Respiratory Function in Normal Singleton Pregnancy, Multifetal Gestation and Polyhydramnios

Autor:	Susmita Kundu, Subhankar Dasgupta, Tarun Kumar Ghosh, Amitava Mukherjee, Shyamal Dasgupta, Gayetri Koppolu
Rok vydání:	2011
Předmět:	Spirometry Polyhydramnios medicine.medical_specialty Pregnancy medicine.diagnostic_test business.industry Obstetrics Obstetrics and Gynecology medicine.disease Inspiratory Capacity Medicine Respiratory function Lung volumes Respiratory system business Tidal volume
Zdroj:	Journal of South Asian Federation of Obstetrics and Gynaecology. 3:78-81
ISSN:	0975-1920 0974-8938
DOI:	10.5005/jp-journals-10006-1134
Popis:	Study of respiratory functions of four groups of women Nonpregnant, early pregnancy, singleton pregnancy at 36 weeks and twin/ polyhydramnios at 36 weeks reveal that inspiratory capacity (IC), tidal volume (TV) and expiratory reserve volume (ERV) in different group pairing have statistically significant difference. This is very important during the assessment of pregnant mother suffering from respiratory or cardiopulmonary disorder. Objectives This study aims to observe the additional demands placed on the maternal respiratory system in cases of advanced normal pregnancy or over distended uterus, like multifetal gestation and polyhydramnios, and whether the average Indian woman is able to cope with these respiratory changes. Methods Around 80 women were divided into four equal groups which included non-pregnant controls, normal early pregnancy (< 20 weeks), normal singleton pregnancy at 36 weeks and multifetal gestation/polyhydramnios, underwent spirometry for static lung volume measurement. The overall comparison was done by using the Kruskal-Wallis test whereas the individual comparison by Mann-Whitney test. Final statistical computing was performed with SPSS statistical package. Results The groups were comparable on the basis of age, height and hemoglobin levels. Comparisons of various groups show statistically significant difference in tidal volume, inspiratory capacity and expiratory reserve volume specially in advance pregnancy with control nonpregnant mothers without significant adverse effect on respiratory system. Conclusions Results of the study indicate that though there are significant respiratory functional changes, healthy women, even having twin/polyhydramnios, can tolerate this well. But this knowledge is very important to assess and to formulate management of pregnant women with respiratory or cardiopulmonary compromise.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::f379d80cac7a7d4db19b9b9bb826af0c https://doi.org/10.5005/jp-journals-10006-1134 Zobrazit plný text záznamu