Ka. Boggess et al., MANAGEMENT AND OUTCOME OF PREGNANT-WOMEN WITH INTERSTITIAL AND RESTRICTIVE LUNG-DISEASE, American journal of obstetrics and gynecology, 173(4), 1995, pp. 1007-1014
OBJECTIVE: Our purpose was to describe our experience with management
and outcome of restrictive lung disease in pregnancy. STUDY DESIGN: Be
tween 1981 and 1994 nine pregnant women with interstitial and restrict
ive lung disease were prospectively managed and delivered at the Unive
rsity of Washington Medical Center. RESULTS: Three patients had severe
disease, characterized by vital capacity less than or equal to 1.5 L
(50% predicted) or diffusing capacity less than or equal to 50% predic
ted. Five patients had exercise-induced oxygen desaturation, and four
required supplemental oxygen. Five patients required corticosteroids.
One patient had an adverse outcome; she was delivered at 31 weeks and
required mechanical ventilation for 72 hours. All other patients were
delivered at or beyond 36 weeks with no adverse intrapartum or postpar
tum complications. All babies were at or above the 30th percentile for
growth. CONCLUSIONS: Restrictive lung disease is tolerated in pregnan
cy. Exercise intolerance is common and patients may require early oxyg
en supplementation. Adequate fetal growth can be achieved.