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Family planning, pregnancy and birth in women with lung conditions: a worldwide survey

Clare Williams, Barbara Johnson, Peter G Middleton, Vibeke Backer, Peter G Gibson, Gill Hollis, Courtney Coleman
ERJ Open Research 2021; DOI: 10.1183/23120541.00357-2021
Clare Williams
1European Lung Foundation
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  • For correspondence: clare.williams@europeanlung.org
Barbara Johnson
1European Lung Foundation
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Peter G Middleton
2CF Research Group, Ludwig Engel Centre for Respiratory Research, Westmead Institute for Medical Research, University of Sydney, Australia
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  • ORCID record for Peter G Middleton
Vibeke Backer
3Department of ENT and CFAS, Rigshospitalet, Copenhagen University, Copenhagen, Denmark
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Peter G Gibson
4Centre for Asthma and Respiratory Diseases, Faculty of Health and Medicine, University of Newcastle, NSW, Australia
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Gill Hollis
5LAM Action, PO Box 10933, Newark, UK
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Courtney Coleman
1European Lung Foundation
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Abstract

Lung diseases can complicate pregnancy, but little is known about the experiences of pregnancy among women living with them. This survey aimed to understand the experiences of women with a lung condition before and during pregnancy, in childbirth and post-partum. The survey was translated into 9 languages and hosted online between March and May 2018. This paper reports on 327 women who had asthma, cystic fibrosis (CF), lymphangioleiomyomatosis (LAM) and sarcoidosis as a sole or primary lung condition. Women with CF and LAM were most likely to report that their condition influenced their decision to have children. Those with CF and LAM who did become pregnant reported greater satisfaction with their healthcare during pregnancy and gave more consideration to factors such as location and type of birth; they were also more concerned about the impact of the pregnancy on their health than women with other diseases. Women with sarcoidosis reported receiving conflicting advice as to both the impact of their condition on pregnancy and how becoming pregnant might impact their health. Women with asthma reported not always being able to access the information they needed from healthcare professionals. The results suggest that healthcare providers should be having dialogues with affected women early on, from before conception, throughout the pregnancy and after giving birth, and training should be provided to healthcare staff to equip them with the information they need to do this.

Footnotes

This manuscript has recently been accepted for publication in the ERJ Open Research. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJOR online. Please open or download the PDF to view this article.

Conflict of Interest: Clare Williams has nothing to disclose.

Conflict of Interest: Barbara Johnson has nothing to disclose.

Conflict of Interest: Peter G Gibson reports support for the present manuscript from National Health and Medical Research Council. Grants of contracts from Astra Zeneca and GlaxoSmithKline outside the submitted work. Payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events for Astra Zeneca, GlaxoSmithKline, and Novartis, outside the submitted work. Participation on a Data Safety Monitoring Board or Advisory Board for Chiesi and Sanofi, outside the submitted work.

Conflict of Interest: Vibeke Backer has nothing to disclose.

Conflict of Interest: Gill Hollis has nothing to disclose.

Conflict of Interest: Courtney Coleman has nothing to disclose.

This is a PDF-only article. Please click on the PDF link above to read it.

  • Received May 27, 2021.
  • Accepted September 19, 2021.
  • Copyright ©The authors 2021
http://creativecommons.org/licenses/by-nc/4.0/

This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions{at}ersnet.org

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Family planning, pregnancy and birth in women with lung conditions: a worldwide survey
Clare Williams, Barbara Johnson, Peter G Middleton, Vibeke Backer, Peter G Gibson, Gill Hollis, Courtney Coleman
ERJ Open Research Jan 2021, 00357-2021; DOI: 10.1183/23120541.00357-2021

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Family planning, pregnancy and birth in women with lung conditions: a worldwide survey
Clare Williams, Barbara Johnson, Peter G Middleton, Vibeke Backer, Peter G Gibson, Gill Hollis, Courtney Coleman
ERJ Open Research Jan 2021, 00357-2021; DOI: 10.1183/23120541.00357-2021
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