TY - JOUR T1 - Investigation of the treatment and follow-up approaches of pregnant with asthma AU - Ayhan Albayrak, Gülhan AU - Bardakçı, Mustafa İlteriş PY - 2024 DA - January DO - 10.38053/acmj.1359413 JF - Anatolian Current Medical Journal JO - Anatolian Curr Med J / ACMJ / acmj PB - MediHealth Academy Yayıncılık WT - DergiPark SN - 2718-0115 SP - 23 EP - 28 VL - 6 IS - 1 LA - en AB - 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; χ²=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; χ²=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. KW - Pregnancy KW - asthma therapy KW - inhaler therapy KW - asthma triggers CR - Namazy JA, Schatz M. Chronic management of asthma during pregnancy. Immunol Allergy Clin North Am. 2023;43(1):65-85. doi: 10.1016/j.iac.2022.09.001 CR - Robijn AL, Bokern MP, Jensen ME, Barker D, Baines KJ, Murphy VE. 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 CR - Gade EJ, Tidemandsen C, Hansen AV, Ulrik CS, Backer V. Challenges in the successful management of asthma during conception, pregnancy and delivery. Breathe. 2022;18(2):220013. doi: 10.1183/20734735.0013-2022 CR - Grzeskowiak LE, Smith B, Roy A, et al.. Patterns, predictors and outcomes 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 CR - Gandler A, Schulman ES, Yoo EJ. Improving asthma outcomes during pregnancy in underserved communities. Immunol Allergy Clin North Am. 2023;43(1):199-208. doi: 10.1016/j.iac.2022.07.002 CR - Vieira AC, Pité H, Morais-Almeida M. Asthma and pregnancy in the 2020 decade: still a matter of concern. J Matern Fetal Neonatal Med. 2022;35(25):6498-6504. doi: 10.1080/14767058.2021.1916462 CR - Bokern MP, Robijn AL, Jensen ME, Barker D, Baines KJ, Murphy VE. 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 CR - Carvalho-Pinto RM, Cançado JED, Caetano LSB, et al. Asthma and pregnancy. Rev Assoc Med Bras. 2023;69(Suppl 1):e2023S123 CR - Kwah JH, Stevens WW. Asthma and allergies in pregnancy. Allergy Asthma Proc. 2019;40(6):414-417. doi: 10.2500/aap.2019.40.4260 CR - Murphy VE, Wang G, Namazy JA, et al. The risk of congenital malformations, perinatal mortality, and neonatal hospitalization among pregnant women with asthma: a systematic review and meta-analysis. BJOG. 2013;120(7):812-822 CR - Blais L, Kettani FZ, Forget A. Relationship between maternal asthma, its severity and control, and abortion. Hum Reprod. 2013;28(4):908-915 CR - Baarnes CB, Hansen AV, Ulrik CS. Enrolment in an asthma management program during pregnancy and adherence with inhaled corticosteroids: the ‘management of asthma during pregnancy’ program. Respiration. 2016;92(1):9-15 CR - Jana N, Vasishta K, Saha SC, Khunnu B. Effect of bronchial asthma on the course of pregnancy, labor and perinatal outcome. J Obstet Gynecol. 1995;21(3):227-232 CR - Vieira AC, Pité H, Morais-Almeida M. Asthma and pregnancy in the 2020 decade: still a matter of concern. J Matern Fetal Neonatal Med. 2022;35(25):6498-6504. doi: 10.1080/14767058.2021.1916462 CR - Murphy VE. Asthma in pregnancy - management, maternal co-morbidities, and long-term health. Best Pract Res Clin Obstet Gynaecol. 2022;85(Pt A):45-56. doi: 10.1016/j.bpobgyn.2022.06.005 CR - Bravo-Solarte DC, Garcia-Guaqueta DP, Chiarella SE. Asthma in pregnancy. Allergy Asthma Proc. 2023;44(1):24-34. doi: 10.2500/aap.2023.44.220077 CR - Murphy VE, Gibson PG, Schatz M. Managing asthma during pregnancy and the postpartum period. J Allergy Clin Immunol Pract. 2023;11(12):3585-3594. doi: 10.1016/j.jaip.2023.07.020 CR - Huang J, Namazy J. Asthma in pregnancy. JAMA. 2023;329(22): 1981-1982. doi: 10.1001/jama.2023.5588 UR - https://doi.org/10.38053/acmj.1359413 L1 - https://dergipark.org.tr/en/download/article-file/3404109 ER -