessment Patient Care Team / organization & administration Perinatal Care / organization & administration Pregnancy / physiology Pregnancy Complications* / diagnosis, epidemiology, therapy Pregnancy Outcome Respiratory Distress Syndrome, Adult* / diagnosis, epidemiology, therapy Rhinitis* / diagnosis, epidemiology, therapy Risk Factors Severity of Illness Index United States / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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