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Pregnancy in Patients with Cystic Fibrosis

1983; American College of Physicians; Volume: 99; Issue: 5 Linguagem: Inglês

10.7326/0003-4819-99-5-596

1539-3704

Judy Palmer, Cindy Dillon-Baker, Jan Stephen Tecklin, Barbara J. Wolfson, B. C. Rosenberg, Barbara Burroughs, Douglas S. Holsclaw, Thomas F. Scanlin, Nancy Ν. Huang, Edward M. Sewell,

Pregnancy and Medication Impact

As more patients with cystic fibrosis reach adulthood, questions arise about the potential hazards of pregnancy. We reviewed the medical records of eight women with cystic fibrosis who had a total of 11 completed pregnancies and had been evaluated within 1 year before conception. In five women (Group 1), the overall maternal condition was little affected by the pregnancy, and in three women (Group 2), the mother's condition deteriorated during and after pregnancy and did not return to the pregravid state. With regard to pregravid status, significant differences between patients in Group 1 and Group 2 were found in Shwachman-Kulczycki clinical scores, weight for height values, Brasfield chest radiograph scores, and pulmonary function. A quantitative assessment of pregravid nutritional and pulmonary status is useful in counseling women with cystic fibrosis about the risk of pregnancy.