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Patient education: Asthma and pregnancy (The Basics)

Patient education: Asthma and pregnancy (The Basics)

What is asthma? — Asthma is a lung condition that can make it hard to breathe. It can also cause wheezing (noisy breathing), coughing, or a tight feeling in the chest.

Do asthma symptoms change during pregnancy? — Sometimes. During pregnancy, your asthma symptoms might get better, get worse, or stay the same.

How is asthma treated? — Asthma is treated with different types of medicines. These can be inhalers, liquids, or pills. Asthma medicines work in different ways. They can:

Stop symptoms quickly

Control symptoms over time, and prevent future symptoms

Your doctor will work with you to make an asthma action plan (form 1). This is a list of instructions that tells you which medicines to take and when to take them. It also tells you when to get help or call for an ambulance (in the US and Canada, call 9-1-1) for your asthma.

Are asthma medicines safe to take during pregnancy? — Yes. Most asthma medicines are safe to take during pregnancy. If your asthma medicines are not safe, your doctor will change them.

It's important to take all of your asthma medicines as instructed by your doctor. If you skip them, you are more likely to have an asthma flare or attack. Asthma flares can lead to serious health problems for you and your baby.

Which doctors and nurses will take care of me during pregnancy? — You might need a few different doctors and nurses to take care of you during pregnancy. Usually, 1 doctor will take care of your pregnancy. They might also take care of your asthma. If not, you will see another doctor who can take care of your asthma.

Will I have tests during pregnancy? — Yes. Your doctor or nurse will probably do a breathing test to check how your lungs are working. They might also recommend that you use a "peak flow meter" at home. A peak flow meter is a device that you breathe into to show how well your lungs are working.

Your doctor will also do tests to check your baby's health. These include blood tests and an imaging test called an ultrasound. Imaging tests create pictures of the inside of the body.

What else can I do to prevent asthma symptoms during pregnancy? — You can:

Avoid your asthma triggers – Triggers are things that cause asthma symptoms or make symptoms worse. Common triggers are dust, mold, dogs, cats, pollen, and cigarette smoke.

Avoid smoking – If you smoke, it's very important to try to quit. Your doctor or nurse can help you. Also, avoid being near people who are smoking.

Get a flu shot – A flu shot can help keep you from getting the flu. Getting the flu can cause asthma symptoms to get worse.

Will my baby be healthy? — If your asthma is well controlled during pregnancy, chances are good that your asthma will not hurt your baby.

Can I breastfeed if I have asthma? — The answer is almost always "yes." Asthma medicines from inhalers are safe for breastfeeding babies. If you plan to breastfeed, let your doctor or nurse know. They will make sure that all of your asthma medicines are safe to take during breastfeeding.

Breastfeeding does not fully prevent asthma in children. But babies who breastfeed have a lower chance of having episodes of wheezing during their first 2 years.

More on this topic

Patient education: Asthma in adults (The Basics)
Patient education: Medicines for asthma (The Basics)
Patient education: How to use your metered dose inhaler (adults) (The Basics)
Patient education: How to use your dry powder inhaler (adults) (The Basics)
Patient education: Avoiding asthma triggers (The Basics)
Patient education: Asthma action plan for adults (The Basics)
Patient education: How to use a peak flow meter (The Basics)

Patient education: Asthma and pregnancy (Beyond the Basics)
Patient education: Asthma treatment in adolescents and adults (Beyond the Basics)
Patient education: Inhaler techniques in adults (Beyond the Basics)
Patient education: Trigger avoidance in asthma (Beyond the Basics)
Patient education: How to use a peak flow meter (Beyond the Basics)

This topic retrieved from UpToDate on: Feb 02, 2024.
Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. 2024© UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.
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