How Should Asthma Attacks Be Treated During Pregnancy?
Asthma attacks should be treated aggressively during pregnancy, as this is the time that the fetus may not be getting enough oxygen. Frequent use of beta-agonists, such as albuterol, may be required in addition to oxygen therapy. Steroids may also be required, either in oral or injection form, if the attack is severe.Oral steroids should only be used if needed during pregnancy, as these are associated with an increased risk of adverse outcomes on the fetus. This is especially true if used in the first trimester of pregnancy, and includes cleft lip and cleft palate, premature birth and low birth weight. However, this information obtained on side effects of oral steroids performed in uncontrolled pregnant asthmatics show risks due to either the medications or the fact that the mother’s asthma was uncontrolled to begin with.
The Bottom Line
It is much safer for pregnant women to be treated with asthma medications before they have problems than for them to have asthma exacerbations, requiring more and stronger therapies (and more potential side effects) in order to achieve control of an asthma attack.See your doctor right away if you have asthma and have become pregnant. Ask to see an asthma specialist, such as an allergist or pulmonologist, if you have significant asthma or have particular concerns about your condition.
Sources:
- 1. American College of Allergy, Asthma and Immunology.
- 2. NAEPP Expert Panel Report. Managing Asthma During Pregnancy: Recommendations for Pharmacologic Treatment – 2004 Update. J Allergy Clin Immunol. 2005; 115:36-46.
- 3. Blaiss MS. Management of Asthma During Pregnancy. Allergy Asthma Proc. 2004; 25:375-379.
- 4. ACOG/ACAAI. The Use of Newer Asthma and Allergy Medications During Pregnancy. Ann Allergy Asthma Immunol. 2000; 84:475-480.
DISCLAIMER: The information contained in this site is for educational purposes only, and should not be used as a substitute for personal care by a licensed physician. Please see your physician for diagnosis and treatment of any concerning symptoms or medical condition.
