{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T23:17:01Z","timestamp":1774567021845,"version":"3.50.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"743","license":[{"start":{"date-parts":[[1987,9,1]],"date-time":"1987-09-01T00:00:00Z","timestamp":557452800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,9,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>A 29 year old patient with alpha-1 antitrypsin deficiency and bullous emphysema became pregnant against the advice of her physicians. Despite a mid-trimester pneumothorax requiring the insertion of a chest tube, she went on to deliver a healthy child under epidural anaesthesia using a midforceps technique. Vaginal delivery is not necessarily contra-indicated in multiparous patients with bullous emphysema.<\/jats:p>","DOI":"10.1136\/pgmj.63.743.817","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:05:27Z","timestamp":1230584727000},"page":"817-820","source":"Crossref","is-referenced-by-count":12,"title":["Pregnancy and alpha-1 antitrypsin deficiency"],"prefix":"10.1093","volume":"63","author":[{"given":"A R","family":"Atkinson","sequence":"first","affiliation":[{"name":"South Shore Regional Hospital , Bridgewater, Nova Scotia , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1987,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1111\/j.0954-6820.1978.tb08452.x","article-title":"Natural history and life expectancy in severe alpha 1 antitrypsin deficiency","volume":"204","author":"Larsson, C.","year":"1978","unstructured":"Larsson, C., Natural history and life expectancy in severe alpha 1 antitrypsin deficiency, PiZ. 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In Critical Care of the Obstetric Patient","author":"Berkowitz, R.L.","year":"1983","unstructured":"Berkowitz, R.L. Asthma and other severe respiratory diseases during pregnancy. In Critical Care of the Obstetric Patient. 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