Relationship between changes in body mass index during pregnancy and pregnancy rhinitis

Objective of the study: to determine the relationship between the total weight gain during pregnancy and the development of rhinitis during pregnancy. The study involved 49 pregnant women with symptoms of rhinitis during pregnancy, aged 24 to 41 years (30,4 ± 0,6 years), and 33 pregnant women without symptoms of rhinitis aged 20 to 38 years (mean age 29,7 ± 0,7 years). The study included the assessment of complaints, history taking, otorhinolaryngological examination, calculation of body mass index before pregnancy and by the time of delivery and estimation of total body weight gain during pregnancy, and follow-up study. Based on the study, statistically significant differences between body mass indexes by the time of delivery in study group and in healthy pregnant group were not revealed. However, in the group of women with pregnant rhinitis, the dynamics of body mass index (total weight gain) significantly exceeded this indicator in the control group (13,3 ± 0,9 kg and 10,5 ± 1,3 kg, respectively). Pathological weight gain during pregnancy was observed more often in women with pregnancy rhinitis who were overweight before pregnancy.

Nasal Congestion and Its Management in Pregnancy Rhinitis

Background: Pregnancy rhinitis occurs approximately in one-fifth of pregnancies, at almost any gestational week. The incidence rate of pregnancy rhinitis reaches up to 40%, with prevalence as high as 17%. Pathomechanism is still unclear, but it is suspected that estrogen and placental growth hormone (PGH) play roles in the development of disease. Objective: To elaborate the pathomechanism of pregnancy rhinitis and the proper management of rhinitis symptoms, particularly nasal obstruction. Methods: Literature review. Conclusion: Pregnancy rhinitis, manifested as nasal congestion, is considered a phenomenon and may become a serious condition. Persistent nasal congestion acts as a potential risk factor in affecting fetal growth and development through gradual hypoxia process. This condition can lead to various complications such as maternal hypertension, preeclampsia, impaired fetal growth, and low APGAR scores. Indepth knowledge of pathomechanism is essential as guidance to accurate treatment including conservative and pharmaca therapies, which will lead to optimal outcome for both mother and baby.

Hormonal changes causing rhinitis in pregnancy among Malaysian women

Objectives:To investigate the aetiology of rhinitis occurring in pregnancy, by (1) describing the relationship between pregnancy rhinitis and serum oestrogen, progesterone, placental growth hormone and insulin-like growth factor, and (2) assessing the prevalence of pregnancy rhinitis among Malaysian women.Methods:Prospective study involving 30 pregnant women followed at an ante-natal clinic for 14 months. Hormone levels were analysed during pregnancy and the post-partum period.Results:Levels of all four hormones were elevated in the third trimester, compared with first trimester and post-partum values. Rhinitis patients had higher levels of oestrogen and insulin-like growth factor 1 in the third trimester than non-rhinitis patients, although these differences were not statistically significant. The prevalence of rhinitis was 53.3 per cent, with most cases occurring in the third trimester. Patients with pregnancy rhinitis had a higher prevalence of female babies, compared with non-rhinitis patients (p = 0.003).Conclusions:Pregnancy rhinitis was significantly more common in women giving birth to female babies. Women with pregnancy rhinitis had a non-significant elevation in oestrogen and insulin-like growth factor 1 levels, compared with those without rhinitis.