Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-02T23:58:31.239Z Has data issue: false hasContentIssue false

8 - Cystic Fibrosis in Pregnancy

from Section 3 - Pulmonary Conditions Not Specific to Pregnancy

Published online by Cambridge University Press:  14 April 2020

Stephen E. Lapinsky
Affiliation:
Mount Sinai Hospital, Toronto
Lauren A. Plante
Affiliation:
Drexel University Hospital, Philadelphia
Get access

Summary

Cystic fibrosis (CF) is an autosomal recessive genetic disorder caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene that results in a multisystem disease. CF most commonly affects the respiratory, hepatobiliary, digestive and reproductive systems, though the majority of morbidity and mortality results from progressive obstructive lung disease and chronic pulmonary infection. In recent years, the survival of patients with CF has increased significantly with a recently reported median survival of up to 51.8 years of age.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Elborn, JS. Cystic fibrosis. Lancet. 2016 388(10059):2519–31.CrossRefGoogle ScholarPubMed
The Canadian Cystic Fibrosis Registry 2014 Annual Report. Toronto, Canada: Cystic Fibrosis Canada. 2016.Google Scholar
Cystic Fibrosis Foundation. Patient Registry 2015 Annual Data Report. Bethesda, maryland: © 2016 Cystic Fibrosis Foundation. 2016. www.cff.org/our-research/cf-patient-registry/2015-patient-registry-annual-data-report.pdf (accessed November 2019.)Google Scholar
Kaplan, E, Shwachman, H, Perlmutter, AD, et al. Reproductive failure in males with cystic fibrosis. N Engl J Med. 1968 279(2):65–9.Google Scholar
Edenborough, FP. Women with cystic fibrosis and their potential for reproduction. Thorax. 2001 56(8):649–55.Google Scholar
Siegel, B, Siegel, S. Pregnancy and delivery in a patient with cystic fibrosis of the pancreas. Obstet Gynecol. 1960 16:438–40.Google Scholar
Goss, CH, Rubenfeld, GD, Otto, K, Aitken, ML. The effect of pregnancy on survival in women with cystic fibrosis. Chest. 2003 124(4):1460–8.Google Scholar
Edenborough, FP, Borgo, G, Knoop, C, et al. Guidelines for the management of pregnancy in women with cystic fibrosis. J Cyst Fibros. 2008 7(Suppl 1):S2-32.CrossRefGoogle ScholarPubMed
Tizzano, EF, Silver, MM, Chitayat, D, Benichou, JC, Buchwald, M. Differential cellular expression of cystic fibrosis transmembrane regulator in human reproductive tissues: clues for the infertility in patients with cystic fibrosis. Am J Pathol. 1994 144(5):906–14.Google Scholar
Kopito, LE, Kosasky, HJ, Shwachman, H. Water and electrolytes in cervical mucus from patients with cystic fibrosis. Fertil Steril. 1973 24(7):512–16.Google Scholar
Wang, XF, Zhou, CX, Shi, QX, et al. Involvement of CFTR in uterine bicarbonate secretion and the fertilizing capacity of sperm. Nat Cell Biol. 2003 5(10):902–6.CrossRefGoogle ScholarPubMed
Schram, CA, Stephenson, AL, Hannam, TG, Tullis, E. Cystic fibrosis (cf) and ovarian reserve: a cross-sectional study examining serum anti-mullerian hormone (amh) in young women. J Cyst Fibros. 2015 14(3):398402.Google Scholar
Johannesson, M, Landgren, BM, Csemiczky, G, Hjelte, L, Gottlieb, C. Female patients with cystic fibrosis suffer from reproductive endocrinological disorders despite good clinical status. Hum Reprod. 1998 13(8):2092–7.Google Scholar
Stallings, VA, Tomezsko, JL, Schall, JI, et al. Adolescent development and energy expenditure in females with cystic fibrosis. Clin Nutr. 2005 24(5):737–45.CrossRefGoogle ScholarPubMed
Hubert, D, Patrat, C, Guibert, J, et al. Results of assisted reproductive technique in men with cystic fibrosis. Hum Reprod. 2006 21(5):1232–6.Google Scholar
McCallum, TJ, Milunsky, JM, Cunningham, DL, et al. Fertility in men with cystic fibrosis: an update on current surgical practices and outcomes. Chest. 2000 118(4):1059–62.CrossRefGoogle ScholarPubMed
Ahmad, A, Ahmed, A, Patrizio, P. Cystic fibrosis and fertility. Curr Opin Obstet Gynecol. 2013 25(3):167–72.CrossRefGoogle ScholarPubMed
Geake, J, Tay, G, Callaway, L, Bell, SC. Pregnancy and cystic fibrosis: approach to contemporary management. Obstet Med. 2014 7(4):147–55.Google Scholar
Committee on Genetics. Committee Opinion No. 691: carrier screening for genetic conditions. Obstet Gynecol. 2017 129(3):e41-55.CrossRefGoogle Scholar
