Asthma Should Be Treated Aggressively in Pregnancy


NEW YORK (MedscapeWire) May 22 —

National guidelines recommend that pregnant women be aggressively treated for asthma.

 But 2 studies presented on May 20 at the American Thoracic Society annual meeting suggest that they are not, due in part to doctors’ reluctance to use steroids in pregnant women.

 “A dramatic increase in the prevalence of asthma over the past decade has made asthma the most common chronic disease during pregnancy, affecting approximately 10% of women,” write K. Belanger and colleagues from the Yale University School of Medicine in New Haven, Connecticut.

 “Because of the potential risk of asthma exacerbation to both mother and fetus, the National Asthma Education Program (NAEP/NHLBI) has issued guidelines for the treatment of asthma during pregnancy.”

In an ethnically diverse sample of 761 pregnant asthmatics in Connecticut and southwestern Massachusetts, 255 women (33%) had severe, 182 women (24%) had moderate, and 324 women (43%) had mild asthma for 3 or more months of pregnancy.

Medication use included beta-agonists in 23% and anti-inflammatory drugs in 11%.

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