Predictive factors for premature birth and respiratory exacerbation in pregnancies of women with cystic fibrosis
J. pediatr. (Rio J.)
;
98(1): 33-38, Jan.-Feb. 2022. tab
Artigo
em Inglês
| LILACS
| ID: biblio-1360554
ABSTRACT
Abstract Objective:
In this present study, the authors evaluated the predictive factors for adverse maternal-fetal outcomes in pregnancies of women with cystic fibrosis (CF). Patients were followed up by a referral center for adults in southern Brazil.Methods:
This is a retrospective cohort study that used data from electronic medical records regarding pregnancies of women diagnosed with CF.Results:
The study included 39 pregnancies related to 20 different women. The main adverse outcomes were high prevalence rates of premature birth (38.5%) and maternal respiratory exacerbation (84.6%). Lower body mass index (BMI) values (< 20.8) and younger ages of CF diagnosis increased the risk of premature birth. The presence of methicillin-resistant and absence of methicillin-sensitive Staphylococcus aureus, as well as a younger age of diagnosis, increased the risk of maternal respiratory exacerbation during pregnancy.Conclusions:
Conception in women with CF is often associated with maternal and fetal complications. Continuous monitoring by a multidisciplinary team should emphasize appropriate nutritional status, investigation of bacterial colonization, and immediate attention to respiratory exacerbations.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Complicações na Gravidez
/
Fibrose Cística
/
Nascimento Prematuro
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
/
Gravidez
Idioma:
Inglês
Revista:
J. pediatr. (Rio J.)
Assunto da revista:
Pediatria
Ano de publicação:
2022
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Hospital de Clínicas de Porto Alegre (HCPA)/BR
/
Universidade Federal do Rio Grande do Sul (UFRGS)/BR
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