US CF Foundation, John Hopkins University, The Hospital for Sick Children. The Clinical and Functional Translation of CFTR (CFTR2). Available from: http://cftr2.org/ (accessed November 2019).Google Scholar
Ratjen, F, Bell, SC, Rowe, SM, et al. Cystic fibrosis. Nat Rev Dis Primers. 2015 1:15010.Google Scholar
Watson, MS, Cutting, GR, Desnick, RJ, et al. Cystic fibrosis population carrier screening: 2004 revision of American College of Medical Genetics mutation panel. Genet Med. 2004 6(5):387–91.CrossRefGoogle ScholarPubMed
Rohlfs, EM, Zhou, Z, Heim, RA, et al. Cystic fibrosis carrier testing in an ethnically diverse US population. Clin Chem. 2011 57(6):841–8.CrossRefGoogle Scholar
Harper, JC. Preimplantation genetic screening. J Med Screen. 2018 25(1):15.CrossRefGoogle ScholarPubMed
Gilljam, M, Antoniou, M, Shin, J, et al. Pregnancy in cystic fibrosis: fetal and maternal outcome. Chest. 2000 118(1):8591.Google Scholar
Lau, EM, Barnes, DJ, Moriarty, C, et al. Pregnancy outcomes in the current era of cystic fibrosis care: a 15-year experience. Aust N Z J Obstet Gynaecol. 2011 51(3):220–4.Google Scholar
Jones, AM, Dodd, ME, Govan, JR, et al. Burkholderia cenocepacia and Burkholderia multivorans: influence on survival in cystic fibrosis. Thorax. 2004 59(11):948–51.CrossRefGoogle ScholarPubMed
Cheng, EY, Goss, CH, McKone, EF, et al. Aggressive prenatal care results in successful fetal outcomes in CF women. J Cyst Fibros. 2006 5(2):8591.Google Scholar
Edenborough, FP, Stableforth, DE, Webb, AK, Mackenzie, WE, Smith, DL. Outcome of pregnancy in women with cystic fibrosis. Thorax. 1995 50(2):170–4.CrossRefGoogle ScholarPubMed
Thorpe-Beeston, JG, Madge, S, Gyi, K, Hodson, M, Bilton, D. The outcome of pregnancies in women with cystic fibrosis – single centre experience 1998–2011. Br J Obstet Gynaecol. 2013 120(3):354–61.Google Scholar
Stephenson, AL, Stanojevic, S, Sykes, J, Burgel, PR. The changing epidemiology and demography of cystic fibrosis. Presse Med. 2017 46(6 Pt 2):e87-95.CrossRefGoogle ScholarPubMed
Stallings, VA, Stark, LJ, Robinson, KA, et al. Evidence-based practice recommendations for nutrition-related management of children and adults with cystic fibrosis and pancreatic insufficiency: results of a systematic review. J Am Diet Assoc. 2008 108(5):832–9.CrossRefGoogle ScholarPubMed
Canadian Cystic Fibrosis Registry 2013 Annual Report. Toronto, Canada: Cystic Fibrosis Canada. 2014.Google Scholar
Wilson, RD, Genetics, C, Wilson, RD, et al. Pre-conception folic acid and multivitamin supplementation for the primary and secondary prevention of neural tube defects and other folic acid-sensitive congenital anomalies. J Obstet Gynaecol Can. 2015 37(6):534–52.Google ScholarPubMed
Rasmussen, KM, Yaktine, AL, eds. Weight gain during pregnancy: reexamining the guidelines. In: The National Academies Collection: Reports Funded by National Institutes of Health. Washington, D.C.: National Academies Press. 2009.Google Scholar
Moran, A, Dunitz, J, Nathan, B, et al. Cystic fibrosis-related diabetes: current trends in prevalence, incidence, and mortality. Diabetes Care. 2009 32(9):1626–31.Google Scholar
McMullen, AH, Pasta, DJ, Frederick, PD, et al. Impact of pregnancy on women with cystic fibrosis. Chest. 2006 129(3):706–11.Google Scholar
Giacobbe, LE, Nguyen, RH, Aguilera, MN, et al. Effect of maternal cystic fibrosis genotype on diabetes in pregnancy. Obstet Gynecol. 2012 120(6):1394–9.CrossRefGoogle ScholarPubMed
Miller, RJ, Tildesley, HD, Wilcox, PG, Zhang, H, Kreisman, SH. Sex disparities in effects of cystic fibrosis-related diabetes on clinical outcomes: a matched study. Can Respir J. 2008 15(6):291–4.Google Scholar
Moran, A, Brunzell, C, Cohen, RC, et al. Clinical care guidelines for cystic fibrosis-related diabetes: a position statement of the American Diabetes Association and a clinical practice guideline of the Cystic Fibrosis Foundation, endorsed by the Pediatric Endocrine Society. Diabetes Care. 2010 33(12):2697–708.Google Scholar
Canadian Diabetes Association Clinical Practice Guidelines Expert Committee, Thompson, D, Berger, H, et al. Diabetes and pregnancy. Can J Diabetes. 2013 37 (Suppl 1):S168-83.Google Scholar
