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pneumonia? TaraBanana Crestline, California 3809 posts
13th Jul '08

So my mom has been diagnosed with pneumonia and my step dad told her that its contagious....so shes stressing out about me getting it....but im the one whos taking care of her (one sister doesnt live here, the other works and has a boyfriend, the other islazy and only thinks of herself and my step-dad works during the day all week)



How likely is it that she can actually give it to me? and if by some stretch she does what will that mean for the baby? I cant sit back and let her be sick and not take care of her...my maternal instincts must be kicking in.

HELP!

Nicola - BG Trainer [HBC] 1 child; Boca Raton, Florida 15687 posts
13th Jul '08

Found this for you...



Expert: Lawrence Jay Rappaport <B>M.D.</B>
Date: 2/9/2004
Subject: Ilness during pregnancy

Question
I am 22 years old with a three year old. I am 27 weeks and 5 days(non accurate menstrual period, used ultrasound)
What are the effects on my baby and me having pneumonia in the third trimester? What are some common problems if any?( I have been on two courses of different antibiotics a month ago for bronchitis, it just never got better)


Answer
If you get pneumonia during pregnancy (any trimester) the baby will not be effected. HOwever, you should be treated with antibiotics so that you get enough oxygen to your tissue. A lack of oxygen to you can limit the amount of oxygen in your blood stream and the baby can become anemic and can become anoxic as well. (The baby will not develop pneumonia because it does not breathe in-utero). Your bronchitis rarely progresses to pneumonia. A chest X-ray will show if you have pneumonia or not. I'm sure that your obstetrician will tell you if you do.

From this website:
http://en.allexperts.com/q/ObGyn-Pregnancy-issues-1007/Ilness-during-pregnancy.htm

TaraBanana Crestline, California 3809 posts
13th Jul '08

Thank you soo much...that helps A LOT! i dont want my Mom to be sick and stressing out

Nicola - BG Trainer [HBC] 1 child; Boca Raton, Florida 15687 posts
13th Jul '08

But this also conflicts with what I just found.. You may want to read this one through thoroughly.



Management of Pneumonia in Pregnancy




Many women use their women's healthcare provider as their primary care provider. As a result, these clinicians must familiarize themselves with how common medical problems affect their patients when they are pregnant and make any necessary adjustments in clinical management. Cheney gave an overview of the management of some common respiratory illnesses that may affect pregnant patients.
Pneumonia is the leading cause of death during pregnancy from nonobstetric causes.[10] With the advent of antibiotic therapy, maternal mortality had been decreasing, but recently there has been an increase in cases due to:



  • HIV;
  • Drug use; and
  • Increase in maternal age during pregnancy.


When symptoms indicate the possibility of pneumonia, clinicians need to do a thorough history and physical examination to rule out other causes of respiratory complaints such as:



  • Pulmonary emboli;
  • Congestive heart failure;
  • Tuberculosis; and
  • Pneumothorax.


Causes of pneumonia include Streptococcus pneumoniae, Haemophilus pneumoniae, and Klebsiella pneumoniae. Atypical organisms to consider include Mycoplasma, Legionella, and Chlamydia. Viral causes may include varicella, influenza, and Pneumocystis carinii secondary to HIV.
The diagnostic evaluation may include:



  • Complete blood cell count;
  • Sputum Gram stain/culture;
  • Blood cultures;
  • Serum cold agglutinins; and
  • Titers for suspected pathogens.


In addition, imaging studies such as a chest x-ray may be needed to make the diagnosis. When considering the use of x-ray, the effect of radiation on a developing fetus is always a major concern. Studies have shown developmental anomalies and growth retardation with radiation thresholds >/= 5 rad.[11] A typical chest x-ray delivers a dose between 30 and 100 mrad and may be used safely in pregnancy, if warranted. All pregnant women should be appropriately shielded with a lead apron during the procedure.
Choice of therapy for pneumonia will be guided by the clinical diagnosis. If antibiotic therapy is necessary, safe choices in pregnancy include:



  • Penicillin;
  • Cephalosporins;
  • Erythromycin;
  • Azithromycin; and
  • Clindamycin.


Drugs that should be avoided in pregnancy include clarithromycin, which has been associated with teratogenetic effects in animal studies, and the quinolone family, which have been associated with adverse effects on bone development in animal studies.
The only drug available to treat patients who are diagnosed with Pneumocystis carinii pneumonia, an opportunistic AIDS-related infection, is trimethoprim-sulfamethoxazole (Bactrim, Septra). It is a folic acid antagonist, so folate supplementation must be given.[10]
Additional supportive measures may include:



  • Oxygen therapy;
  • Beta agonists;
  • Postural drainage; and
  • Fluids/electrolytes.


Pregnant women have a 20% increase in oxygen consumption during pregnancy, and, along with a decrease in functional residual capacity seen with pneumonia, a woman's ability to tolerate even limited periods of hypoxia is limited. Cheney pointed out that it is critical that clinicians diagnose pneumonia and its causes early and treat with the appropriate therapy in order to limit risks to the mother and the fetus.



From this website:
http://www.medscape.com/viewarticle/444876

TaraBanana Crestline, California 3809 posts
13th Jul '08

Damn....my next appointment isnt until next tuesday....=( i dont want her to stress out

Nicola - BG Trainer [HBC] 1 child; Boca Raton, Florida 15687 posts
13th Jul '08

If I were you I would wear hospital masks around her at all times, it's a start to not trying to contract it, because it definitely is contagious.

TaraBanana Crestline, California 3809 posts
13th Jul '08

only when she coughs tho, right? thats pretty much the only way i could get it...coughing and shareing a drink and shit....like the flu...right?

Nicola - BG Trainer [HBC] 1 child; Boca Raton, Florida 15687 posts
13th Jul '08
Quoting TaraBanana- 52 days to go:
Nicola - BG Trainer [HBC] 1 child; Boca Raton, Florida 15687 posts
13th Jul '08

Pneumonia is a lung disease so every time she breathes out she's infecting the air that surrounds her.

TaraBanana Crestline, California 3809 posts
13th Jul '08
Quoting NicolaW ~ 12w1d left!:
Blissful 3 kids; Massachusetts 5913 posts
13th Jul '08

pneumonia isn't that contagious, the cold virus that it started out as is contagious, and it may not even develope into pneumonia if another is to catch it..

Nicola - BG Trainer [HBC] 1 child; Boca Raton, Florida 15687 posts
13th Jul '08
Quoting Blissful Mama:
Blissful 3 kids; Massachusetts 5913 posts
13th Jul '08
Quoting NicolaW ~ 12w1d left!:
TaraBanana Crestline, California 3809 posts
13th Jul '08
Quoting Blissful Mama:
Nicola - BG Trainer [HBC] 1 child; Boca Raton, Florida 15687 posts
13th Jul '08
Quoting Blissful Mama: