Asthma in Pregnancy


Description

The tracheobronchial tree responds to various stimuli more readily in those with asthma, which is a chronic inflammatory condition of the airways. In pregnancy, it is the most prevalent chronic ailment. In the general community, asthma affects 4-5% of people. Prevalence in pregnancy ranges from 1% to 4%.

Symptoms

Patients with and without pregnancy may experience the following symptoms:

Coughing
Shortness of breath
Chest tightness
Noisy breathing
Nocturnal awakenings
Recurrent episodes of symptom complex
Exacerbations that may be brought on by unspecific stimuli
Pregnancy-related asthma attacks can lower blood oxygen levels, which reduces the amount of oxygen that gets to the developing baby.

Book an appointment with your gynaecologist right away if you experience any of these symptoms.


Causes

The most frequent cause is inflammation of the airways. Asthma is aggravated by a variety of stimuli, including:

Allergens, such as pollens, house dust mites, cockroach antigen, animal dander, moulds, and stings from Hymenoptera
Irritants, such as smoke from cigarettes or wood, air pollution, harsh scents, dust from the workplace, and chemicals
Medical disorders such as Ascaris infestations, sinusitis, esophageal reflux, and viral upper respiratory tract infections
Exercise, cold air, menstruation, emotional stress, and a variety of medications and substances, such as aspirin, nonsteroidal anti-inflammatory medicines, beta-blockers, radiocontrast media, and sulfites
Pregnant women must closely monitor their symptoms and steer clear of asthma triggers to manage their asthma during pregnancy.

Diagnostics

Bloodwork: including arterial blood gas testing, complete blood counts with differential, and blood cultures
Pulmonary function testing
Electrocardiography
Your gynaecologist will select medications that are safe for both you and your unborn child, such as general anaesthesia that encourages the dilatation of the airways in the event of an urgent caesarean delivery.


Treatment

The mainstay for managing mild forms of asthma and treating exacerbations continues to be beta-adrenergic agonists.
A beta-adrenergic agonist along with an inhalation anti-inflammatory drug or inhaled corticosteroid is advised for the treatment of moderate-persistent asthma. Oral corticosteroids and beta agonists are advised for those with severe asthma.
Studies have indicated that corticosteroids are generally safe to use during pregnancy and can be utilized in acute and outpatient settings. The inhaled preparations are only used for outpatient maintenance therapy, while the intravenous, intramuscular, and oral preparations can be utilized for acute exacerbations.
A potent treatment for nocturnal asthma is a longer-acting beta2-adrenoreceptor agonist, such as salmeterol, whose bronchodilator effects extend at least 12 hours.
Use of epinephrine in patients who are pregnant should be avoided.
You can have an uncomplicated pregnancy and a healthy baby by following these three steps:

Exercises for relaxing belly breathing will be helpful throughout labor and delivery.
Monitor your asthma
Avoid asthma triggers and take your asthma medications.
Almost all anti-asthma medications are safe to take while pregnant and while nursing. Consult your pulmonologist about the best course of action for your asthma condition.

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