32 results on '"Namazy JA"'
Search Results
2. Severity of asthma in pregnancy affects perinatal outcomes
- Author
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Murphy, VE, primary, Namazy, JA, additional, Powell, H, additional, Schatz, M, additional, Chambers, C, additional, Attia, J, additional, and Gibson, PG, additional
- Published
- 2012
- Full Text
- View/download PDF
3. A meta-analysis of adverse perinatal outcomes in women with asthma
- Author
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Murphy, VE, primary, Namazy, JA, additional, Powell, H, additional, Schatz, M, additional, Chambers, C, additional, Attia, J, additional, and Gibson, PG, additional
- Published
- 2011
- Full Text
- View/download PDF
4. Maternal penicillin allergy and infant outcomes: Results from a large administrative cohort.
- Author
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Wang LA, Baer RJ, Namazy JA, and Chambers CD
- Subjects
- Infant, Humans, Penicillins adverse effects, Anti-Bacterial Agents adverse effects, Family, Retrospective Studies, Drug Hypersensitivity diagnosis, Drug Hypersensitivity epidemiology, Drug Hypersensitivity drug therapy, Hypersensitivity drug therapy
- Published
- 2024
- Full Text
- View/download PDF
5. Extrapolating Evidence-Based Medicine of AIT Into Clinical Practice in the United States.
- Author
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Calderon MA, Casale TB, Nelson HS, Bacharier LB, Bansal P, Bernstein DI, Blaiss M, Corren J, DuBuske L, Fatteh S, Gagnon R, Greiwe J, Hoover H, Kolinsky NC, Namazy JA, Phipatanakul W, Plunkett G, Shaker M, Waserman S, Winders T, Rance K, and Nolte H
- Subjects
- Pregnancy, Humans, Female, United States, Desensitization, Immunologic, Allergens, Evidence-Based Medicine, Hypersensitivity diagnosis, Hypersensitivity therapy, Asthma therapy
- Abstract
Allergy/immunology specialists in the United States prescribing allergy immunotherapy (AIT) have placed a heavy value on practical experience and anecdotal evidence rather than research-based evidence. With the extensive research on AIT conducted in the last few decades, the time has come to better implement evidence-based medicine (EBM) for AIT. The goal of this review was to critically assess EBM for debated concepts in US AIT practice for respiratory allergies in the context and quality of today's regulatory standards. Debated topics reviewed were the efficacy and safety of AIT in various subgroups (eg, polyallergic patients, older patients, patients with asthma, and pregnant women), diagnosis topics (eg, skin prick test vs allergen-specific serum IgE, factors affecting skin prick tests, use of nasal or conjunctival allergen challenges, and telemedicine for diagnosis), and dosing topics (eg, optimal dosing for subcutaneous immunotherapy and sublingual immunotherapy tablets, US liquid allergen extract history, duration of treatment, and biomarkers of efficacy). In addition, EBM for patient-centered AIT issues (eg, adherence, use of practice guidelines, and pharmacoeconomics) and the approach to implementation of AIT EBM in future clinical practice were addressed. The EBM for each concept was briefly summarized, and when possible, a practical, concise recommendation was given., (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
- Full Text
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6. Chronic Management of Asthma During Pregnancy.
- Author
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Namazy JA and Schatz M
- Subjects
- Infant, Infant, Newborn, Pregnancy, Humans, Female, Allergists, Family, Asthma diagnosis, Asthma epidemiology, Asthma therapy, Graft vs Host Disease
- Abstract
Asthma is one of the most common potentially serious medical problems to complicate pregnancy. Optimal management of asthma during pregnancy is thus important for both mother and baby. Treating asthmatic women requires understanding the effects of pregnancy on the course of asthma, and, conversely, the effects of asthma on pregnancy outcomes. Successful management also requires an understanding the barriers to asthma control in this population of patients. Evidence has shown that it is essential that the allergist-immunologist, obstetrician, and patient work as a team during pregnancy to achieve optimal maternal and neonatal outcomes., (Copyright © 2022 Elsevier Inc. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
7. All Physicians Have a Role in Advocating for Women's Health.
- Author
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Abrams EM, Namazy JA, and Blumenthal KG
