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De meest gestelde vragen over astma pp 134–138Cite as

Wat is de richtlijn voor gebruik van inhalatiemedicatie bij zwangeren met astma? Zijn inhalatiecorticosteroïden wel of niet geschikt?

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Ongeveer 3-12% van de zwangere vrouwen over de gehele wereld heeft astma (1). De prevalentie zal de komende jaren toenemen, mede door de toegenomen aandacht voor de diagnostische criteria ervan (2). Verscheidene studies laten zien dat zwangere vrouwen met astma een verhoogd risico hebben op perinatale mortaliteit, (pre)eclampsie, vroeggeboorte, hypertensie, vaginaal bloedverlies en dysmaturiteit (3, 4). Twee factoren spelen hierbij een grote, weliswaar te beïnvloeden, rol: 1) de astma medicatie zelf en 2) hypoxie ten gevolge van slecht gereguleerd astma. Slecht gereguleerd astma kan leiden tot maternale hypoxie, verminderde foetale oxygenatie van het bloed en abnormale groei en foetale ontwikkeling (5, 6)

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  1. Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde, Universitair Medisch Centrum, Utrecht

    dr. A. P. E. Sachs (huisarts)

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  1. dr. A. P. E. Sachs
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© 2008 Bohn Stafleu van Loghum

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Sachs, A.P.E. (2008). Wat is de richtlijn voor gebruik van inhalatiemedicatie bij zwangeren met astma? Zijn inhalatiecorticosteroïden wel of niet geschikt?. In: De meest gestelde vragen over astma. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-313-6591-3_33

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  • DOI: https://doi.org/10.1007/978-90-313-6591-3_33

  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-313-5210-4

  • Online ISBN: 978-90-313-6591-3

  • eBook Packages: Dutch language eBook collection

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