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Chapter 35 - Asthma in Pregnancy

from Section 6 - Cardiopulmonary Conditions in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Maria Loren Eberle ,
Amira El-Messidi  and
Andrea Carlson
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

During your call duty, a 29-year-old primigravida at 19+2 weeks’ gestation by early ultrasound dating presents to the obstetrics emergency assessment unit of your hospital center with a one-week history of dyspnea. She has not refilled her asthma treatments, as she was busy changing residences. The patient converses well, without signs of distress.

Keywords

Asthma, exacerbationPregnancyRisk factorsComorbiditiesPathogenesisPhysical examinationInvestigationsObstetric complicationsAcute asthma, status asthmaticus, life-threatening, pharmacotherapyMaintenance treatmentIntrapartum, postpartum management
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 454 - 467
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

British Thoracic Society and Scottish Intercollegiate Guidelines Network (BTN/SIGN 158). British guideline on the management of asthma: a national clinical guideline. July 2019. Available at www.brit-thoracic.org.uk/quality-improvement/guidelines/asthma/. Accessed May 16, 2021.Google Scholar
Bonham, CA, Patterson, KC, Strek, ME. Asthma outcomes and management during pregnancy. Chest. 2018;153(2):515–527.CrossRefGoogle ScholarPubMed
Chan, AL, Juarez, MM, Gidwani, N, et al. Management of critical asthma syndrome during pregnancy. Clin Rev Allergy Immunol. 2015;48(1):45–53.CrossRefGoogle ScholarPubMed
Cusack, RP, Gauvreau, GM. Pharmacotherapeutic management of asthma in pregnancy and the effect of sex hormones. Expert Opin Pharmacother. 2021;22(3):339–349.Google Scholar
Global Initiative for Asthma (GINA). 2021 GINA Report, global strategy for asthma management and prevention. Available at https://ginasthma.org/gina-reports/. Accessed May 18, 2021.Google Scholar
McLaughlin, K, Foureur, M, Jensen, ME, et al. Review and appraisal of guidelines for the management of asthma during pregnancy. Women Birth. 2018;31(6):e349–e357.Google Scholar
Middleton, PG, Gade, EJ, Aguilera, C, et al. ERS/TSANZ Task Force Statement on the management of reproduction and pregnancy in women with airways diseases. Eur Respir J. 2020;55(2):1901208.Google Scholar
Namazy, JA, Schatz, M. Management of asthma during pregnancy: optimizing outcomes and minimizing risk. Semin Respir Crit Care Med. 2018;39(1):29–35.Google Scholar
National Heart, Lung, and Blood Institute; National Asthma Education and Prevention Program Asthma and Pregnancy Working Group. NAEPP expert panel report. Managing asthma during pregnancy: recommendations for pharmacologic treatment-2004 update. J Allergy Clin Immunol. 2005;115(1):34–46. [Correction in J Allergy Clin Immunol. 2005 Mar;115(3):477]CrossRefGoogle Scholar
Wang, H, Li, N, Huang, H. Asthma in pregnancy: pathophysiology, diagnosis, whole-course management, and medication safety. Can Respir J. 2020:9046842.CrossRefGoogle Scholar
Xu, Z, Doust, JA, Wilson, LF, et al. Asthma severity and impact on perinatal outcomes: an updated systematic review and meta-analysis. BJOG. 2021. https://doi.org/10.1111/1471-0528.16968Google Scholar

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