SPIROMETRIC EVALUATION OF ANTENATAL WOMEN AND THEIR OUTCOME AT A TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 42
Abstract
BACKGROUND Pregnancy represents one of the best examples of selective adaptation in terms of respiratory physiology. Understanding of the maternal pulmonary function and their precise knowledge allows the clinician to verify the extent of the adaptation in pregnant women and helps to avoid unnecessary treatment of physiological changes misinterpreted as pathological changes in reference to pre-pregnancy standards. Objectives- This study was undertaken to identify physiological changes in respiratory system in normal and high-risk pregnancy, which may help in modifying mode of delivery and foetal outcome. MATERIALS AND METHODS This was a prospective longitudinal study, undertaken in the Department of Obstetrics and Gynaecology at Indira Gandhi Government Medical College, which is a tertiary care centre for over a period of 2 years, which included 100 antenatal patients between 19 to 35 years age and without any obstetric complications or pre-existing respiratory and cardiovascular disorders. RESULTS In this study the mean values of FVC, PEFR and MVV showed a significant decrease from first to third trimester; whereas there was a significant increase in the mean value of FEV1/FVC from first-to-third trimester. There was no significant difference in FEV1 in between the three trimesters of pregnancy. CONCLUSION The results obtained in our study suggest that in pregnant women at term respiratory distress is rarely sufficient to interfere with ordinary physical activity. However, impaired pulmonary function in pregnant women may pose additional risk during parturition as well as during operative procedures like caesarean section, which require anaesthesia.
Authors and Affiliations
Amar Karia, Kshama Kedar, Radha Munje, Nivedita Goverdhan
Keywords
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- EP ID EP214030
- DOI 10.14260/Jemds/2017/709
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