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Challenges in the successful management of asthma during conception, pregnancy and delivery

Elisabeth J. Gade, Casper Tidemandsen, Anne V. Hansen, Charlotte S. Ulrik, Vibeke Backer
Breathe 2022 18: 220013; DOI: 10.1183/20734735.0013-2022
Elisabeth J. Gade
1Dept of Obstetrics and Gynecology, Roskilde Hospital, Copenhagen, Denmark
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Casper Tidemandsen
2Dept of Respiratory Medicine, Copenhagen University Hospital-Hvidovre, Copenhagen, Denmark
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  • ORCID record for Casper Tidemandsen
Anne V. Hansen
2Dept of Respiratory Medicine, Copenhagen University Hospital-Hvidovre, Copenhagen, Denmark
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Charlotte S. Ulrik
2Dept of Respiratory Medicine, Copenhagen University Hospital-Hvidovre, Copenhagen, Denmark
3Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
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  • ORCID record for Charlotte S. Ulrik
Vibeke Backer
3Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
4Dept of Otorhinolaryngology, Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen, Denmark
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  • For correspondence: backer@dadlnet.dk
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Tables

  • TABLE 1

    Adverse outcomes related to asthma during fertility and pregnancy

    MotherPerinatalFetus
    SubfertilityPreterm birthLow birthweight
    Spontaneous abortionIncreased perinatal mortalitySmall for gestational age
    ExacerbationsIncreased risk of asthma
    Pre-eclampsiaNeonatal hospitalisation
    Gestational diabetes
    Placental abruption
    Post-partum haemorrhage
    Caesarean section (planned and acute)
  • TABLE 2

    Benefits of good asthma control during pregnancy

    Better oxygenation of the fetus (or less risk of perinatal asphyxia)
    Reduced risk of pregnancy complications for both mother and child
     Reduced risk of gestational diabetes
     Reduced risk of intrauterine growth retardation and small for gestational age
     Reduced risk of preterm labour and preterm delivery
    Reduced risk of asthma exacerbation
     Reduced need of oral corticosteroids
     Decreased risk of pre-eclampsia, placental abruption and placenta praevia
     Reduced risk of caesarean section delivery
     Reduced risk of prolonged post-partum hospital stay
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Vol 18 Issue 2 Table of Contents
Breathe: 18 (2)
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Challenges in the successful management of asthma during conception, pregnancy and delivery
Elisabeth J. Gade, Casper Tidemandsen, Anne V. Hansen, Charlotte S. Ulrik, Vibeke Backer
Breathe Jun 2022, 18 (2) 220013; DOI: 10.1183/20734735.0013-2022

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Challenges in the successful management of asthma during conception, pregnancy and delivery
Elisabeth J. Gade, Casper Tidemandsen, Anne V. Hansen, Charlotte S. Ulrik, Vibeke Backer
Breathe Jun 2022, 18 (2) 220013; DOI: 10.1183/20734735.0013-2022
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  • Article
    • Abstract
    • Abstract
    • Introduction
    • Time to pregnancy and impaired fertility in women with asthma
    • Miscarriages, age and asthma control during pregnancy
    • Pregnancy complications and perinatal outcomes among asthmatic women
    • Asthma and allergy management during pregnancy and birth
    • Pharmacological management of asthma before and during pregnancy
    • Asthma treatment and fertility
    • Asthma management during pregnancy
    • Asthma monitoring
    • Adherence with controller therapy and exacerbations
    • Delivery, labour and offspring
    • Conclusion
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Subjects

  • Asthma and allergy
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