Clinical features of the course of cystic fibrosis during pregnancy and childbirth
https://doi.org/10.20538/1682-0363-2022-4-205-211
Abstract
Cystic fibrosis is one of the urgent medical and social problems of health care systems in most countries due to fairly high prevalence, development of multi-organ lesions, and poor outcomes.
Due to modern advances in the diagnosis and treatment of cystic fibrosis, not only has the average life expectancy of patients increased, but their quality of life has also improved, and it has become possible to maintain pregnancy and childbearing. Since cystic fibrosis can adversely affect the course of pregnancy, childbirth, and health of both mother and child, proper management of women with cystic fibrosis during pregnancy and childbirth is of particular relevance. The presented clinical case is an example of competent supervision at all stages of monitoring of a patient with cystic fibrosis during pregnancy and childbirth.
About the Authors
A. V. TetenevaRussian Federation
2, Moscow Trakt, Tomsk, 634050,
3, Bela Kuna Str., Tomsk, 634040
G. M. Chernyavskaya
Russian Federation
2, Moscow Trakt, Tomsk, 634050
I. D. Bespalova
Russian Federation
2, Moscow Trakt, Tomsk, 634050
T. V. Skorokhodova
Russian Federation
2, Moscow Trakt, Tomsk, 634050,
96/1, I. Chernykh Str., Tomsk, 634063
Yu. I. Koshchavtseva
Russian Federation
2, Moscow Trakt, Tomsk, 634050
D. I. Radionov
Russian Federation
2, Moscow Trakt, Tomsk, 634050
E. V. Kalyuzhina
Russian Federation
2, Moscow Trakt, Tomsk, 634050
D. S. Romanov
Russian Federation
2, Moscow Trakt, Tomsk, 634050
E. V. Radionova
Russian Federation
2, Moscow Trakt, Tomsk, 634050
E. A. Ustyuzhanina
Russian Federation
96, I. Chernykh Str., Tomsk, 634063
I. A. Varfolomeeva
Russian Federation
96, I. Chernykh Str., Tomsk, 634063
I. A. Stepanov
Russian Federation
96/1, I. Chernykh Str., Tomsk, 634063
A. V. Karmanova
Russian Federation
96/1, I. Chernykh Str., Tomsk, 634063
E. V. Golubyatnikova
96/1, I. Chernykh Str., Tomsk, 634063
References
1. Bucher J., Oualha M., Dupic L., Lebourgeois M., Lesage F., Renolleau S. et al. 312 Outcomes and factors associated with poor outcome of children with cystic fibrosis admitted to the intensive care unit. Journal of Cystic Fibrosis. 2015;14(1):138. DOI: 10.1016/S1569-1993(15)30486-0.
2. Chen Q., Shen Y., Zheng J. A review of cystic fibrosis: basic and clinical aspects. Animal Model Exp. Med. 2021;4(3):220– 232. DOI: 10.1002/ame2.12180.
3. Shteinberg M., Haq I.J., Polineni D., Davies J.C. Cystic fibrosis. Lancet. 2021;397(10290):2195–2211. DOI: 10.1016/ S0140-6736(20)32542-3.
4. Клинические рекомендации «Кистозный фиброз (муковисцидоз)». Союз педиатров России, Ассоциация медицинских генетиков, Российское респираторное общество, Российское трансплантологическое общество, Ассоциация детских врачей Московской области. 2021.
5. Hao S., Roesch E.A., Perez A., Weiner R.L., Henderson L.C., Cummings L. et al. Inactivation of CFTR by CRISPR/Cas9 alters transcriptional regulation of inflammatory pathways and other networks. Journal of Cystic Fibrosis. 2020;19(1):34–39. DOI: 10.1016/j.jcf.2019.05.003.
6. Elborn J.S. Cystic Fibrosis. Lancet. 2016;388(10059):2519– 2531. DOI: 10.1016/S0140-6736(16)00576-6.
7. Deschamp A.R., Hatch J.E., Slaven J.E., Gebregziabher N., Storch G., Hall G.L. et al. Early respiratory viral infections in infants with cystic fibrosis. Journal of Cystic Fibrosis. 2019;18(6):844–850. DOI: 10.1016/j.jcf.2019.02.004.
8. Красовский С.А., Черняк А.В., Амелина Е.Л., Никонова В.С., Воронкова А.Ю., Самойленко В.А. и др. Динамика выживаемости больных муковисцидозом в Москве и Московской области за периоды 1992–2001 и 2002–2011 гг. Пульмонология. 2012;(3) 79–86. DOI: 10.18093/0869-0189-2012-0-3-79-86.
9. Каширская Н.Ю., Кондратьева Е.И., Красовский С.А., Старинова М.А., Воронкова А.Ю., Амелина Е.Л. и др. Регистр больных муковисцидозом в Российской Федерации. 2019 год. М.: Медпрактика-М, 2021:68.
10. Khan T.Z., Wagener J.S., Bost T., Martinez J., Accurso F.J., Riches D.W. Early pulmonary inflammation in infants with cystic fibrosis. Am. J. Respir. Crit. Care Med. 1995;151(4):1075– 1082. DOI: 10.1164/ajrccm/151.4.1075.
11. Каширская Н.Ю., Красовский С.А., Черняк А.В., Шерман В.Д., Воронкова А.Ю., Шабалова Л.А. и др. Динамика продолжительности жизни больных муковисцидозом, проживающих в Москве, и ее связь с получаемой терапией: ретроспективный анализ за 1993–2013 гг. Вопросы современной педиатрии. 2015;14(4):503–508. DOI: 10.15690/vsp.v14.i4.1390.
12. McArcdle J.R. Pregnancy in cystis fibrosis. Clin. Chest. Med. 2011;32(1):111–120. DOI: 10.1016/j.ccm.2010.10.005.
13. Patel E.M., Swamy G.K., Heine R.P., Kuller J.A., James A.H., Grotegut C.A. Medical and obstetric complications among pregnant women with cystis fibrosis. Am. J. Obstet. Gynecol. 2015;212(1):98.E1–E9. DOI: 10.1016/j.ajog.2014.07.018.
14. Shteinberg M., Taylor-Cousar J.L., Durieu I., Cohen-Cymberknoh M. Fertility and Pregnancy in Cystic Fibrosis. Chest. 2021;160(6):2051–2060. DOI: 10.1016/j.chest.2021.07.024.
15. Reynaud Q., Jablonski C.R., Poupon-Bourdy S., Denis A., Rabilloud M., Lemonnier L. et al. Pregnancy outcome in women with cystic fibrosis and poor pulmonary function. Journal of Cystic Fibrosis. 2020;19(1):80–83. DOI: 10.1016/j.jcf.2019.06.003.
16. Jaina R., Kazmerski T.M., Zuckerwisec L.C., West N.E., Montemayor K., Aitken M.L. et al. Pregnancy in cystic fibrosis: Review of the literature and expert recommendations. Journal of Cystic Fibrosis. 2021;21(3):1569–1993. DOI: 10.1016/j.jcf.2021.07.019.
Review
For citations:
Teteneva A.V., Chernyavskaya G.M., Bespalova I.D., Skorokhodova T.V., Koshchavtseva Yu.I., Radionov D.I., Kalyuzhina E.V., Romanov D.S., Radionova E.V., Ustyuzhanina E.A., Varfolomeeva I.A., Stepanov I.A., Karmanova A.V., Golubyatnikova E.V. Clinical features of the course of cystic fibrosis during pregnancy and childbirth. Bulletin of Siberian Medicine. 2022;21(4):205-211. https://doi.org/10.20538/1682-0363-2022-4-205-211