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Chapter 30. Women's Issues in Pulmonary Medicine

Stephanie M Levine, MD, FCCP
DOI: 10.1378/pulm.26.30
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Sections

Objectives 
  • Describe the normal respiratory and cardiovascular physiology of pregnancy.

  • Review the management of asthma in pregnancy.

  • Review the management of venous thromboembolism in pregnancy.

  • Discuss the management of TB and other respiratory infections in pregnancy.

  • Review the causes and management of acute respiratory failure in pregnancy.

  • Discuss the statistics regarding smoking and the epidemiology of lung cancer in women.

  • Review disorders unique to women—catamenial diseases and lymphangioleiomyomatosis.

Synopsis 

This chapter will focus on pulmonary diseases unique to women, including issues surrounding pregnancy as well as diseases that may have different epidemiology and/or prognosis in women. There are numerous normal physiologic changes in the respiratory and cardiovascular system during pregnancy. In addition, common pulmonary problems, such as asthma and venous thromboembolism, may have different treatment plans in the pregnant or lactating woman. Although fortunately rare, acute respiratory failure can occur during pregnancy, and the causes and management will be reviewed. The epidemiology, clinical manifestations, and outcomes of tobacco-related diseases, including COPD and lung cancer, differ in women and men and will be discussed. Other pulmonary diseases can occur solely or nearly exclusively in women, such as catamenial diseases and lymphangioleiomyomatosis, and will also be reviewed.

References

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