Management of the Pregnant Asthmatic Patient
- 1 December 1980
- journal article
- review article
- Published by American College of Physicians in Annals of Internal Medicine
- Vol. 93 (6) , 905-918
- https://doi.org/10.7326/0003-4819-93-6-905
Abstract
Asthma is not an uncommon medical problem during pregnancy. Various physiologic alterations of pregnancy may theoretically affect asthma. Fetal oxygenation is affected more by maternal alkalosis than by hypoxemia, both of which can occur during uncontrolled asthma. Clinical studies suggest a variable effect of pregnancy on asthma and increased maternal and fetal morbidity and mortality associated with severe asthma. Most antiasthmatic drugs are safe to use during pregnancy. Medications used during delivery by the obstetrician may affect asthma, and some antiasthmatic medications may alter labor. We review here a rational approach to the management of steroid preparation for delivery in steroiddependent asthmatic patients. Asthmatic mothers may breast-feed with minimal risk of adverse drug effects on the infant.Keywords
This publication has 96 references indexed in Scilit:
- Use of Prenatal Glucocorticoid Therapy to Prevent Respiratory Distress SyndromeAmerican Journal of Diseases of Children, 1976
- Corticosteroid Therapy for the Pregnant Asthmatic PatientJAMA, 1975
- Evaluation of an Antiasthmatic Agent Cromolyn Sodium (Aarane, Intal)Published by American Medical Association (AMA) ,1974
- The prostaglandins: Biochemical, physiologic and clinical considerationsThe American Journal of Medicine, 1972
- Therapeutic use of progesterone in alveolar hypoventilation associated with obesityThe American Journal of Medicine, 1968
- Adrenocorticosteroid therapy in pregnancyAmerican Journal of Obstetrics and Gynecology, 1966
- Corticosteroids and pregnancyAmerican Journal of Obstetrics and Gynecology, 1966
- Influence of maternal hyperventilation on the newborn infantAmerican Journal of Obstetrics and Gynecology, 1965
- Physiology of gas exchange in the human placentaAmerican Journal of Obstetrics and Gynecology, 1962
- The experimental production of cleft palate with cortisone and other hormonesJournal of Cellular and Comparative Physiology, 1954