Epidemiological and clinical aspects of respiratory pathologies during pregnancy and puerperality
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20180507Keywords:
Pregnancy, Postpartum, Respiratory diseasesAbstract
Background: The purpose of this study was to describe the characteristics of respiratory pathologies during pregnancy and postpartum.
Methods: This was a case-control study over a 7-year period from January 2008 to December 2014 at CHU de COCODY. We compiled 86 cases of the PPH department hospitalized patients for pulmonary disease during pregnancy and for postpartum up to 42 days after delivery. The control samples were represented by those hospitalized in Obstetrics for a non-respiratory general condition during the same gravido puerperal period.
Results: The age group of 20-29 years was the most affected in both groups with extremes ranging from 16 to 40 years (p=0.827). Respiratory pathology was common among housewives or unemployed women (p=0,001). Pauciparous and multiparous were the most affected (p=0.020). They had a medical history in 55.8% of cases versus 22.8% in controls (p=0.001). Positive HIV serology was also found (p=0.001) and was most often passive tobacco related (p=0.015). Respiratory pathology was progressive in 72.9% in cases vs 8.9% (p=0.001) with dyspnoea as the main sign (58%). Tuberculosis (29.70%) was the most common respiratory disease. Maternal complications accounted for 48.1% of PPH vs 25.6% (p=0.001) with maternal mortality of 11.6% (p = 0.001). As for foetal prognosis, 25.6% of foetal complications were noted in patients admitted to PPH versus 48.1% (p = 0.001).
Conclusions: Respiratory disease during the gravido puerperal period is severe with significant maternal repercussion.
References
WHO, UNICEF, UNEFPA. Trend in maternal mortality: 1990-2015. Executive Summary: 16 pages. Available at https://www.unicef.org/eapro/MMR_executive_summary_final_mid-res.pdf
Raghu S, Surya KP. Respiratory diseases in pregnancy. J Clin Sci Resp. 2015;4:149-58.
WHO. Global Health Estimates, Women's Health. Fact sheet No. 334-September 2013. Available at http://www.who.int/mediacentre/factsheets/fs334/en/
National Institute of Statistics. Demographic and health survey and with multiple indicators in Côte d'Ivoire;2011-2012:73. Available at http://ghdx.healthdata.org/record/c%C3%B4te-divoire-demographic-and-health-survey-2011-2012
Dolley P. Acute pulmonary oedema and pregnancy: descriptive study of 15 cases and review of literature. J Gynecol Obstet Biol Reprod. 2012;7(41):638-44.
Touré NO. Tuberculosis and pregnancy: about 11 cases in the Department of Pneumology CHU FANN. Rev Respir Dis. 2003:153-266.
Nejjari C, Filleul L, Tessier JF. Air pollution, a new respiratory risk for cities in the South Pollution, respiratory health and cities in the South. Int J Tuberculosis Lung Dis. 2003;7(3):223-31.
Ibrahima SY. Health and environmental vulnerability in underprivileged districts of Nouakchott (Mauritania), analysis of conditions of emergence and development of diseases in Sahelian urban environment. Environmental Rev. 2012;11:2.
Ago LP. Low respiratory diseases during pregnancy. Doctoral thesis in medicine. Universtity FHB of Cocody, Abidjan 2014: no 5754/14.
Koffi NM. The health book in the monitoring of pregnancy in Côte d'Ivoire- Medicine of Black Africa: 2000;47(4).
Mafuta EM. Determinants of late attendance at antenatal care services in Ecuador and Katanga health zones in the Democratic Republic of Congo. Annal Med Afr. 2011;4(4):845.
Benié BV. Prevalence and determinants of home deliveries in 2 precarious neighbourhoods of the municipality of Yopougon (Abidjan). Public Health. 2009;21:499-506.
Diakaridia. Relationship between prenatal consultation, future of pregnancy and delivery at CHU du Point G: study on1296 cases. PhD Thesis in Medicine 2009 Bamako.
Scheidegger S, Vilain A. Studies and results on social disparities and pregnancy surveillance. Fact sheet No. 552. 2007:2. Available at www.drees.solidarites-sante.gouv.fr /IMG/pdf/er552.pdf
Cissé CT. Tuberculosis and Pregnancy: Epidemiology and Prognosis at the CHU de Dakar - Letter from the Gynaecologist No. 325. 2007:8-10. Available at www.refdoc.fr>detailnotice
Koffi N. Profile of adult asthmatics followed in consultation in Africa in Abidjan. Medicine of Black Africa.2001;48 (11).
Guez S. Allergiques, take your background treatment for fear of aggravation. 2004. Available at www.allergique. Accessed on 14/06/15.
Koffi N. Aetiologies of low respiratory infections in major sickle cell disease of the black African. Med Black Afr. 2001;48(7).
Resende Cardoso PS, Lopes Pessoa de Aguiar RA, Viana MB. Clinical complications in pregnant women with sickle cell disease: prospective study of factors predicting maternal death or near miss. Rev Bras Hematol Hemoter. 2014 Jul-Aug;36(4):256-63.
Institute of Public Health France. Tuberculosis: treatment and prevention. Investigations to lead around a case of tuberculosis or recent tuberculosis infection. Available at invs.santepubliquefrance.fr. Accessed on 21/09/2016.
Lakhdar I. Pulmonary Tuberculosis and Pregnancy, Doctoral Thesis 1999-Faculty of Medicine and Pharmacy Toubkal University MOHAMMED V, Souissi-Rabat. Available at www.toubkal.imist.ma >handle
Alonso AM. Varicella pneumonia used during pregnancy after double counting in the 2nd quarter: value of seroprophylaxis. J Gynaecol Reprod Biol. 1999;28:838-41.
Horo K. Dynamics of respiratory pathology in a pneumology department in Black Africa in the context of HIV infection from 1998 to 2007. Rev Clin Pneumol. 2012;68:180-4.
Ouedraogo M, Thiombiano P. Morbi-mortality related to respiratory diseases in patients infected with HIV in Ouagadougou. Thesis of Medicine No. 022/2002.
The International Union against Tuberculosis and Respiratory Diseases. Respiratory disease related to HIV-2016, consulted on November 02, 2016. Available at www.theunion.org
Jayet PY. Passive smoking and adult respiratory health: a real threat. Med Rev Switzerland. 2008;4:2494-9
Barry B. Maternal Mortality: causes and risk factors determined by verbal autopsy in the BAKEL Department. Cheick Anta Diop University of Dakar. 2008.
Ahbibi A. Maternal Mortality in Obstetric Resuscitation, Thesis 28-15-Faculty of Medicine and Pharmacy-MARRAKECH, page 14-15.
Gandzien PC. Maternal mortality at the Talangai-Brazaville Hospital Center. Med J Black Afr. 2005;52:657-60.
Ravaut C. Dyspnoea in the 3rd quarter in pregnant women. DES general medicine course. Accesed on 11/07/2016 Availble at http://slideplayer.fr/slide/10164423: 6 slides
Iloki LH, G'Bala MS, Kpekpede F, Ekoundzola JR. Maternal mortality in Brazzaville (1993-1994). J Gynaecol Obstet Reprod Biol. 1997;26(2):163-8.
Benedict G. Fever and pregnancy. J Gynaecol Obstet Reprod Biol. 2008;37:41-8.