- Subjects
- Female, Humans, Physicians, Women's Health
- Published
- 2022
- Full Text
- View/download PDF
8. Contemporary management and treatment strategies for asthma during pregnancy.
- Author
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Namazy JA and Schatz M
- Subjects
- Female, Humans, Pregnancy, Anti-Asthmatic Agents adverse effects, Asthma diagnosis, Asthma drug therapy, Asthma epidemiology, Pregnancy Complications drug therapy, Pregnancy Complications epidemiology
- Abstract
Introduction : Asthma is one of the most common conditions that afflict pregnant women. Because uncontrolled asthma in pregnancy affects both maternal and offspring outcomes, careful attention to maintaining control of asthma symptoms throughout pregnancy is of critical importance. Areas Covered : Using a search of PUBMED/MEDLINE for 'asthma and pregnancy,' this article will review the current literature regarding epidemiology and course of asthma in pregnancy, the effects of uncontrolled asthma on both the mother and offspring, and provide an overview of the management, both non-pharmacologic and pharmacologic, of asthma in pregnancy. Expert Opinion : There is a lack of adequate safety information for most medications taken during pregnancy. Future research might allow better methods to predict which women will experience worsening during pregnancy. For now, surveillance systems like pregnancy registries or observational cohort studies can provide safety information for medications used during pregnancy.
- Published
- 2021
- Full Text
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9. The safety of asthma medications during pregnancy and lactation: Clinical management and research priorities.
- Author
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Chambers CD, Krishnan JA, Alba L, Albano JD, Bryant AS, Carver M, Cohen LS, Gorodetsky E, Hernandez-Diaz S, Honein MA, Jones BL, Murray RK, Namazy JA, Sahin L, Spong CY, Vasisht KP, Watt K, Wurst KE, Yao L, and Schatz M
- Subjects
- Asthma epidemiology, Breast Feeding, Case-Control Studies, Clinical Decision-Making, Disease Management, Female, Humans, Pregnancy, Pregnancy Complications epidemiology, Registries, Research, Research Design, Asthma therapy, Lactation, Pregnancy Complications therapy
- Abstract
Asthma is one of the most common underlying diseases in women of reproductive age that can lead to potentially serious medical problems during pregnancy and lactation. A group of key stakeholders across multiple relevant disciplines was invited to take part in an effort to prioritize, strategize, and mobilize action steps to fill important gaps in knowledge regarding asthma medication safety in pregnancy and lactation. The stakeholders identified substantial gaps in the literature on the safety of asthma medications used during pregnancy and lactation and prioritized strategies to fill those gaps. Short-term action steps included linking data from existing complementary study designs (US and international claims data, single drug pregnancy registries, case-control studies, and coordinated systematic data systems). Long-term action steps included creating an asthma disease registry, incorporating the disease registry into electronic health record systems, and coordinating care across disciplines. The stakeholders also prioritized establishing new infrastructures/collaborations to perform research in pregnant and lactating women and to include patient perspectives throughout the process. To address the evidence gaps, and aid in populating product labels with data that inform clinical decision making, the consortium developed a plan to systematically obtain necessary data in the most efficient and timely manner., (Copyright © 2021 American Academy of Allergy, Asthma & Immunology. All rights reserved.)
- Published
- 2021
- Full Text
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10. Pregnancy outcomes in the omalizumab pregnancy registry and a disease-matched comparator cohort.
- Author
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Namazy JA, Blais L, Andrews EB, Scheuerle AE, Cabana MD, Thorp JM, Umetsu DT, Veith JH, Sun D, Kaufman DG, Covington DL, Mukhopadhyay S, Fogel RB, Lopez-Leon S, and Spain CV
- Subjects
- Adult, Female, Humans, Pregnancy, Pregnancy Complications drug therapy, Registries, Abnormalities, Drug-Induced epidemiology, Anti-Asthmatic Agents adverse effects, Asthma drug therapy, Omalizumab adverse effects, Pregnancy Outcome epidemiology
- Abstract
Background: The Observational Study of the Use and Safety of Xolair (omalizumab) during Pregnancy (EXPECT) pregnancy registry was a prospective observational study established in 2006 to evaluate perinatal outcomes in pregnant women exposed to omalizumab and their infants., Objective: This analysis compares EXPECT outcomes with those from a disease-matched population of pregnant women not treated with omalizumab. Data from a substudy of platelet counts among newborns are also presented., Methods: The EXPECT study enrolled 250 women with asthma exposed to omalizumab during pregnancy. The disease-matched external comparator cohort of women with moderate-to-severe asthma (n = 1153), termed the Quebec External Comparator Cohort (QECC), was created by using data from health care databases in Quebec, Canada. Outcome estimates were age adjusted based on the maternal age distribution of the EXPECT study., Results: Among singleton infants in the EXPECT study, the prevalence of major congenital anomalies was 8.1%, which was similar to the 8.9% seen in the QECC. In the EXPECT study 99.1% of pregnancies resulted in live births, which was similar to 99.3% in the QECC. Premature birth was identified in 15.0% of EXPECT infants and 11.3% in the QECC. Small for gestational age was identified in 9.7% of EXPECT infants and 15.8% in the QECC., Conclusion: There was no evidence of an increased risk of major congenital anomalies among pregnant women exposed to omalizumab compared with a disease-matched unexposed cohort. Given the observational nature of this registry, however, an absence of increased risk with omalizumab cannot be definitively established., (Copyright © 2019 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2020
- Full Text
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11. Clinical Updates in Women's Health Care Summary: Asthma.
