ACMJ
Anatolian Current Medical Journal

Anatolian Current Medical Journal (ACMJ) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

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Original Article
Investigation of the treatment and follow-up approaches of pregnant with asthma
Abstract
Aims: Uncontrolled asthma during pregnancy can lead to complications for both the mother and the fetus. In this study; It was aimed to evaluate the follow-up and treatment of pregnant women with asthma, their knowledge about asthma triggers, their use of inhaler therapy, and their compliance with pulmonologist controls for asthma.
Methods: In this study; 64 pregnant patients with asthma who applied to our clinic between 01.01.2022 and 31.07.2022 were reviewed. Demographic patients (mean age, age groups, smoking history, comorbidities), recommended treatment information, and birth information, whether they used asthma treatment or not, were recorded and evaluated according to patient groups.
Results: There was a statistically significant difference between drug use during pregnancy according to the age groups of pregnant women with asthma (Chi-square test; ?²=6.684; p=0.035). As the age of the pregnant women increased, the rate of drug use during the pregnancy increased, and there was a correlation between drug use during pregnancy and whether the patients were regularly checked by a pulmonologist (Chi-square test; ?²=12.835; p=0.0001). While 68% of those who were not under the control of a pulmonologist did not use medication, 60.8% of those under the control of a pulmonologist used medication during their pregnancy.
Conclusion: Pregnant women with asthma must be followed by a gynecologist and a pulmonologist. Using inhaler therapy in asthma treatment in pregnant women can keep asthma under control and reduce the number and severity of exacerbations.

Keywords : Pregnancy, asthma therapy, inhaler therapy, asthma triggers

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1. Namazy JA, Schatz M. Chronic management of asthma duringpregnancy. Immunol Allergy Clin North Am. 2023;43(1):65-85.doi: 10.1016/j.iac.2022.09.001
2. Robijn AL, Bokern MP, Jensen ME, Barker D, Baines KJ, MurphyVE. Risk factors for asthma exacerbations during pregnancy:a systematic review and meta-analysis. Eur Respir Rev.2022;31(164):220039. doi: 10.1183/16000617.0039-2022
3. Gade EJ, Tidemandsen C, Hansen AV, Ulrik CS, Backer V.Challenges in the successful management of asthma duringconception, pregnancy and delivery. Breathe. 2022;18(2):220013.doi: 10.1183/20734735.0013-2022
4. Grzeskowiak LE, Smith B, Roy A, et al.. Patterns, predictors andoutcomes of asthma control and exacerbations during pregnancy:a prospective cohort study. ERJ Open Res. 2016;2(1):00054-2015.doi: 10.1183/23120541.00054-2015
5. Gandler A, Schulman ES, Yoo EJ. Improving asthma outcomesduring pregnancy in underserved communities. ImmunolAllergy Clin North Am. 2023;43(1):199-208. doi: 10.1016/j.iac.2022.07.002
6. Vieira AC, Pité H, Morais-Almeida M. Asthma andpregnancy in the 2020 decade: still a matter of concern. JMatern Fetal Neonatal Med. 2022;35(25):6498-6504. doi:10.1080/14767058.2021.1916462
7. Bokern MP, Robijn AL, Jensen ME, Barker D, Baines KJ, MurphyVE. Risk factors for asthma exacerbation during pregnancy:protocol for a systematic review and meta-analysis. Syst Rev.2022;11(1):115. doi: 10.1186/s13643-022-01975-8
8. Carvalho-Pinto RM, Cançado JED, Caetano LSB, et al.Asthma and pregnancy. Rev Assoc Med Bras. 2023;69(Suppl1):e2023S123
9. Kwah JH, Stevens WW. Asthma and allergies in pregnancy. AllergyAsthma Proc. 2019;40(6):414-417. doi: 10.2500/aap.2019.40.4260
10. Murphy VE, Wang G, Namazy JA, et al. The risk of congenitalmalformations, perinatal mortality, and neonatal hospitalizationamong pregnant women with asthma: a systematic review andmeta-analysis. BJOG. 2013;120(7):812-822
11. Blais L, Kettani FZ, Forget A. Relationship between maternalasthma, its severity and control, and abortion. Hum Reprod.2013;28(4):908-915.
12. Baarnes CB, Hansen AV, Ulrik CS. Enrolment in an asthmamanagement program during pregnancy and adherence withinhaled corticosteroids: the ‘management of asthma duringpregnancy’ program. Respiration. 2016;92(1):9-15.
13. Jana N, Vasishta K, Saha SC, Khunnu B. Effect of bronchialasthma on the course of pregnancy, labor and perinatal outcome.J Obstet Gynecol. 1995;21(3):227-232.
14. Vieira AC, Pité H, Morais-Almeida M. Asthma andpregnancy in the 2020 decade: still a matter of concern. JMatern Fetal Neonatal Med. 2022;35(25):6498-6504. doi:10.1080/14767058.2021.1916462
15. Murphy VE. Asthma in pregnancy - management, maternalco-morbidities, and long-term health. Best Pract Res ClinObstet Gynaecol. 2022;85(Pt A):45-56. doi: 10.1016/j.bpobgyn.2022.06.005
16. Bravo-Solarte DC, Garcia-Guaqueta DP, Chiarella SE. Asthma inpregnancy. Allergy Asthma Proc. 2023;44(1):24-34. doi: 10.2500/aap.2023.44.220077
17. Murphy VE, Gibson PG, Schatz M. Managing asthma duringpregnancy and the postpartum period. J Allergy Clin ImmunolPract. 2023;11(12):3585-3594. doi: 10.1016/j.jaip.2023.07.020
18. Huang J, Namazy J. Asthma in pregnancy. JAMA. 2023;329(22):1981-1982. doi: 10.1001/jama.2023.5588
Article available in :
Volume 6, Issue 1, 2024
Page : 23-28
https://doi.org/10.38053/acmj.1359413
Article Information
Received : 13 Eyl 2023
Accepted : 06 Ara 2023
Published : 15 Oca 2024
Corresponding Author :

Gülhan Ayhan Albayrak: Department of Chest Diseases, Şişli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, İstanbul, Turkey

[email protected]
Citation : Ayhan Albayrak G, Bardakçı Mİ. Investigation of the treatment and follow-up approaches of pregnant with asthma. Anatolian Curr Med J. 2024;6(1):23-28.

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