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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

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.

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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):515527.CrossRefGoogle ScholarPubMed
Chan, AL, Juarez, MM, Gidwani, N, et al. Management of critical asthma syndrome during pregnancy. Clin Rev Allergy Immunol. 2015;48(1):4553.CrossRefGoogle ScholarPubMed
Cusack, RP, Gauvreau, GM. Pharmacotherapeutic management of asthma in pregnancy and the effect of sex hormones. Expert Opin Pharmacother. 2021;22(3):339349.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):e349e357.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):2935.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):3446. [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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