- Author
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Namazy JA, Schatz M, and Dombrowski M
- Subjects
- Disease Management, Female, Humans, Menopause, Middle Aged, Pregnancy, Pregnancy Complications diagnosis, Pregnancy Complications physiopathology, Pregnancy Complications therapy, Prevalence, Reproductive Health, Risk Factors, Sex Factors, Asthma diagnosis, Asthma epidemiology, Asthma physiopathology, Asthma therapy, Women's Health
- Abstract
Asthma is a common and potentially life-threatening lung disease. The prevalence of asthma is higher in women than in men. This monograph provides an overview of the pathophysiology, evaluation, and management of asthma in women. Management approaches in reproductive-aged, pregnant, and postmenopausal patients are addressed.
- Published
- 2018
- Full Text
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12. Management of Asthma during Pregnancy: Optimizing Outcomes and Minimizing Risk.
- Author
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Namazy JA and Schatz M
- Subjects
- Female, Humans, Pregnancy, Pregnancy Outcome, Quality of Life, Risk Assessment, Anti-Asthmatic Agents therapeutic use, Asthma diagnosis, Asthma drug therapy, Pregnancy Complications drug therapy
- Abstract
Pregnancy may be complicated by new onset or preexisting asthma. This article reviews diagnosis and management of asthma in the pregnant patient. Special attention is paid to the challenges in diagnosis and management of this condition during pregnancy. Asthma is one of the most common potentially serious medical problems to complicate pregnancy, and asthma may adversely affect both maternal quality of life and perinatal outcomes. Asthma may adversely affect both maternal quality of life and, perinatal outcomes. Pregnant asthmatics have been shown to be at an increased risk of adverse perinatal outcomes. Optimal management of asthma during pregnancy is thus important for both mother and baby. This article provides an update on the available literature regarding the safety of commonly used asthma medications during pregnancy., Competing Interests: Disclosure The authors report no conflicts of interest in this work., (Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.)
- Published
- 2018
- Full Text
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13. More Reason to Watch Your Weight During Pregnancy.
- Author
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Namazy JA
- Subjects
- Body Mass Index, Female, Humans, Macrophage Activation, Pregnancy, Asthma
- Published
- 2017
- Full Text
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14. Pharmacological difficulties in the treatment of asthma in pregnant women.
- Author
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Namazy JA and Schatz M
- Subjects
- Animals, Anti-Asthmatic Agents adverse effects, Asthma complications, Asthma diagnosis, Female, Humans, Infant, Newborn, Pregnancy, Pregnancy Complications physiopathology, Pregnancy Outcome, Quality of Life, Anti-Asthmatic Agents therapeutic use, Asthma drug therapy, Pregnancy Complications drug therapy
- Abstract
Introduction: This is a review of the diagnosis and management of asthma in the pregnant patient. Asthma may adversely affect both maternal quality of life and, perinatal outcomes. Optimal management of asthma is thus important for both mother and baby. Areas covered: Special attention is paid to the challenges in diagnosis and management of asthma during pregnancy. Expert commentary: This article reviews the safety of asthma medications commonly used during pregnancy.
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- 2017
- Full Text
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15. Antibiotics for respiratory infections during pregnancy: prevalence and risk factors.
