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Longitudinal Changes in Upper and Lower Airway Function in Pregnancy

  • Vanessa E. Murphy
    Correspondence
    Corresponding author. Hunter Medical Research Institute, Level 2 West, c/- University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia.
    Affiliations
    Priority Research Centre for Healthy Lungs, University of Newcastle, Newcastle, New South Wales, Australia

    Hunter Medical Research Institute, Level 2 West, c/- University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia
    Search for articles by this author
  • Megan E. Jensen
    Affiliations
    Priority Research Centre for Healthy Lungs, University of Newcastle, Newcastle, New South Wales, Australia

    Hunter Medical Research Institute, Level 2 West, c/- University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia
    Search for articles by this author
Published:October 27, 2022DOI:https://doi.org/10.1016/j.iac.2022.07.005

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      References

        • Hegewald M.J.
        • Crapo R.O.
        Respiratory physiology in pregnancy.
        Clin Chest Med. 2011; 32: 1-13
        • Joseph N.
        • Shreeshaina
        • Loliem S B.
        • et al.
        An assessment of risks associated with obstructive sleep apnea and its relationship with adverse health outcomes among pregnant women. A multi-hospital based study.
        Adv Respir Med. 2020; 88: 327-334
        • Incaudo G.A.
        Diagnosis and treatment of allergic rhinitis and sinusitis during pregnancy and lactation.
        Clin Rev Allergy Immunol. 2004; 27: 159-177
        • Philpott C.M.
        • Conboy P.
        • Al-Azzawi F.
        • et al.
        Nasal physiological changes during pregnancy.
        Clin Otolaryngol. 2004; 29: 343-351
        • Izci B.
        • Riha R.L.
        • Martin S.E.
        • et al.
        The upper airway in pregnancy and pre-eclampsia.
        Am J Respir Crit Care Med. 2003; 167: 137-140
        • Edwards N.
        • Blyton D.M.
        • Kirjavainen T.
        • et al.
        Nasal continuous positive airway pressure reduces sleep-induced blood pressure increments in pre-eclampsia.
        Am J Resp Crit Care Med. 2000; 162: 252-257
        • Izci B.
        • Vennelle M.
        • Liston W.A.
        • et al.
        Sleep-disordered breathing and upper airway size in pregnancy and post-partum.
        Eur Respir J. 2006; 27: 321-327
        • Blaiss M.S.
        Management of rhinitis and asthma in pregnancy.
        Ann Allergy Asthma Immunol. 2003; 90: 16-22
        • Kircher S.
        • Schatz M.
        • Long L.
        Variables affecting asthma course during pregnancy.
        Ann Allergy Asthma Immunol. 2002; 89: 463-466
        • Pfaller B.
        • Bendien S.
        • Ditisheim A.
        • et al.
        Management of allergic diseases in pregnancy.
        Allergy. 2021; 77: 798-811
        • Gilbert C.
        • Mozzotta P.
        • Loebstein R.
        • et al.
        Fetal safety of drugs used in the treatment of allergic rhinitis: a critical review.
        Drug Saf. 2005; 28: 707-719
        • Gluck J.C.
        • Gluck P.A.
        Asthma controller therapy during pregnancy.
        Am J Obstet Gynecol. 2005; 192: 369-380
        • Lal D.
        • Jategaonkar A.A.
        • Borish L.
        • et al.
        Management of rhinosinusitis during pregnancy: systematic review and expert panel recommendations.
        Rhinology. 2016; 54: 99-104
        • Baudoin T.
        • Simunjak T.
        • Bacan N.
        • et al.
        Redefining pregnancy-induced rhinitis.
        Am J Rhinol Allergy. 2021; 35: 315-322
        • Johns E.C.
        • Denison F.C.
        • Reynolds R.M.
        Sleep disordered breathing in pregnancy: a review of the pathophysiology of adverse pregnancy outcomes.
        Acta Physiol (Oxf). 2020; 229: e13458
        • Edwards N.
        • Blyton D.M.
        • Hennessy A.
        • et al.
        Severity of sleep-disordered breathing improves following parturition.
        Sleep. 2005; 28: 737-741
        • Franklin K.A.
        • Holmgren P.A.
        • Jonsson F.
        • et al.
        Snoring, pregnancy-induced hypertension and growth retardation of the fetus.
        Chest. 2000; 117: 137-141
        • Hawkins M.
        • Parker C.B.
        • Redline S.
        • et al.
        Objectively-assessed sleep-disordered breathing during pregnancy and infant birthweight.
        Sleep Med. 2021; 81: 312-318
        • Facco F.L.
        • Parker C.B.
        • Reddy U.M.
