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Guidelines for the management of pregnancy in women with cystic fibrosis

2007; Elsevier BV; Volume: 7; Linguagem: Inglês

10.1016/j.jcf.2007.10.001

1873-5010

F. Edenborough, G Borgo, Christiane Knoop, Louise Lannefors, W. E. Mackenzie, Susan Madge, Alison Morton, H. Oxley, Daan J. Touw, M. Benham, Magnus Johannesson,

Breastfeeding Practices and Influences

Women with cystic fibrosis (CF) now regularly survive into their reproductive years in good health and wish to have a baby.Many pregnancies have been reported in the literature and it is clear that whilst the outcome for the baby is generally good and some mothers do very well, others find either their CF complicates the pregnancy or is adversely affected by the pregnancy.For some, pregnancy may only become possible after transplantation.Optimal treatment of all aspects of CF needs to be maintained from the preconceptual period until after the baby is born.Clinicians must be prepared to modify their treatment to accommodate the changing physiology during pregnancy and to be aware of changing prescribing before conception, during pregnancy, after birth and during breast feeding.This supplement offers consensus guidelines based on review of the literature and experience of paediatricians, adult and transplant physicians, and nurses, physiotherapists, dietitians, pharmacists and psychologists Journal of Cystic Fibrosis 7 (2008) S2 -S32 www.elsevier.com/locate/jcfAbbreviations: %FEV 1 , % forced expiratory volume in 1st second (as predicted for age, sex and height); %FVC, % predicted forced vital capacity (as predicted for age, sex and height) (as predicted for age, sex and height); ACT, airway clearance therapy; BiPAP, bilevel positive airway pressure; CF, cystic fibrosis; CFLD, CF liver disease; CFRD, CF related diabetes; CI, confidence interval; CVS, chorionic villus sampling; DPI, dry powder inhaler; EFA, essential fatty acid; FRC, functional residual capacity; GP, general practitioner; IU, international units (e.g. of vitamins); IV, intravenous; MDI,