Tuesday, November 14, 2017

Bronchial Asthma in Pregnancy

Bronchial Asthma in Pregnancy


Just because you have asthma does not mean that you can not have a normal and healthy pregnancy. But asthma needs to be kept under control. Pregnant women with asthma who regularly visit a doctor (an allergist and / or therapist and midwife) during the entire pregnancy, can normally endure and give birth to a healthy child, like any other woman who does not suffer from asthma.

What if asthma cannot be controlled during pregnancy?


If asthma is poorly controlled during pregnancy, blood pressure may rise, bleeding may begin, eclampsia (also known as toxemia), and problems may arise in the performance of certain actions. Preterm birth can begin, a baby can be born with a small weight, there is a risk of early death of the baby. For these reasons, it is very important to maintain control of asthma throughout the pregnancy.


Can I continue taking asthma medication during pregnancy?


Some scientific studies have shown that if you do not maintain control over asthma during pregnancy, you can severely damage yourself and the baby.



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Most doctors believe that using an inhaler during pregnancy can not hurt your child, since the medicine comes in a small amount and directly to the lungs.


If you are taking oral medications or injections, talk first with your doctor about reducing the dose, substituting drugs for others or using inhalers instead of oral medications and injections, as they get directly into the bloodstream and can harm the baby. If possible, try to abandon these drugs in the first trimester, when the drugs can most harm the child.


The best thing you can do is talk with your doctor, who knows how serious your asthma is, and what treatment is necessary during pregnancy.


How can I reduce the impact of asthma on a child?


Adequate control over the disease is the key to a successful pregnancy. To reduce the impact of asthma on your unborn baby, you need:




  • Have a treatment program. Talk to the doctor, make the right treatment program and determine the correct dose of the medicine.



  • Identify the causative agents of asthma. Keep a diary, write down possible causes that aggravate the symptoms of asthma, and look for ways to avoid these pathogens.



  • Get qualified help. Make sure your asthma doctor and your obstetrician work together and coordinate your actions.



Can pregnancy worsen the condition of asthma?


Pregnancy can worsen the condition of asthma. But there is no exact answer to this question. In some women, asthma symptoms worsen, others remain unchanged, and others improve. In general, if initially asthma is very serious, then pregnancy can slightly worsen the state of asthma. On the other hand, if you have already been pregnant and asthma has not worsened, then there is very little chance that it will deteriorate this time.


Asthma is not a reason to give up pregnancy. Nevertheless, if you have a serious form of asthma, it is better to consult your doctor before you have a baby.


Can I undergo immunotherapy or be vaccinated against influenza during pregnancy?


Be sure to tell the allergist if you are pregnant. Immunotherapy does not apply if a woman is pregnant. But if you already go through immunotherapy, then most likely it will be continued, but you should be under the constant supervision of a doctor.


If you have a moderate or severe form of asthma, then a flu shot is a good idea. Some experts recommend vaccination only in the second and third trimester of pregnancy. And, again, the doctor is the only one who can correctly determine whether you can be vaccinated during pregnancy.


Can I take medications during labor and breastfeeding?


In general, treatment is also used, as during pregnancy. Talk with your doctor and make sure that the medications are safe enough in your delicate position.

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