Frye Donna, Clark Steven L, Piacenza Dawn, Shay-Zapien Gina
Hospital Corporation of America, Women's and Children's Clinical Services, Nashville, Tennessee, USA.
J Perinat Neonatal Nurs. 2011 Jul-Sep;25(3):235-44. doi: 10.1097/JPN.0b013e3182230e25.
Anatomic and physiologic changes of pregnancy predispose the mother to increased morbidity and mortality whereas increasing risks of a less than optimal outcome for the fetus. The frequency and significance of acute and chronic respiratory conditions in pregnant women have increased in recent years. Clinicians must have an understanding of cardiopulmonary physiology to promptly recognize and treat pregnant women with respiratory conditions ranging from asthma to adult respiratory distress syndrome. Hospitals must establish systems to assure timely assessment, multidisciplinary care, and possibly a plan for transfer to a higher level of care to provide highest quality care to the perinatal patient presenting with a severe respiratory condition to promote optimal outcomes for the woman and the fetus.
妊娠的解剖和生理变化使母亲更易患病和死亡，同时胎儿出现不良结局的风险也在增加。近年来，孕妇急性和慢性呼吸道疾病的发生率及重要性都有所上升。临床医生必须了解心肺生理学，以便及时识别和治疗患有从哮喘到成人呼吸窘迫综合征等各种呼吸道疾病的孕妇。医院必须建立系统，以确保及时评估、多学科护理，并可能制定转至更高护理水平的计划，为患有严重呼吸道疾病的围产期患者提供最高质量的护理，以促进母婴获得最佳结局。