- Author
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Namazy JA, Schatz M, Yang SJ, and Chen W
- Subjects
- Female, Humans, Pregnancy, Pregnancy Complications, Infectious epidemiology, Prevalence, Respiratory Tract Infections epidemiology, Retrospective Studies, Risk Factors, Sinusitis epidemiology, Anti-Bacterial Agents therapeutic use, Pregnancy Complications, Infectious drug therapy, Respiratory Tract Infections drug therapy, Sinusitis drug therapy
- Published
- 2016
- Full Text
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16. The safety of intranasal steroids during pregnancy: A good start.
- Author
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Namazy JA and Schatz M
- Subjects
- Administration, Intranasal, Humans, Pregnancy, Steroids, Rhinitis, Allergic, Perennial, Rhinitis, Allergic, Seasonal
- Published
- 2016
- Full Text
- View/download PDF
17. Pharmacotherapy options to treat asthma during pregnancy.
- Author
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Namazy JA and Schatz M
- Subjects
- Anti-Asthmatic Agents adverse effects, Asthma physiopathology, Disease Management, Female, Humans, Patient Compliance, Patient Education as Topic, Pregnancy, Pregnancy Complications physiopathology, Quality of Life, Retrospective Studies, Anti-Asthmatic Agents therapeutic use, Asthma drug therapy, Pregnancy Complications drug therapy
- Abstract
Introduction: Pregnancy may be complicated by new onset or pre-existing asthma. This article reviews the recognition and management of asthma during pregnancy, paying close attention to the general principles of asthma medication use during pregnancy. Asthma is one of the most common potentially serious medical problems to complicate pregnancy, and asthma may adversely affect both maternal quality of life and perinatal outcomes. Therefore, optimal management of asthma during pregnancy is important for both mother and baby. This article reviews asthma pharmacotherapy during pregnancy, with an emphasis on gestational safety of commonly used medications., Areas Covered: In this review of asthma pharmacotherapy during pregnancy, the most pertinent recent publications are reported. Electronic databases such as PubMed were searched for terms pregnan* or perinat* or obstet* and asthma or wheeze and treatment., Expert Opinion: Although retrospective data have been reassuring, since pregnant women are generally excluded from clinical trials, there is a lack of adequate safety information for most medications taken during pregnancy. One of the most important needs for the future is the availability of further safety information for asthma medications used during pregnancy that can also account for asthma control.
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- 2015
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18. Safety of therapeutic options for treating asthma in pregnancy.
- Author
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Namazy JA, Chambers C, and Schatz M
- Subjects
- Animals, Anti-Asthmatic Agents pharmacology, Female, Humans, Pregnancy, Anti-Asthmatic Agents adverse effects, Anti-Asthmatic Agents therapeutic use, Asthma drug therapy
- Abstract
Introduction: Pregnancy may be complicated by new onset or preexisting asthma. Asthma is one of the most common potentially serious medical problems to complicate pregnancy, and it may adversely affect both maternal quality of life and perinatal outcomes. Optimal management of asthma during pregnancy is thus important for both mother and baby., Areas Covered: This article reviews the recognition and management of asthma during pregnancy, paying close attention to the general principles of asthma medication use during pregnancy. Further, the article reviews the safety of asthma medications commonly used during pregnancy. In this article, the most pertinent recent publications are reported. Electronic databases, such as PUBMED, were searched for terms pregnan* or perinat* or obstet* and asthma or wheeze and treatment., Expert Opinion: Because pregnant women are generally excluded from clinical trials, there is a lack of adequate safety information for most medications taken during pregnancy. One of the most important requirements for the future is the availability of further safety information for asthma medications used during pregnancy that can also account for asthma control.
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- 2014
- Full Text
- View/download PDF
19. Diagnosing rhinitis during pregnancy.
- Author
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Namazy JA and Schatz M
- Subjects
- Bacterial Infections diagnosis, Bacterial Infections therapy, Chronic Disease, Female, Histamine Antagonists therapeutic use, Humans, Pregnancy, Pregnancy Complications diagnosis, Rhinitis diagnosis, Sinusitis diagnosis, Sinusitis therapy, Therapeutic Irrigation, Pregnancy Complications therapy, Rhinitis therapy
- Abstract
Chronic rhinitis is a common medical condition to affect pregnant women. Uncontrolled rhinitis during pregnancy may have a significant adverse effect on quality of life and may have an effect on coexisting asthma. This article reviews the most common causes of rhinitis to occur during pregnancy as well as treatment options for pregnant women.
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- 2014
- Full Text
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20. The safety of asthma medications during pregnancy: an update for clinicians.
