Asthma is the most common chronic medical condition to affect pregnancy. For example, in Australia 12.7% of pregnant women have asthma. Poorly controlled asthma leading to exacerbation of symptoms can lead to poor maternal and neonatal outcomes such as preterm birth and low birth weight babies. Asthma in pregnancy can be unpredictable in that approximately 1/3 of women experience a worsening of their asthma symptoms with the other two thirds either experiencing an improvement of their asthma symptoms or no change. Recommendations for the management of asthma during pregnancy is clearly stated in clinical practice guidelines.
These include regular review of asthma symptoms, having a multidisciplinary team approach to management, ensuring ongoing prescribed medication use and having an asthma action plan.
Previous research has identified the need for improved knowledge and awareness of asthma in pregnancy among health professionals and pregnant women. Innovative management techniques and educational resources are being developed and implemented to continue to meet these needs and to improve the outcomes for women and babies whose pregnancy is affected by asthma.
Learning Objectives:
1. Describe 2 reasons that Asthma is clinically significant in pregnancy for both mother and baby
2. List 2 of the key recommendations for the management of asthma in pregnancy
3. Explain what midwives can do regarding asthma management in pregnancy
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