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Antepartum pneumonia in pregnancy
American Journal of Obstetrics and Gynecology
|October 15, 1982
Summary
Antepartum pneumonia in pregnant patients often involves Streptococcus pneumoniae and significant anemia. Most cases in the second and third trimesters result in term delivery, with a low maternal mortality rate.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Pulmonology
Background:
- Antepartum pneumonia presents a significant clinical challenge during pregnancy.
- Bacterial infections are a common cause of pneumonia in pregnant individuals.
Purpose of the Study:
- To retrospectively review cases of antepartum pneumonia.
- To identify common causative organisms and associated maternal and perinatal outcomes.
Main Methods:
- Retrospective chart review of 39 patients diagnosed with antepartum pneumonia.
- Analysis of microbiological data for culture-proved bacterial pneumonias.
- Assessment of anemia, gestational age at delivery, and mortality rates.
Main Results:
- Twenty-one patients (54%) had culture-proved bacterial pneumonia.
- Streptococcus pneumoniae was the most frequent pathogen (13/39).
- Anemia (hemoglobin ≤ 10 gm) was observed in 49% of patients on admission.
- 85% of patients in the second and third trimesters delivered at term.
- Perinatal mortality rate was 40/1,000; no maternal deaths occurred.
Conclusions:
- Streptococcus pneumoniae is a primary cause of bacterial pneumonia during pregnancy.
- Antepartum pneumonia can be associated with significant anemia but generally allows for term delivery with no maternal mortality.