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Journal of Education, Health and Sport

Pregnancy-induced rhinitis: nose problems at the obstetrician's office
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Pregnancy-induced rhinitis: nose problems at the obstetrician's office

Authors

  • Arkadiusz Standyło Student's Scientific Association at the Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin https://orcid.org/0000-0002-5154-4759
  • Aleksandra Obuchowska Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin https://orcid.org/0000-0003-0464-2695
  • Karolina Obuchowska Student's Scientific Association at the Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin https://orcid.org/0000-0003-4519-8236
  • Kamila Gorczyca Student's Scientific Association at the Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin https://orcid.org/0000-0002-7976-0509
  • Żaneta Kimber-Trojnar Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin https://orcid.org/0000-0001-7295-0409
  • Bożena Leszczyńska-Gorzelak Department of Obstetrics and Perinatology, Medical University of Lublin, 20-090 Lublin https://orcid.org/0000-0002-0221-1982

DOI:

https://doi.org/10.12775/JEHS.2022.12.09.020

Keywords

Pregnancy, Rhinitis, Rhinology, Nasal obstruction

Abstract

Introduction and purpose

Pregnancy-induced rhinitis (PIR) manifests as nasal congestion, with resolution of symptoms after delivery. Pregnancy-induced rhinitis is a distinct condition from allergic rhinitis, it may not respond to treatment for allergic rhinitis. The first stage in providing adequate and effective management of PIR is to have a clear and appropriate diagnosis. Therefore, each patient-specific management of PIR must take careful consideration of a variety of circumstances.

The aim of this study was to conduct a literature review on pregnancy-induced rhinitis. A literature review was carried out in the PubMed, MEDLINE, and Scopus databases using the terms ‘rhinitis and pregnancy’.

Brief description of the state of knowledge

Physiological factors underlying PIR are not well understood at the moment. There is no single explanation for the pathophysiological mechanism that would account for the changes in PIR. Nasal congestion is the primary nasal symptom in pregnancy-induced rhinitis. It can result in night-time mouth breathing and poor sleep quality. The mother's sleep may be negatively impacted by nasal congestion resulting in maternal hypertension, pre-eclampsia, and intrauterine growth retardation. Increasing awareness not only benefits pregnant patients' quality of life but also has a favourable impact on how a pregnancy turns out.

Summary

PIR has gained relevance in recent years due to its major effects on maternal quality of life as well as the identification of a relationship with OSAS in the mother and potential harmful consequences on the foetus. The mother's quality of life is significantly impacted by PIR, as shown, thus both the otorhinolaryngologist and the obstetrician must use caution in the early identification and treatment of pregnancy-induced rhinitis.

References

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Ellegård, E.K. Clinical and Pathogenetic Characteristics of Pregnancy Rhinitis. Clin. Rev. Allergy Immunol. 2004 263 2004, 26, 149–159, doi:10.1385/CRIAI:26:3:149.

Gilbey, P.; McGruthers, L.; Morency, A.M.; Shrim, A. Rhinosinusitis-Related Quality of Life during Pregnancy. Am. J. Rhinol. Allergy 2012, 26, 283–286, doi:10.2500/AJRA.2012.26.3776.

Gupta, K.K.; Anari, S. Medical Management of Rhinitis in Pregnancy. Auris Nasus Larynx 2022, 49, 905–911, doi:10.1016/j.anl.2022.01.014.

Ellegård, E.K. Pregnancy Rhinitis. Immunol. Allergy Clin. North Am. 2006, 26, 119–135, doi:10.1016/J.IAC.2005.10.007.

Caparroz, F.A.; Gregorio, L.L.; Bongiovanni, G.; Izu, S.C.; Kosugi, E.M. Rhinitis and Pregnancy: Literature Review. Braz. J. Otorhinolaryngol. 2016, 82, 105–111, doi:10.1016/J.BJORL.2015.04.011.

Piette, V.; Daures, J.P.; Demoly, P. RETRACTED ARTICLE: Treating Allergic Rhinitis in Pregnancy. Curr. Allergy Asthma Reports 2006 63 2006, 6, 232–238, doi:10.1007/S11882-006-0040-5.

Orban, N.; Maughan, E.; Bleach, N. Pregnancy-Induced Rhinitis. Rhinology 2013, 51, 1–9, doi:10.4193/RHINO12.045.

Hellings, P.W.; Klimek, L.; Cingi, C.; Agache, I.; Akdis, C.; Bachert, C.; Bousquet, J.; Demoly, P.; Gevaert, P.; Hox, V.; et al. Non-Allergic Rhinitis: Position Paper of the European Academy of Allergy and Clinical Immunology. Allergy 2017, 72, 1657–1665, doi:10.1111/ALL.13200.

Ellegård, E.; Hellgren, M.; Torén, K.; Karlsson, G. The Incidence of Pregnancy Rhinitis. Gynecol. Obstet. Invest. 2000, 49, 98–101, doi:10.1159/000010223.

Namazy, J.A.; Schatz, M. Diagnosing Rhinitis during Pregnancy. Curr. Allergy Asthma Rep. 2014, 14, 1–4, doi:10.1007/S11882-014-0458-0/TABLES/1.

Ellegård, E.K. Special Considerations in the Treatment of Pregnancy Rhinitis. Women’s Heal. 2005, 1, 105–114, doi:10.1517/17455057.1.1.105.

Franklin, K.A.; Holmgren, P.Å.; Jönsson, F.; Poromaa, N.; Stenlund, H.; Svanborg, E. Snoring, Pregnancy-Induced Hypertension, and Growth Retardation of the Fetus. Chest 2000, 117, 137–141, doi:10.1378/CHEST.117.1.137.

Ayrlm, A.; Keskin, E.A.; Ozol, D.; Onaran, Y.; YildIrIm, Z.; Kafali, H. Influence of Self-Reported Snoring and Witnessed Sleep Apnea on Gestational Hypertension and Fetal Outcome in Pregnancy. Arch. Gynecol. Obstet. 2011, 283, 195–199, doi:10.1007/S00404-009-1327-2.

Jeican, I.I.; Gheban, D.; Barbu-Tudoran, L.; Inișca, P.; Albu, C.; Ilieș, M.; Albu, S.; Vică, M.L.; Matei, H.V.; Tripon, S.; et al. Respiratory Nasal Mucosa in Chronic Rhinosinusitis with Nasal Polyps versus Covid-19: Histopathology, Electron Microscopy Analysis and Assessing of Tissue Interleukin-33. J. Clin. Med. 2021, 10, doi:10.3390/JCM10184110.

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Published

2022-08-30

How to Cite

1.
STANDYŁO, Arkadiusz, OBUCHOWSKA, Aleksandra, OBUCHOWSKA, Karolina, GORCZYCA, Kamila, KIMBER-TROJNAR, Żaneta and LESZCZYŃSKA-GORZELAK, Bożena. Pregnancy-induced rhinitis: nose problems at the obstetrician’s office. Journal of Education, Health and Sport. Online. 30 August 2022. Vol. 12, no. 9, pp. 160-167. [Accessed 19 July 2025]. DOI 10.12775/JEHS.2022.12.09.020.
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Vol. 12 No. 9 (2022)

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Review Articles

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Copyright (c) 2022 Arkadiusz Standyło, Aleksandra Obuchowska, Karolina Obuchowska, Kamila Gorczyca, Żaneta Kimber-Trojnar, Bożena Leszczyńska-Gorzelak

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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