        • et al.
        Association between sleep-disordered breathing and hypertensive disorders of pregnancy and gestational diabetes mellitus.
        Obstet Gynecol. 2017; 129: 31-41
        • Pien G.W.
        • Pack A.I.
        • Jackson N.
        • et al.
        Risk factors for sleep-disordered breathing in pregnancy.
        Thorax. 2014; 69: 371-377
        • Ghesquiere L.
        • Deruelle P.
        • Ramdane Y.
        • et al.
        Obstructive sleep apnea in obese pregnant women: a prospective study.
        PLoS One. 2020; 15: e0238733
        • Zairina E.
        • Abramson M.J.
        • McDonald C.F.
        • et al.
        A prospective cohort study of pulmonary function during pregnancy in women with and without asthma.
        J Asthma. 2016; 53: 155-163
        • LoMauro A.
        • Aliverti A.
        Respiratory physiology of pregnancy.
        Breathe. 2015; 11: 297-301
        • Carlin A.
        • Alfirevic Z.
        Physiological changes of pregnancy and monitoring.
        Best Pract Res Clin Obstet Gynaecol. 2008; 22: 801-823
        • Norregaard O.
        • Schultz P.
        • Ostergaard A.
        • et al.
        Lung function and postural changes during pregnancy.
        Respir Med. 1989; 83: 467-470
        • Gupta L.
        • Dixit R.
        A linear study of pulmonary function tests in normal pregnant and non-pregnant women.
        J Indian Med Assoc. 2013; 111: 666-669
        • Neeraj Sodhi C.
        • Pramod J.
        • Singh J.
        • et al.
        Effect of advanced uncomplicated pregnancy on pulmonary function parameters of North Indian subjects.
        Indian J Physiol Pharmacol. 2010; 54: 69-72
        • Neeraj P.J.
        • Singh J.
        Effect of advanced gestation on cellular activity in respiratory system in females: a study of alveolar ventilation parameters in pregnant women of North India.
        Int J Pharm Bio Sci. 2012; 3: 31-37
        • Panchal V.
        • Dodiya D.
        Comparative study of dynamic lung function tests between third trimester pregnancy and non-pregnant women.
        Int J Res Med. 2014; 3: 158-160
        • Patil H.J.
        • Deokar N.A.
        Effect of advanced normal pregnancy on pulmonary function tests.
        IJAPB. 2015; 2: 12-15
        • Sidiqqui A.H.
        • Tauheed N.
        • Ahmad A.
        • et al.
        Pulmonary function in advanced uncomplicated singleton and twin pregnancy.
        J Bras Pneumol. 2013; 40: 244-249
        • Gazioglu K.
        • Kaltreider N.L.
        • Rosen M.
        • et al.
        Pulmonary function during pregnancy in normal women and in patients with cardiopulmonary disease.
        Thorax. 1970; 25: 445-450
        • Puranik B.M.
        • Kaore S.B.
        • Kurhade G.A.
        • et al.
        A longitudinal study of pulmonary function tests during pregnancy.
        Indian J Physiol Pharmacol. 1994; 38: 129-132
        • Puranik B.M.
        • Kurhade G.A.
        • Kaore S.B.
        • et al.
        PEFR in pregnancy: a longitudinal study.
        Indian J Physiol Pharmacol. 1995; 39: 135-139
        • Phatak M.S.
        • Kurhade G.A.
        A longitudinal study of antenatal changes in lung function tests and importance of postpartum exercises in their recovery.
        Indian J Physiol Pharmacol. 2003; 47: 352-356
        • Kolarzyk E.
        • Szot W.M.
        • Lyszczarz J.
        Lung function and breathing regulation parameters during pregnancy.
        Arch Gynecol Obstet. 2005; 272: 53-58
        • Grindheim G.
        • Toska K.
        • Estensen M.E.
        • et al.
        Changes in pulmonary function during pregnancy: a longitudinal cohort study.
        BJOG. 2012; 119: 94-101
        • Monga U.
        • Kumari K.
        Pulmonary functions in Punjabi pregnant women.
        Indian J Physiol Pharmacol. 2000; 44: 115-116
        • Fadia A.
        • Dhadse M.
        Dynamic pulmonary function tests in Indian pregnant and nonpregnant women.
        Int J Med Sci Public Health. 2016; 5: 2114-2117
        • Dudhamal V.B.
        • Parate S.
        Study of pulmonary function test in different trimester of pregnancy.
        Int J Med Res Rev. 2015; 3: 1239-1245
        • Yerneni S.
        • Sajja S.
        Study of FEV1, VC and PEFR in different trimesters of pregnancy.
        Int J Res Health Sci. 2014; 2: 41-46
        • McAuliffe F.
        • Kametas N.
        • Costello J.
        • et al.
        Respiratory function in singleton and twin pregnancy.
        Bjog. 2002; 109: 765-769
        • Pastro L.D.M.
        • Lemos M.
