Good asthma control during pregnancy is essential for all those asthmatic women who wish to face their pregnancy without complications.
The doctor Olga Cortes, from the Respiratory Pathways Group of the AEPap, offers us the best advice so that asthma does not affect your baby on the way and ensures that asthma drugs are safe during pregnancy and that lack of oxygen is a risk factor for the health of the baby and the mother. We explain how asthma is treated in pregnancy.
AsthmaIt is the most common chronic disease and the one that can cause more complications during pregnancy. The data reveal that of the 12.6 percent of pregnant asthmatics who come to the emergency room due to respiratory distress, only 1.6 percent of them are admitted when the severity assessment is made without objective measures.
When objective measures are used, that is, when spirometry is performed, 62% of asthmatic pregnant women are admitted.
In general, women who go to the emergency room do not undergo treatment or it is inadequate, although the risk of having an asthmatic attack decreases more than 75% when pregnant asthmatics take inhaled corticosteroids regularly, according to a 2005 study.
Between weeks 17 and 24 of gestation (end of the 2nd trimester) is the period in which visits to the emergency room are most frequent, decreasing in the 4 weeks prior to the date set for delivery. Although a woman can have an asthma attack at any time, they are not usually given during childbirth.
Poor asthma control is more risky for mother and fetus to take the medication daily. An asthma attack also poses a greater risk to the fetus due to the decrease in the supply of oxygen, which it needs for its development and growth.
However, studies show that the doses of inhaled corticosteroids are decreased in the first trimester, favoring the appearance of attacks.
Asthma in women during pregnancy should be controlled by specialists, whose objective in the treatment of the disease would be for the fetus to have adequate oxygenation and for this it is necessary to prevent the lack of oxygen in the mother. In order to avoid complications in the mother or the fetus during pregnancy, asthma must be fully controlled.
A maternal asthma attack during pregnancy can cause a lack of oxygen supply to the fetus that can cause low growth during pregnancy and low birth weight, premature delivery, malformations, or increased perinatal mortality.
On the other hand, the woman who does not have asthma controlled and suffers from chronic lack of oxygen, may experience a decreased growth of the placenta, spontaneous abortions, placenta previa (with risk of serious bleeding) or pre-eclampsia.
Dr. Olga Cortés affirms that 'what must always be explained to a woman who has asthma, who becomes pregnant, is during pregnancy there may be changes in the severity of your asthmatic disease and that he needs to be a little bit more controlled, more closely by his doctor, and the medication may have to be readjusted. '
But it is essential to explain that current asthma drugs are very safe and that the fundamental danger is not the drug to be taken, but poor asthma control or late treatment of the asthma attack, because that is what it will give The place is hypoxemia, a decrease in oxygen in the blood, and this is a risk to the baby's health.
'To the pregnant woman, explain that the drugs are safe and that the most important thing you can do for her and her baby is to have good asthma control. '
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