D. Ona, D. Todea, I. Coropețchi, I. Rotar, D. Mureșan
Rezumat: Pregnant women are known to have an increased morbidity
and mortality for certain illnesses due to physiological
and immunological changes in pregnancy. However,
careful attention should be paid to the fetoplacental
unit, with delivery generally indicated for obstetric
purposes only. Acute respiratory distress syndrome is an
uncommon condition in pregnant patients. An essential
component in the management of this condition is a perfect
coordination between the obstetrician, the pneumologist
and critical care specialists. Pregnancy-associated venous
thromboembolism consists of deep vein thrombosis and
pulmonary embolism occurring during pregnancy or in
the postpartum period. This condition is common and
is a major source of morbidity in a population which is
young and otherwise relatively healthy. Amniotic fluid
embolism remains one of the most devastating conditions
in obstetrics practice, with reported mortality of 20% to
60%. The treatment is mainly supportive and involves
the delivery of the fetus when indicated, respiratory
support and hemodynamic support, with the judicious
use of fluids, vasopressors, inotropes and, in some cases,
pulmonary vasodilators. Respiratory failure complicates
a relatively small number of pregnancies, but carries
significant potential risks for both mother and fetus. The
causes of respiratory failure may be related to pregnancyspecific
conditions or other respiratory diseases, and the
management requires a multidisciplinary team approach,
involving obstetrics, maternal-fetal medicine, neonatology,
obstetric medicine, pulmonology and critical care. Cuvinte cheie: pregnancy-associated venous disorders, respiratory failure, pneumonia, amniotic embolism, ARDS.