        • Fernandes F.L.A.
        • et al.
        Longitudinal study of lung function in pregnant women: influence of parity and smoking.
        Clinics (Sao Paulo). 2017; 72: 595-599
        • Gupta N.
        • Verma S.K.
        • Dutta S.
        A comparative study to evaluate effect of advanced uncomplicated pregnancy on forced vital capacity and peak expiratory flow rate on healthy North Indian women.
        Natl J Physiol Pharm Pharmacol. 2018; 8: 1451-1456
        • Chinko B.C.
        • Green K.I.
        Peak expiratory flow rate of pregnant women in Port Harcourt.
        Int Res J Med Sci. 2014; 2: 1-5
        • Bansal M.
        • Goyal M.
        • Dhillon J.K.
        • et al.
        Longitudinal study of peak expiratory flow rate in pregnant women.
        NJIRM. 2012; 3: 34-38
        • Sunyal D.K.
        • Amin M.R.
        • Ahmed A.
        • et al.
        Peak expiratory flow rate in pregnant women.
        J Bangladesh Soc Physiol. 2007; 2: 20-23
        • Memon M.A.
        • Memon S.A.
        • Bhura M.S.
        • et al.
        Change in peak expiratory flow rate in different trimesters of pregnancy.
        Rawal Med J. 2012; 37: 243-246
        • Teli A.
        • Bagali S.
        • Aithala M.
        A study of FVC, PEFR and MEP in different trimesters of pregnancy.
        IJBAR. 2012; 3: 648-652
        • Desphande H.
        • Madkar C.
        • Dahiya P.
        A study of pulmonary function tests in different stages of pregnancy.
        Int J Biol Med Res. 2013; 4: 2713-2716
        • Purohit G.
        • Harsoda J.M.
        Peak expiratory flow rate with spirometry during pregnancy: rural Indian perspective.
        IJBAP. 2014; 3: 195-199
        • Brancazio L.R.
        • Laifer S.A.
        • Schwartz T.
        Peak expiratory flow rate in normal pregnancy.
        Obstet Gynecol. 1997; 89: 383-386
        • Vaughan M.T.R.
        • Weber C.R.W.
        • Tipton W.R.
        • et al.
        Comparison of PEFR and FEV1 in patients with varying degrees of airway obstruction. Effect of modest altitude.
        Chest. 1989; 95: 558-562
        • Choi I.S.
        • Koh Y.I.
        • Lim H.
        Peak expiratory flow rate underestimates severity of airflow obstruction in acute asthma.
        Korean J Intern Med. 2002; 17: 174-179
        • Jensen M.E.
        • Robijn A.L.
        • Gibson P.G.
        • et al.
        Longitudinal analysis of lung function in pregnant women with and without asthma.
        J Allergy Clin Immunol Pract. 2021; 9: 1578-1585
        • Rejno G.
        • Lundholm C.
        • Gong T.
        • et al.
        Asthma during pregnancy in a population-based study - pregnancy complications and adverse perinatal outcomes.
        PLoS One. 2014; 9: e104755
        • Sawicki E.
        • Stewart K.
        • Wong S.
        • et al.
        Medication use for chronic health conditions by pregnant women attending an Australian maternity hospital.
        Aust N Z J Obstet Gynaecol. 2011; 51: 333-338
        • Murphy V.E.
        • Jensen M.E.
        • Powell H.
        • et al.
        Influence of maternal BMI and macrophage activation on asthma exacerbations in pregnancy.
        J Allergy Clin Immunol Pract. 2017; 5: 981-987
        • Schatz M.
        • Dombrowski M.P.
        • Wise R.
        • et al.
        Asthma morbidity during pregnancy can be predicted by severity classification.
        J Allergy Clin Immunol. 2003; 112: 283-288
        • Stenius-Aarniala B.
        • Piirila P.
        • Teramo K.
        Asthma and pregnancy: a prospective study of 198 pregnancies.
        Thorax. 1988; 43: 12-18
        • Sims C.D.
        • Chamberlain G.V.
        • de Swiet M.
        Lung function tests in bronchial asthma during and after pregnancy.
        Br J Obstet Gynaecol. 1976; 83: 434-437
        • Beckmann C.A.
        Peak flow values by gestation in women with asthma.
        Clin Nurs Res. 2008; 17: 174-181
        • Amaral L.
        • Martins C.
        • Coimbra A.
        Use of the Control of Allergic Rhinitis and Asthma Test and pulmonary function tests to assess asthma control in pregnancy.
        Aust N Z J Obstet Gynaecol. 2018; 58: 86-90
        • Rohn M.C.H.
        • Stevens D.R.
        • Kanner J.
        • et al.
        Asthma medication regimens in pregnancy: longitudinal changes in asthma status.
        Am J Perinatol. 2021; https://doi.org/10.1055/s-0041-1727233
        • Dominguez J.
        • Krystal A.
        • Habib A.
        Obstructive sleep apnea in pregnant women.
        Anesth Analg. 2018; 127: 1167-1177