Ep 60: Asthma in Pregnancy
Practice Bulletin #86 - Published October 2009 (Reaffirmed 2016) 1. Poorly controlled asthma is associated with prematurity, preeclampsia, growth restriction, and maternal morbidity and mortality. 2. Nonselective β-blockers, carboprost, ergonovine, indomethacin, misoprostol, and dinoprostone can trigger bronchospasm, and they are all commonly used agents in pregnancy/postpartum. 3. Short-acting β2-agonists (e.g. albuterol) are the mainstay for acute asthma exacerbations 4. Long-acting inhaled corticosteroids and inhaled long-acting β2-agonists are the mainstays of maintenance asthma therapy. Oral corticosteroids may be required in the most severe cases. 5. For pregnant patients with poorly-controlled asthma or asthma classified as moderate or severe persistent, fetal growth should be monitored by serial ultrasound beginning around 32 wga.Show Notes Wine pairing: 2019 Chardonnay from Sean Minor Theme music by Evan Handyside Logo design by JD Dotson (jddotson1@gmail.com)
