Management of the Upper Airway Distress During Pregnancy

Jean Kim; Michael Z Cheng; Robert Naclerio

doi:10.1016/j.iac.2022.05.010

Management of the Upper Airway Distress During Pregnancy

Immunol Allergy Clin North Am. 2023 Feb;43(1):53-64. doi: 10.1016/j.iac.2022.05.010. Epub 2022 Oct 28.

Authors

Jean Kim¹, Michael Z Cheng², Robert Naclerio²

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, 601 North Caroline Street, Baltimore, MD 21287; Department of Medicine, Division of Allergy and Clinical Immunology, Johns Hopkins University School of Medicine, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Suite A102B, Baltimore, MD 21224, USA. Electronic address: jeankim@jhmi.edu.
² Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, 601 North Caroline Street, Baltimore, MD 21287.

PMID: 36411008
DOI: 10.1016/j.iac.2022.05.010

Abstract

Pregnancy can induce significant upper airway distress in women by the induction of rhinitis of pregnancy (ROP). Pregnancy can also exacerbate underlying rhinopathies. Little is known regarding the pathophysiology of the ROP. Diagnosis of other coexistent rhinopathies is key. Treatment regimens closely mirror standard treatments for other rhinopathies that are independent of pregnancy and are generally accepted as safe. Early recognition of the progression of rhinitis in the pregnant patient into complications of rhinosinusitis is important to prevent harm to both mother and fetus.

Keywords: Antihistamines; Corticosteroids; Decongestants; Epidemiology; Immunotherapy; Management; Pregnancy; Rhinitis of pregnancy.

Publication types

Review

MeSH terms

Female
Humans
Pregnancy
Rhinitis* / complications
Rhinitis* / diagnosis
Rhinitis* / therapy
Sinusitis* / complications