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Pregnancy rhinitis

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ABSTRACT
Pregnancy rhinitis is defined as a nasal congestion in the last six or more weeks of pregnancy, without other signs of respiratory tract infection and without known allergic cause, disappearing completely within two weeks after delivery. Some authors say that there is clinical proof of a correlation between pregnancy rhinitis and preeclampsia, preeclampsia being the most frequent cause of maternal and fetal morbidity and mortality. The relationship between these two pathologies lies in snoring. Because of the pregnancy and its limitations for treatment options, most studies talk about the importance of educational measures as first choice of managing the symptoms of pregnancy rhinitis.
Key words: nasal obstruction, pregnancy, rhinitis.

INTRODUCTION

Pregnancy rhinitis and upper respiratory tract congestion in pregnancy started to be studied in the early 2 nd century with the work of McKenzie but its etiology and pathophysiology are still unknown, the theory that is most accepted being the estrogen theory1.is specific for pregnancy, called pregnancy rhinitis. Sometimes, these changes of the nasal mucosa can be seen also in the larynx mucosa, leading to changings in voice2. Studies show that, during the postnatal period, the nasal congestion is much diminished, even if breastfeeding is associated and this increases with pregnancy (comparing the first three months of pregnancy to the last month of pregnancy). In the study of Demirci, the rate of nasal congestion was 27 % in the 12th week and 42% in the 36th week of pregnancy, showing that the nasal congestion is increasing significantly in the third trimester3. The same study shows that the nasalance values were decreased as the pregnancy progressed.

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