Re: Pregnancy At Altitude

From: ainsron (ainsron@sbcglobal.net)
Wed Aug 22 18:28:32 2007


Occupational and environmental reproductive hazards, by Paul states: "Commercial air travel and acute exposure to altitudes less than 15,000 ft pose no adverse on maternal or fetal well-being. Pregnant women with medical problems (anemia, sickle cell, cardiac problems, etc.) that might be exacerbated by hypoxic environments should be carefully counseled. Avoidance of high altitudes us use of supplemental oxygen during flight may be necessary for these women."

It differentiates between acute and chronic exposure, pointing out that IUGR is related to babies born above 10,000 feet, according to a study of Colorado women who lived above that altitude.

Acute changes of altitude during flight do not appear to have an adverse effect on pregnancy outcome, studies of exposure to commercial jet travel with cabin pressures comparable to 8000 ft show small increases in maternal HR and no change in BP. Fetal monitoring during flight have shown no changes in FHR or variability.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joe Sent: Wednesday, August 22, 2007 2:53 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Pregnancy At Altitude

reminds me of the Mount Everest syndrome that Eastman(?) studied. Fetal Hb protected . Joe C

Lynn Montgomery wrote:

> Bernt Schumacher did a study using rabbit models in a pressure system
> simulating an airline cabin (approximately 10,000 ft). I believe he
> found increased lactate levels in both the moms and the pups (via cord
> sampling), but I do not believe there was increased pregnancy wastage or
> other untoward outcome.
> Lynn
>
> Lynn D. Montgomery, M.D.
> Obstetrics & Gynecology, Maternal-Fetal Medicine
> The Birth Center/Rocky Mountain Women's Health
> 1211 S. Reserve St.
> Missoula, Montana, 59801
> 406-549-0978
> fax 406-549-0987
> e-mail: apgar10@thebirthcentermt.com
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dean
> Huffman .
> Sent: Wednesday, August 22, 2007 2:23 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Pregnancy At Altitude
>
> .
>
> Does anybody have references or sources that discuss risks (if any) to
> first
> trimester pregnancies from altitude exposure. Specficially a five day
> vacation
> to Colorado at 9000 feet with short trips by jeep to higher altitudes
> for brief
> periods of time.
>





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