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Pneumonia during pregnancy.

M Reza Shariatzadeh1, Thomas J Marrie

  • 1Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.

The American Journal of Medicine
|September 27, 2006
PubMed
Summary
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Community-acquired pneumonia during pregnancy is well tolerated, with an incidence of 1.1 per 1000 deliveries. Asthma may increase pneumonia risk in pregnant individuals.

Area of Science:

  • Medical Research
  • Obstetrics and Gynecology
  • Pulmonology

Background:

  • Community-acquired pneumonia (CAP) can complicate pregnancy, necessitating an understanding of its specific impact.
  • Limited data exists on the incidence, clinical course, and risk factors of CAP in pregnant individuals.

Purpose of the Study:

  • To determine the incidence, clinical course, risk factors, and outcomes of CAP complicating pregnancy.
  • To compare these factors between pregnant and nonpregnant women.

Main Methods:

  • Prospective study conducted in 6 Edmonton hospitals.
  • Included pregnant and nonpregnant patients (20-40 years) presenting with pneumonia symptoms and radiographic evidence.
  • Comparison of clinical presentation, risk factors, and outcomes between groups.

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Main Results:

  • Incidence of CAP was 1.1 per 1000 deliveries in pregnant women versus 1.3 per 1000 in nonpregnant women.
  • Asthma requiring treatment was significantly more common in pregnant patients (46.4%) than nonpregnant patients (17.1%).
  • No maternal or fetal deaths occurred; two preterm deliveries were noted.

Conclusions:

  • Pneumonia is generally well tolerated during pregnancy.
  • Asthma appears to be a significant predisposing factor for pneumonia in pregnant women.