Aggressive prenatal care results in successful fetal outcomes in CF women
Received 28 October 2005; received in revised form 6 January 2006; accepted 10 January 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.
aDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, United States
bDepartment of Medicine, University of Washington, Seattle, WA, United States
Corresponding author. Division of Pulmonary and CCM, Box 356522, 1959 N.E. Pacific St. Seattle WA 98195-6522, United States. Tel.: +1 206 543 3166; fax: +1 206 685 8673.
ABSTRACT