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Asthma Management in Pregnancy

Safe and effective asthma control during pregnancy.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Asthma Management in Pregnancy?

Asthma is one of the most common chronic illnesses in pregnancy with a prevalence of 4-8%. According to the rule of thirds: in one-third of pregnant women asthma improves, in one-third it worsens, and in one-third it remains unchanged.

Uncontrolled asthma increases the risks of preeclampsia, preterm birth, low birth weight, perinatal mortality, and congenital anomalies. Maternal hypoxia is more harmful to the fetus than commonly used medications.

Inhaled corticosteroids (especially budesonide), short- and long-acting beta-2 agonists, and leukotriene antagonists are safe in pregnancy. Smoking cessation, allergen avoidance, and influenza vaccination are critical.

Symptoms

Episodic shortness of breath
Wheezing
Cough (especially at night)
Chest tightness
Symptoms during exercise or with allergens
Difficulty completing sentences (severe attack)
Cyanosis and decreased oxygen saturation

Risk Factors

Severe and uncontrolled asthma before pregnancy
Smoking and second-hand smoke exposure
Allergen exposure (pollen, mites)
Respiratory tract infections
Discontinuation of treatment
Gastroesophageal reflux
Obesity

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Increased shortness of breath
  • Need for rescue inhaler more than 2 days/week
  • Sleep disturbance from cough/wheezing
  • Decreased peak flow values
  • Severe attack symptoms

Treatment Methods

01
Continuation of inhaled corticosteroids
02
Short-acting beta-2 agonist as needed
03
Step-up therapy for moderate-severe asthma
04
Avoidance of triggering allergens
05
Smoking cessation
06
Annual influenza vaccination
07
Regular obstetric follow-up

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.