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Asthma und Schwangerschaft

Asthma and pregnancy

  • Leitthema
  • Published:
Der Pneumologe Aims and scope

Zusammenfassung

Bei 4–12 % der schwangeren Frauen liegt ein Asthma vor. Ziel der Asthmatherapie bei Schwangeren sind eine gute Asthmakontrolle und eine ausreichende Oxygenation des Feten während der Schwangerschaft. Die Pharmakotherapie von asthmakranken Schwangeren unterscheidet sich nicht von der für Nichtschwangere. Die Möglichkeit schwerwiegender Medikamentennebenwirkungen ist gegenüber dem potentiellen Nutzen für die Schwangere und den Fötus zu vernachlässigen. Das Risiko kongenitaler Malformationen ist gering, steigt möglicherweise mit der Schwere der Erkrankung an. Regelmäßige Kontrollen der Asthmatikerin während der Schwangerschaft, verbunden mit einer strukturierten Patientenschulung, tragen zu einer besseren Asthmakontrolle bei. Eine Schwangere sollte im Asthmaanfall im Krankenhaus behandelt und überwacht werden.

Abstract

Approximately 4-12 % of pregnant women suffer from asthma. The aims of asthma therapy in pregnant women are sufficient control of the asthma and oxygen supply to the fetus during pregnancy. Pharmacotherapy of pregnant women with asthma is no different from that in non-pregnant women. The possibility of severe side effects of medications can be disregarded when compared to the potential benefits for mother and fetus. The risk of congenital malformations is low but increases with the severity of the disease. Regular surveillance and control of asthmatics during pregnancy combined with a structured patient education contribute to a better control of asthma. In cases of asthma attacks, pregnant women should be treated in hospital and kept under close surveillance.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. H. Worth gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Medizinische Klinik 1, Klinikum Fürth, Jakob-Henle-Str. 1, 90766, Fürth, Deutschland

    H. Worth

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Worth, H. Asthma und Schwangerschaft. Pneumologe 10, 409–417 (2013). https://doi.org/10.1007/s10405-013-0711-6

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  • DOI: https://doi.org/10.1007/s10405-013-0711-6

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