Rhinologic Conditions of Pregnancy: A Retrospective Cohort Study

Area of Science:

• Otolaryngology
• Obstetrics
• Rhinology

Background:

• Pregnancy frequently leads to physiological changes affecting the upper airway.
• Rhinologic conditions during pregnancy can impact maternal well-being and require specific management considerations.

Purpose of the Study:

• To investigate the prevalence, risk factors, and management of pregnancy-related rhinologic conditions.
• To identify associations between obstetric factors and specific nasal complaints in pregnant individuals.

Main Methods:

• Retrospective cohort study of pregnant patients with rhinologic concerns over a 10-year period.
• Data collected included patient demographics, obstetric history, rhinologic diagnosis, and medication use.
• Statistical analysis performed using Stata/SE 17.0, with P<.05 considered significant.

Main Results:

• Epistaxis (43.9%), chronic rhinosinusitis exacerbations (38.6%), and rhinitis of pregnancy (17.5%) were the most common conditions.
• Primigravida status was associated with epistaxis (P=.008), and a history of pregnancy loss with rhinitis of pregnancy (P=.012).
• Gestational diabetes mellitus showed a univariate association with epistaxis (P=.011).

Conclusions:

• Pregnancy-related rhinologic conditions encompass a range of issues with identifiable risk factors.
• Increased awareness among healthcare providers, particularly otolaryngologists, is crucial for timely diagnosis and effective management.