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Pregnancy complicated by allergic bronchopulmonary aspergillosis: A case-control study
Inderpaul Singh Sehgal1, Sahajal Dhooria1, Kuruswamy Thurai Prasad1
1Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Mycoses
|September 12, 2020
Summary
Pregnant women with allergic bronchopulmonary aspergillosis (ABPA) experience more asthma and ABPA exacerbations. However, maternal and infant outcomes remain favorable, indicating good pregnancy health despite increased exacerbation risk.
Area of Science:
- Pulmonology
- Allergy Immunology
- Obstetrics
Background:
- The impact of allergic bronchopulmonary aspergillosis (ABPA) on pregnancy and vice versa is not well understood.
- Investigating this relationship is crucial for managing pregnant individuals with ABPA.
Purpose of the Study:
- To assess the progression of ABPA during pregnancy.
- To determine the effects of ABPA on maternal and perinatal health outcomes.
Main Methods:
- A retrospective study comparing pregnant women with ABPA (cases) to non-pregnant individuals with ABPA (controls).
- Data collected included demographics, imaging, lung function, symptom duration, and exacerbation rates.
- Maternal and perinatal outcomes were specifically recorded for the pregnant cases.
Main Results:
- Nine pregnant women with ABPA (cases) and 38 controls were analyzed.
- Cases had significantly higher rates of asthma and ABPA exacerbations per person-year compared to controls.
- No maternal complications were observed, and one neonate had low birthweight.
Conclusions:
- Pregnant individuals with ABPA face an elevated risk of asthma and ABPA exacerbations.
- Despite increased exacerbation risk, maternal and perinatal outcomes in ABPA pregnancies are generally positive.
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