Comparative pulmonary function test parameters in non-tribal and tribal women in singleton first, second, and the third trimester of pregnancy
Background: During pregnancy, women undergo adaptive changes in different organ systems including the respiratory system by hormonal changes and mechanical pressures. Several previous studies reported the change in pulmonary functions in pregnancy and tribal populations. However, trimester-wise, pul...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Family Medicine and Primary Care |
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| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=8;spage=4582;epage=4587;aulast=Kumar |
| _version_ | 1798021774850392064 |
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| author | Manjulata Sandeep Kumar Joshil Kumar Behera Himel Mondal Poonam Singh |
| author_facet | Manjulata Sandeep Kumar Joshil Kumar Behera Himel Mondal Poonam Singh |
| author_sort | Manjulata |
| collection | DOAJ |
| description | Background: During pregnancy, women undergo adaptive changes in different organ systems including the respiratory system by hormonal changes and mechanical pressures. Several previous studies reported the change in pulmonary functions in pregnancy and tribal populations. However, trimester-wise, pulmonary functions in tribal women residing in Jharkhand, India, are not available. Aim: This study aimed to find and compare the pulmonary function test parameters in tribal and non-tribal women in singleton first, second, and third trimesters of pregnancy. Methods: We conducted this cross-sectional observational study in a tertiary care hospital in Jharkhand, India, with 58 tribal women and 116 age-matched controls. The pulmonary function tests, namely forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), peak expiratory flow rate (PEFR), maximal mid expiratory flow (MMEF) were measured with a computerized spirometer (Spiro Excel, Medicaid, Punjab, India) and FEV1/FVC was calculated. Results: A total of 58 tribal women with median age 22 (Q1–Q3: 21–25) years and 116 non-tribal women with median age 22 (20–25) (P=0.33) participated in the study. The tribal women showed higher respiratory rate (20 [18–24.5] vs. 16 [15–18] per minute, P<.0001), higher MMEF in the first trimester (1.46 [1.12–1.79] vs. 1.24 [1.04–1.5] L/s, P=0.047) and higher PEFR (4.02 [2.78–4.11] vs. 3.15 [2.58–3.87] L/s, P=.047) in the second trimester. There was no difference in the third trimester of pregnancy. In the overall sample, the tribal women showed higher PEFR (3.82 [2.96–4.33] vs. 3.3 [2.73–4.05] L/s, P=.02) and MMEF (1.43 [0.99–1.7] vs. 1.21 [1–1.47] L/s, P=.04). Conclusion: The respiratory rate was higher in the tribal women in the three trimesters of singleton pregnancy compared to the non-tribal women. There was a higher MMEF in the first trimester and PEFR in the second-trimester pregnancy in the tribal women. The finding of this pilot study should be enhanced by further study with a large number of tribal women from this region. |
| first_indexed | 2024-04-11T17:19:04Z |
| format | Article |
| id | doaj.art-6790083adc8f4e0f82f0bb30b684fa97 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-11T17:19:04Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-6790083adc8f4e0f82f0bb30b684fa972022-12-22T04:12:32ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011184582458710.4103/jfmpc.jfmpc_99_22Comparative pulmonary function test parameters in non-tribal and tribal women in singleton first, second, and the third trimester of pregnancyManjulataSandeep KumarJoshil Kumar BeheraHimel MondalPoonam SinghBackground: During pregnancy, women undergo adaptive changes in different organ systems including the respiratory system by hormonal changes and mechanical pressures. Several previous studies reported the change in pulmonary functions in pregnancy and tribal populations. However, trimester-wise, pulmonary functions in tribal women residing in Jharkhand, India, are not available. Aim: This study aimed to find and compare the pulmonary function test parameters in tribal and non-tribal women in singleton first, second, and third trimesters of pregnancy. Methods: We conducted this cross-sectional observational study in a tertiary care hospital in Jharkhand, India, with 58 tribal women and 116 age-matched controls. The pulmonary function tests, namely forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), peak expiratory flow rate (PEFR), maximal mid expiratory flow (MMEF) were measured with a computerized spirometer (Spiro Excel, Medicaid, Punjab, India) and FEV1/FVC was calculated. Results: A total of 58 tribal women with median age 22 (Q1–Q3: 21–25) years and 116 non-tribal women with median age 22 (20–25) (P=0.33) participated in the study. The tribal women showed higher respiratory rate (20 [18–24.5] vs. 16 [15–18] per minute, P<.0001), higher MMEF in the first trimester (1.46 [1.12–1.79] vs. 1.24 [1.04–1.5] L/s, P=0.047) and higher PEFR (4.02 [2.78–4.11] vs. 3.15 [2.58–3.87] L/s, P=.047) in the second trimester. There was no difference in the third trimester of pregnancy. In the overall sample, the tribal women showed higher PEFR (3.82 [2.96–4.33] vs. 3.3 [2.73–4.05] L/s, P=.02) and MMEF (1.43 [0.99–1.7] vs. 1.21 [1–1.47] L/s, P=.04). Conclusion: The respiratory rate was higher in the tribal women in the three trimesters of singleton pregnancy compared to the non-tribal women. There was a higher MMEF in the first trimester and PEFR in the second-trimester pregnancy in the tribal women. The finding of this pilot study should be enhanced by further study with a large number of tribal women from this region.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=8;spage=4582;epage=4587;aulast=Kumarforced expiratory volumeindiapeak expiratory flow ratepregnancyrespiratory ratetribal populationvital capacity |
| spellingShingle | Manjulata Sandeep Kumar Joshil Kumar Behera Himel Mondal Poonam Singh Comparative pulmonary function test parameters in non-tribal and tribal women in singleton first, second, and the third trimester of pregnancy Journal of Family Medicine and Primary Care forced expiratory volume india peak expiratory flow rate pregnancy respiratory rate tribal population vital capacity |
| title | Comparative pulmonary function test parameters in non-tribal and tribal women in singleton first, second, and the third trimester of pregnancy |
| title_full | Comparative pulmonary function test parameters in non-tribal and tribal women in singleton first, second, and the third trimester of pregnancy |
| title_fullStr | Comparative pulmonary function test parameters in non-tribal and tribal women in singleton first, second, and the third trimester of pregnancy |
| title_full_unstemmed | Comparative pulmonary function test parameters in non-tribal and tribal women in singleton first, second, and the third trimester of pregnancy |
| title_short | Comparative pulmonary function test parameters in non-tribal and tribal women in singleton first, second, and the third trimester of pregnancy |
| title_sort | comparative pulmonary function test parameters in non tribal and tribal women in singleton first second and the third trimester of pregnancy |
| topic | forced expiratory volume india peak expiratory flow rate pregnancy respiratory rate tribal population vital capacity |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=8;spage=4582;epage=4587;aulast=Kumar |
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