- Author
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Namazy JA and Schatz M
- Abstract
Pregnancy may be complicated by new onset or preexisting asthma. This article reviews the recognition and management of asthma during pregnancy, as well as general principles of asthma medication use during pregnancy., (© The Author(s), 2014.)
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- 2014
- Full Text
- View/download PDF
21. The risk of congenital malformations, perinatal mortality and neonatal hospitalisation among pregnant women with asthma: a systematic review and meta-analysis.
- Author
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Murphy VE, Wang G, Namazy JA, Powell H, Gibson PG, Chambers C, and Schatz M
- Subjects
- Anti-Asthmatic Agents therapeutic use, Disease Progression, Female, Humans, Infant Mortality, Infant, Newborn, Infant, Newborn, Diseases etiology, Models, Statistical, Odds Ratio, Pregnancy, Risk, Severity of Illness Index, Stillbirth, Asthma drug therapy, Asthma physiopathology, Congenital Abnormalities etiology, Hospitalization statistics & numerical data, Perinatal Mortality, Pregnancy Complications drug therapy, Pregnancy Complications physiopathology
- Abstract
Background: There is conflicting literature on the effect of maternal asthma on congenital malformations and neonatal outcomes., Objectives: This review and meta-analysis sought to determine if maternal asthma is associated with an increased risk of adverse neonatal outcomes., Search Strategy: We searched electronic databases for: (asthma or wheeze) and (pregnan* or perinat* or obstet*)., Selection Criteria: Cohort studies published between 1975 and March 2012 reporting at least one perinatal outcome of interest (congenital malformations, neonatal complications, perinatal mortality)., Data Collection and Analysis: In all, 21 studies met inclusion criteria in pregnant women with and without asthma. Further analysis was conducted on 16 studies where asthmatic women were stratified by exacerbation history, corticosteroid use, bronchodilator use or asthma severity., Main Results: Maternal asthma was associated with a significantly increased risk of congenital malformations (relative risk [RR] 1.11, 95% confidence interval [95% CI] 1.02-1.21, I(2) = 59.5%), cleft lip with or without cleft palate (RR 1.30, 95% CI 1.01-1.68, I(2) = 65.6%), neonatal death (RR 1.49, 95% CI 1.11-2.00, I(2) = 0%), and neonatal hospitalisation (RR 1.50, 95% CI 1.03-2.20, I(2) = 64.5%). There was no significant effect of asthma on major malformations (RR 1.31, 95% CI 0.57-3.02, I(2) = 70.9%) or stillbirth (RR 1.06, 95% CI 0.9-1.25, I(2) = 35%). Exacerbations and use of bronchodilators and inhaled corticosteroids were not associated with congenital malformation risk., Authors' Conclusions: Despite limitations related to the observational nature of the primary studies, this review demonstrates a small increased risk of neonatal complications among pregnant women with asthma. Further investigations into mechanisms and potential preventive interventions to improve infant outcomes are required., (© 2013 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2013 RCOG.)
- Published
- 2013
- Full Text
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22. Effects of asthma severity, exacerbations and oral corticosteroids on perinatal outcomes.
- Author
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Namazy JA, Murphy VE, Powell H, Gibson PG, Chambers C, and Schatz M
- Subjects
- Administration, Oral, Adrenal Cortex Hormones administration & dosage, Anti-Asthmatic Agents administration & dosage, Birth Weight drug effects, Cohort Studies, Female, Fetal Growth Retardation epidemiology, Humans, Infant, Premature, Infant, Small for Gestational Age, Maternal Exposure, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Premature Birth epidemiology, Treatment Outcome, Adrenal Cortex Hormones adverse effects, Anti-Asthmatic Agents adverse effects, Asthma drug therapy, Asthma epidemiology
- Abstract
This systematic review and meta-analysis sought to investigate whether asthma exacerbations, oral corticosteroid use or asthma severity are associated with prematurity and intrauterine growth restriction. Cohort studies published between 1975 and March 11, 2012 were considered for inclusion. 138 publications were identified for possible inclusion, and nine papers met the inclusion criteria, by reporting perinatal outcomes of interest (low birth weight, <2500 g), pre-term birth (<37 weeks gestation unless otherwise stated) and small for gestational age (<10th percentile for gestational age and sex) in groups of asthmatic patients stratified by history of exacerbations, oral corticosteroid use or asthma severity. Maternal asthma exacerbations and oral corticosteroid use had a significant effect on outcomes, including low birth weight (RR 3.02, 95% CI 1.87-4.89 and RR 1.41, 95% CI 1.04-1.93, respectively) and pre-term delivery (RR 1.54, 95% CI 0.89-2.69 and RR 1.51, 95% CI 1.15-1.98, respectively). Moderate-to-severe asthma during pregnancy was associated with an increased risk of small for gestational age (RR 1.24, 95% CI 1.15-1.35) and low birth weight (RR 1.15, 95% CI 1.05-1.26) infants. These data suggest that asthma exacerbations, oral corticosteroid use or asthma severity defined as moderate-to-severe may be associated with pre-term delivery, low birth weight, and small for gestational age infants. Further studies on the effect of maternal asthma control on perinatal outcomes are warranted.
