The Pregnant Patient With Asthma
The course of asthma during pregnancy is variable; it may improve, worsen, or remain unchanged.
In general, women with severe asthma before pregnancy are more likely to experience worsening of their symptoms during pregnancy.
Diagnosis of asthma can be confirmed by the demonstration of reversible airway obstruction by pulmonary function test.
Methacholine challenge test and skin testing should be deferred until after childbirth.
Avoidance of trigger factors and discontinuation of smoking are particularly beneficial during pregnancy because better control of asthma symptoms can be achieved while reducing the reliance on pharmacotherapy.
Pharmacological management of bronchial asthma during pregnancy is not substantially different from the asthma management in patients who are not pregnant.
When indicated, systemic corticosteroids should be used for the treatment of acute asthma exacerbation during pregnancy.
Although ongoing immunotherapy can be continued at a reduced dosage schedule, it should not be initiated during pregnancy.
Open communication between the patient and her physician will improve the patient’s understanding of her asthma care plan and overall outcome.
KeywordsObstet Gynecol Acute Exacerbation Allergy Clin Immunol Asthma Symptom Ipratropium Bromide
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