How to manage asthma during pregnancy

Asthma during pregnancy

Asthma is one of the most common medical conditions during pregnancy. According to government data, Exacerbations are a major clinical problem during pregnancy. Up to 45% of women need to seek medical help, resulting in poor outcomes for mothers and their babies, including low birth weight and preterm delivery. Four to eight pregnant women out of 100 suffer from asthma during the early or later stages of pregnancy.

Asthma is categorized into four types, from least to most severe. Those who have had asthma before pregnancy or from an early age often wonder how to handle their asthma in the pregnancy period. Nonetheless, for those who don’t have any breathing problems, mild to dangerous problems in inhalation can occur because it’s not only the mother but also maintaining fetal well-being is a priority in pregnancy. The main reason that stirs up asthma during this period is that the cardio-respiratory system becomes unstable because of the anatomic and physiologic variations that occur in the body at this time. In addition, because of the increased mucous secretion, the upper airway becomes congested, leading to nasal obstruction and occasionally epistaxis. This is why pregnancy and asthma are closely associated with complicating one another. The risk of an exacerbation requiring medical intervention may be as high as 50% in females with severe asthma. This may further increase the risk of poor outcomes, particularly low birth weight and preterm delivery.

For those who have asthma, controlling it is essential. Guidance should be followed from preconception, but the consultation can be taken at a very early stage if the pregnancy is unplanned. The severity of asthma varies, for some, it gets better; for others, it remains stable, and in some cases, it gets worse. But the doubt often experienced by pregnant asthma patients is whether it’s safe to continue medicine and take inhalers. To be practical, taking medicine during pregnancy is never entirely safe, but taking medicine is better than leading a critical condition. It is highly advised to consult your Gynaecologist and Physician to find out if its safe for you to take the medicine. Never take any medicine without the advice of your doctor. It’s safer to consult your doctor if you can take asthma medications during pregnancy than it is to experience asthma symptoms or an asthma attack, which can lead to your baby not getting enough oxygen. Flovent® (fluticasone propionate); Pulmicort® (budesonide); Arnuity Elipta® (fluticasone furoate):Budesonide and fluticasone are the most studied of the inhaled steroids. When used as prescribed by a doctor, these medications are safe for the pregnant mother in most of the cases and the baby too. Using an inhaler is also comparitively safer. Short-acting medications in your daily use inhaler, like albuterol, levalbuterol, pirbuterol, and ipratropiums, should only be taken if prescribed by your qualified doctor. Also, treatment for asthma lowers your risk of attacks and helps make your lungs work better.

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Asthma happens to some women during pregnancy who haven’t had asthma previously. They also should seek medical treatment. In that case, symptoms have to be detected first. Some early symptoms of asthma are coughing, chest tightness, shortness of breath, or wheezing. Here we have collected some tips which will help you prevent asthma.

No Smoking

Smoking is injurious to health at any time, and it is quite fatal during pregnancy. Quitting smoking is never easy. But it is necessary, even if it needs professional help.

Avoiding triggers

Sometimes things like passive smoking, certain smells can lead to suffocation. These triggers should be avoided.

Healthy eating habits and sleeping habits on time

Eating healthy foods and maintaining a sleep routine will help to reduce asthma attacks. Pregnant mothers should sleep early and avoid oily junk foods.

There is another medical condition that can worsen asthma. Control gastroesophageal reflux disease (GERD). GERD is a chronic digestive disease that causes acid reflux and heartburn. Developing GERD can make asthma more critical. But one might be able to reduce symptoms by elevating the head of the bed, eating smaller meals, waiting at least three hours after eating before lying down, and avoiding foods that seem to trigger heartburn. Still, the best option is to go to the doctor and take the medicine on time.

Mothers have a genuine concern about the baby getting asthma. As it is not a genetically transmitted disease, the chances are really rare. But one should talk to the doctor about the baby.

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