Konstan, MW, Flume, PA, Kappler, M, et al. Safety, efficacy and convenience of tobramycin inhalation powder in cystic fibrosis patients: The EAGER trial. J Cyst Fibros. 2011 10(1):5461.Google Scholar
Padberg, S, Wacker, E, Meister, R, et al. Observational cohort study of pregnancy outcome after first-trimester exposure to fluoroquinolones. Antimicrob Agents Chemother. 2014 58(8):4392–8.CrossRefGoogle ScholarPubMed
Schaefer, C, Amoura-Elefant, E, Vial, T, et al. Pregnancy outcome after prenatal quinolone exposure: evaluation of a case registry of the European Network of Teratology Information Services (ENTIS). Eur J Obstet Gynecol Reprod Biol. 1996 69(2):83–9.Google Scholar
Bourget, P, Fernandez, H, Delouis, C, Taburet, AM. Pharmacokinetics of tobramycin in pregnant women: safety and efficacy of a once-daily dose regimen. J Clin Pharm Ther. 1991 16(3):167–76.Google Scholar
Hernandez-Diaz, S, Werler, MM, Walker, AM, Mitchell, AA. Folic acid antagonists during pregnancy and the risk of birth defects. N Engl J Med. 2000 343(22): 1608–14.Google Scholar
Committee on Obstetric Practice. Committee Opinion No. 717: sulfonamides, nitrofurantoin, and risk of birth defects. Obstet Gynecol. 2017 130(3):e150-2.Google Scholar
Kline, AH, Blattner, RJ, Lunin, M. Transplacental effect of tetracyclines on teeth. J Am Med Assoc. 1964 188:178–80.Google Scholar
Kaminski, R, Nazareth, D. A successful uncomplicated CF pregnancy while remaining on ivacaftor. J Cyst Fibros. 2016 15(1):133–4.Google Scholar
Ladores, S, Kazmerski, TM, Rowe, SM. A case report of pregnancy during use of targeted therapeutics for cystic fibrosis. J Obstet Gynecol Neonatal Nurs. 2017 46(1):72–7.Google Scholar
Muammar, M, Marshall, P, Wyatt, H, Skelton, V. Caesarean section in a patient with cystic fibrosis. Int J Obstet Anesth. 2005 14(1):70–3.Google Scholar
Butler, JA, Restrick, LJ, Esmond, GM, Mickelsons, C, Empey, DW. Pregnancy assisted by nasal intermittent positive pressure ventilation in a patient with cystic fibrosis. J R Soc Med. 1997 90(4):222–3.Google Scholar
Patel, EM, Swamy, GK, Heine, RP, et al. Medical and obstetric complications among pregnant women with cystic fibrosis. Am J Obstet Gynecol. 2015 212(1):98.e1-9.CrossRefGoogle ScholarPubMed
Deighan, M, Ash, S, McMorrow, R. Anaesthesia for parturients with severe cystic fibrosis: a case series. Int J Obstet Anesth. 2014 23(1):75–9.Google Scholar
Della Rocca, G. Anaesthesia in patients with cystic fibrosis. Curr Opin Anaesthesiol. 2002 15:95101.Google Scholar
Schechter, MS, Quittner, AL, Konstan, MW, et al. Long-term effects of pregnancy and motherhood on disease outcomes of women with cystic fibrosis. Ann Am Thorac Soc. 2013 10(3):213–19.Google Scholar
Stephenson, AL, Sykes, J, Berthiaume, Y, et al. Clinical and demographic factors associated with post-lung transplantation survival in individuals with cystic fibrosis. J Heart Lung Transplant. 2015 34(9):1139–45.Google Scholar
Moritz, MJ, Constantinescu, S, Coscia, LA, et al. National Transplantation Pregnancy Registry: 2015 Annual Report. Philadelphia PA: Gift of Life Institute. 2016.Google Scholar
Gyi, KM, Hodson, ME, Yacoub, MY. Pregnancy in cystic fibrosis lung transplant recipients: case series and review. J Cyst Fibros. 2006 5(3):171–5.CrossRefGoogle ScholarPubMed
Shaner, J, Coscia, LA, Constantinescu, S, et al. Pregnancy after lung transplant. Prog Transplant. 2012 22(2):134–40.Google Scholar
Vos, R, Ruttens, D, Verleden, SE, et al. Pregnancy after heart and lung transplantation. Best Pract Res Clin Obstet Gynaecol. 2014 28(8):1146–62.Google Scholar
McKay, DB, Josephson, MA, Armenti, VT, et al. Reproduction and transplantation: report on the AST Consensus Conference on Reproductive Issues and Transplantation. Am J Transplant. 2005 5(7):1592–9.CrossRefGoogle ScholarPubMed
American College of Medical Genetics. Standards and Guidelines for Clinical Genetics Laboratories: Technical Standards and Guidelines for CFTR Mutation Testing. Bethesda, MD: American College of Medical Genetics. 2011.Google Scholar
International Association of Diabetes and Pregnancy Study Groups Consensus Panel, Metzger, BE. International Association Of Diabetes And Pregnancy Study Groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care. 2010 33(3):676–82.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×