Pregnancy and cystic fibrosis.
The management of a pregnancy in a woman with cystic fibrosis is usually achieved with successful outcomes for mother and child with appropriate multidisciplinary care. The process begins prior to conception and requires frequent monitoring of the mother's respiratory status, level of glycaemic control and obstetric wellbeing. Recent reports have suggested that pregnancy can be managed without a persisting decrement in lung function beyond what may be expected in women with cystic fibrosis who are not pregnant. With the increasingly positive outcomes for people with cystic fibrosis, it is likely that more couples will chose to pursue pregnancy, cognisant of the risks and longer term issues for mother, child and family. This review will address the current issues in the management of pregnancy in women with cystic fibrosis.
Lau
Edmund M T
EM
Adult Cystic Fibrosis Service, Department of Respiratory and Sleep Medicine, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
Moriarty
Carmel
C
Ogle
Robert
R
Bye
Peter T
PT
D000328:Adult; D003376:Counseling; D003550:Cystic Fibrosis / Q000150:complications* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D016742:Preconception Care; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology / Q000628:therapy*; D011256:Pregnancy Outcome; D011295:Prenatal Care; D027724:Reproductive Techniques, Assisted; D012129:Respiratory Function Tests; D018570:Risk Assessment