Management of Asthma during Pregnancy: Optimizing Outcomes and Minimizing Risk

被引:12
作者
Namazy, Jennifer A. [1 ]
Schatz, Michael [2 ]
机构
[1] Scripps Clin, 7565 Mission Valley Rd, San Diego, CA 92108 USA
[2] Kaiser Permanente Med Ctr, Dept Allergy, San Diego, CA USA
关键词
asthma; pregnancy; medications; CONGENITAL HEART-DEFECTS; MEDICATION USE; MATERNAL ASTHMA; PERINATAL OUTCOMES; INHALED CORTICOSTEROIDS; WOMEN; MALFORMATIONS; METAANALYSIS; BUDESONIDE; SAFETY;
D O I
10.1055/s-0037-1606216
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Pregnancy may be complicated by new onset or preexisting asthma. This article reviews diagnosis and management of asthma in the pregnant patient. Special attention is paid to the challenges in diagnosis and management of this condition during pregnancy. Asthma is one of the most common potentially serious medical problems to complicate pregnancy, and asthma may adversely affect both maternal quality of life and perinatal outcomes. Asthma may adversely affect both maternal quality of life and, perinatal outcomes. Pregnant asthmatics have been shown to be at an increased risk of adverse perinatal outcomes. Optimal management of asthma during pregnancy is thus important for both mother and baby. This article provides an update on the available literature regarding the safety of commonly used asthma medications during pregnancy.
引用
收藏
页码:29 / 35
页数:7
相关论文
共 42 条
[1]   Asthma medication use in pregnancy and fetal growth [J].
Bakhireva, LN ;
Jones, KL ;
Schatz, M ;
Johnson, D ;
Chambers, CD .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2005, 116 (03) :503-509
[2]   The use of asthma controller medications during pregnancy and the risk of gestational diabetes [J].
Baribeau, Veronique ;
Beauchesne, Marie-France ;
Rey, Evelyne ;
Forget, Amelie ;
Blais, Lucie .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2016, 138 (06) :1732-+
[3]   Effect of Pregnancy on Maternal Asthma Symptoms and Medication Use [J].
Belanger, Kathleen ;
Hellenbrand, Melissa E. ;
Holford, Theodore R. ;
Bracken, Michael .
OBSTETRICS AND GYNECOLOGY, 2010, 115 (03) :559-567
[4]   Asthma exacerbations during the first trimester of pregnancy and the risk of congenital malformations among asthmatic women [J].
Blais, Lucie ;
Forget, Amelie .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2008, 121 (06) :1379-1384
[5]   High doses of inhaled corticosteroids during the first trimester of pregnancy and congenital malformations [J].
Blais, Lucie ;
Beauchesne, Marie-France ;
Lemiere, Catherine ;
Elftouh, Naoual .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2009, 124 (06) :1229-1234
[6]   Allergy and asthma [J].
Bochner, BS ;
Busse, WW .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2005, 115 (05) :953-959
[7]   Asthma symptoms, severity, and drug therapy: A prospective study of effects on 2205 pregnancies [J].
Bracken, MB ;
Triche, EW ;
Belanger, K ;
Saftlas, A ;
Beckett, WS ;
Leaderer, BP .
OBSTETRICS AND GYNECOLOGY, 2003, 102 (04) :739-752
[8]   Risk of perinatal mortality associated with inhaled corticosteroid use for the treatment of asthma during pregnancy [J].
Breton, Marie-Claude ;
Beauchesne, Marie-France ;
Lemiere, Catherine ;
Rey, Evelyne ;
Forget, Amelie ;
Blais, Lucie .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2010, 126 (04) :772-U138
[9]   Relative perinatal safety of salmeterol vs formoterol and fluticasone vs budesonide use during pregnancy [J].
Cossette, Benoit ;
Beauchesne, Marie-France ;
Forget, Amelie ;
Lemiere, Catherine ;
Larivee, Pierre ;
Rey, Evelyne ;
Blais, Lucie .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2014, 112 (05) :459-464
[10]   Impact of maternal use of asthma-controller therapy on perinatal outcomes [J].
Cossette, Benoit ;
Forget, Amelie ;
Beauchesne, Marie-France ;
Rey, Evelyne ;
Lemiere, Catherine ;
Larivee, Pierre ;
Battista, Marie-Claude ;
Blais, Lucie .
THORAX, 2013, 68 (08) :724-+