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Sunday, April 14, 2024

Asthma and Pregnancy

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Asthma is a chronic disease, usually of an allergic-type, that affects the airways. When an asthmatic person comes into contact with an allergen or irritant, their airways react by narrowing, so the lungs receive less air. An attack may lead to care which could have effects on the fetus.

The main asthma triggers that should be avoided if you suffer from this pathology are:

1. Tobacco smoke, and not only breathing it directly, but even the particles that remain deposited on smokers’ clothing affect people with asthma.

2. Dust mites are one of the most difficult factors to eliminate completely, as they are found in most textiles in homes, such as mattresses, clothing, upholstered furniture or carpets, and even in books.

3. The hair or plumage of some pets can also be a trigger.

4. There are generally many others, such as pollen, mold, aerosols, and many others.

Each patient can be affected to a greater or lesser extent by any environmental pathogen, and care should be taken to avoid these.

Several studies carried out in women with asthma and pregnant women are not conclusive in this regard. among those studied, it was detected that approximately only 8% suffered worse symptoms to a smaller degree at the end of the second trimester. It was also shown many patients even improved during pregnancy.

What is very relevant to highlight is that a lack of control of this disease during the gestation period can generate very serious complications, both for the fetus (restricted growth, premature birth, or lack of oxygen at birth) and for the mother (pre-eclampsia or vomiting).

It is recommended that mothers to be with asthma should watch their diet, do moderate-intensity exercise, avoid alcohol, caffeine, and undercooked foods, and, in general, follow a healthy life.

Medication during pregnancy is the biggest concern for most mothers since medication to be taken during pregnancy is often severely restricted. 

If a pregnant asthmatic woman suffers a  crisis or asthma attack, it is a priority to ensure fetal oxygenation and the mother’s health. The ideal solution here is to monitor the function of the fetus and control it by the obstetric specialist and Pneumology.

THE USE OF STEROIDS AND BRONCHODILATORS CAN AND SHOULD BE USED IN PREGNANT MOTHERS, AND EVEN INFANTS, SINCE THEY ARE NOT HARMFUL TO THE BABY OR THE PATIENT. IT IS MUCH MORE HARMFUL NOT TO CARRY OUT ADEQUATE ASTHMA CONTROL DURING PREGNANCY.

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