Aggressive prenatal care results in successful fetal outcomes in CF women.
Publication/Presentation Date
5-1-2006
Abstract
BACKGROUND: The impact of pre-pregnancy pulmonary and nutritional status in pregnancy outcomes of women with cystic fibrosis (CF) is not clearly defined.
METHODS: A chart review of CF women who attended the University of Washington Medical Center (UWMC), Seattle WA. from January 1989 until May 2004.
RESULTS: There were 43 pregnancies resulting in 36 live births among 25 of 189 CF women. In the subset of CF women receiving their obstetric care at the UWMC whose FEV1 was < 50% predicted, infant weight was lower than in women with a higher FEV1 (2.9 kg+/-0.4 (range 2.2-3.3 kg) versus 3.4+/-0.8 kg (range 2.5-5.1 kg)) p = 0.05 although the gestational ages were the same (37+/-2 weeks (range 33-39 weeks) versus to 38+/-2 weeks (range 35-40 weeks) p = 0.17). Infant weight and gestational age of women whose initial BMI was < 20 kg/m2 was no different from women with a normal initial BMI (3.0+/-0.4 kg, range 2.2-3.4 kg versus 3.3+/-0.8 kg, range 2.6-5.1 kg p = 0.29, and 37.7+/-2.4 weeks, range 33-39 weeks versus 37.2+/-2.1 weeks, range 34-40 weeks).
CONCLUSIONS: CF women with severe pulmonary impairment tend to have lower weight babies but it remains difficult to determine prospectively which CF women will tolerate pregnancy well. Aggressive antepartum management is recommended for all CF women.
Volume
5
Issue
2
First Page
85
Last Page
91
ISSN
1569-1993
Published In/Presented At
Cheng, E. Y., Goss, C. H., McKone, E. F., Galic, V., Debley, C. K., Tonelli, M. R., & Aitken, M. L. (2006). Aggressive prenatal care results in successful fetal outcomes in CF women. Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 5(2), 85–91. https://doi.org/10.1016/j.jcf.2006.01.002
Disciplines
Medicine and Health Sciences
PubMedID
16650742
Department(s)
Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Residents, Fellows and Residents
Document Type
Article