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7. Severe acute asthma.

Author

Racusin DA, Fox KA, and Ramin SM

Subjects
Acute Disease, Anti-Asthmatic Agents adverse effects, Anti-Asthmatic Agents therapeutic use, Asthma diagnosis, Female, Humans, Infant, Low Birth Weight, Infant, Newborn, Maternal Mortality, Perinatal Mortality, Pre-Eclampsia, Pregnancy, Pregnancy Outcome, Premature Birth, Risk Factors, Asthma complications, Asthma therapy, Pregnancy Complications
Abstract

Asthma is common among women of reproductive age and affects between 4% and 8% of pregnant women. Pregnancy outcomes are correlated to the degree of asthma severity and control. Approximately one-third of pregnant women with asthma remain stable, a third will have improvement of their asthma, and a third will have worsening of the disease. Pregnant women with severe asthma are at markedly increased risk of maternal and perinatal morbidity and mortality, preeclampsia, low-birth weight infants, and preterm delivery. A severe asthma exacerbation in a pregnant woman may be clinically daunting, however immediate intervention with appropriate supplemental oxygenation, medical therapy, and intubation if necessary can be life-saving. A focus on maternal well-being and pulmonary function in a pregnant asthmatic is essential to ensure optimal outcomes for both mother and her fetus. This article will provide an overview of asthma management, particularly in the acute care setting., (Copyright © 2013 Elsevier Inc. All rights reserved.)

Published
2013
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