[Asthma and pregnancy. Review of the current literature and management according to the GINA 2006-2007 guidelines].

Abstract:

INTRODUCTION:Many pregnant women are asthmatics and maternal asthma is a source of questions and complications concerning both the progress of the pregnancy itself and the impact on the foetus. In this situation good asthma control is essential as the disease can deteriorate with acute exacerbations, possibly precipitated by reduction or even withdrawal of treatment on account of fear of teratogenicity. BACKGROUND:Even though asthma treatments are not totally harmless during pregnancy, their use has been validated by several studies and guidelines. To help clinicians, we undertake here a review of the complications induced by maternal asthma and its medications, and then suggest management guidelines according to the most recent publications. CONCLUSIONS:The risks and benefits of asthma treatments should be explained in a real partnership between the patient and her general practitioner and specialists (obstetrician, chest physician or allergist). In order to reduce complications to both mother and child, perfect control of asthma is required and inhaled steroids remain the treatment of choice for partially or uncontrolled asthma in the pregnant woman.

journal_name

Rev Mal Respir

authors

Piette V,Demoly P

doi

10.1016/s0761-8425(09)74042-2

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

359-79; quiz 478, 482

issue

4

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(09)74042-2

journal_volume

26

pub_type

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