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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Infiltrative lung diseases in pregnancy
N Freymond1, V Cottin1, J F Cordier1
1Department of Respiratory Medicine, Reference Centre for Rare Pulmonary Diseases, Hospices Civils de Lyon, Louis Pradel Hospital, Lyon, France; University of Lyon I, UMR754 INRA, IFR 128, Lyon, France.
Pregnancy can impact infiltrative lung disease (ILD) diagnosis and outcomes, and ILD can affect pregnancy. Preexisting ILD requires careful pre-pregnancy evaluation for safe management.
Area of Science:
- Pulmonology and Obstetrics
Background:
- Infiltrative lung disease (ILD) can complicate pregnancy, affecting both maternal and fetal outcomes.
- Pregnancy itself may influence the presentation and progression of ILD.
- Certain medications used during pregnancy can induce or exacerbate ILD.
Purpose of the Study:
- To review the complex interplay between pregnancy and infiltrative lung disease.
- To outline diagnostic and management considerations for ILD in pregnant patients.
- To assess the impact of ILD on pregnancy outcomes and vice versa.
Main Methods:
- Literature review of studies investigating ILD in pregnancy.
- Analysis of case reports and clinical series.
- Synthesis of current guidelines and expert opinions.
Main Results:
- ILD is rare in pregnancy due to typical age demographics, but can arise de novo or worsen existing conditions.
- Some ILDs may not significantly alter pregnancy management, labor, or delivery.
- Preexisting ILD is not an absolute contraindication to pregnancy but necessitates comprehensive pre-conception assessment.
Conclusions:
- Careful pre-pregnancy evaluation is crucial for identifying contraindications and tailoring monitoring for pregnant individuals with ILD.
- Management strategies must be individualized based on ILD type, severity, and pregnancy stage.
- Further research is needed to optimize the care of pregnant patients with ILD.
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