- Published
- 2013
- Full Text
- View/download PDF
23. Asthma and pregnancy.
- Author
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Namazy JA and Schatz M
- Subjects
- Anti-Asthmatic Agents therapeutic use, Asthma complications, Female, Humans, Pregnancy, Young Adult, Asthma diagnosis, Asthma therapy, Pregnancy Complications diagnosis, Pregnancy Complications therapy
- Published
- 2011
- Full Text
- View/download PDF
24. A meta-analysis of adverse perinatal outcomes in women with asthma.
- Author
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Murphy VE, Namazy JA, Powell H, Schatz M, Chambers C, Attia J, and Gibson PG
- Subjects
- Asthma drug therapy, Female, Humans, Infant, Newborn, Pregnancy, Pregnancy Outcome epidemiology, Risk, Asthma complications, Infant, Small for Gestational Age, Pre-Eclampsia epidemiology, Premature Birth epidemiology
- Abstract
Background: Asthma is a common condition during pregnancy and may be associated with adverse perinatal outcomes., Objective: This meta-analysis sought to establish if maternal asthma is associated with an increased risk of adverse perinatal outcomes, and to determine the size of these effects., Search Strategy: Electronic databases were searched for the following terms: (asthma or wheeze) and (pregnan* or perinat* or obstet*)., Selection Criteria: Cohort studies published between 1975 and March 2009 were considered for inclusion. Studies were included if they reported at least one perinatal outcome in pregnant women with and without asthma., Data Collection and Analysis: A total of 103 articles were identified, and of these 40 publications involving 1,637,180 subjects were included. Meta-analysis was conducted with subgroup analyses by study design and active asthma management., Main Results: Maternal asthma was associated with an increased risk of low birthweight (RR 1.46, 95% CI 1.22-1.75), small for gestational age (RR 1.22, 95% CI 1.14-1.31), preterm delivery (RR 1.41, 95% CI 1.22-1.61) and pre-eclampsia (RR 1.54, 95% CI 1.32-1.81). The relative risk of preterm delivery and preterm labour were reduced to non-significant levels by active asthma management (RR 1.07, 95% CI 0.91-1.26 for preterm delivery; RR 0.96, 95% CI 0.73-1.26 for preterm labour)., Author's Conclusions: Pregnant women with asthma are at increased risk of perinatal complications, including pre-eclampsia and outcomes that affect the baby's size and timing of birth. Active asthma management with a view to reducing the exacerbation rate may be clinically useful in reducing the risk of perinatal complications, particularly preterm delivery., (© 2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG.)
- Published
- 2011
- Full Text
- View/download PDF
25. Asthma and rhinitis during pregnancy.
- Author
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Namazy JA and Schatz M
- Subjects
- Female, Humans, Pregnancy, Asthma diagnosis, Asthma etiology, Asthma physiopathology, Asthma therapy, Pregnancy Complications diagnosis, Pregnancy Complications physiopathology, Pregnancy Complications therapy, Rhinitis diagnosis, Rhinitis etiology, Rhinitis physiopathology, Rhinitis therapy
- Abstract
Pregnancy may be complicated by new-onset or preexisting rhinitis, or asthma. This article reviews the recognition and management of rhinitis and asthma during pregnancy, as well as general principles of medication use during pregnancy. Asthma is one of the most common potentially serious medical problems to complicate pregnancy, and chronic rhinitis is even more common in pregnant women. Both conditions may substantially affect maternal quality of life and directly or indirectly affect the pregnancy. Optimal management of asthma and rhinitis during pregnancy is thus important for both mother and baby. This article reviews the assessment and management of rhinitis and asthma in pregnant women., (© 2011 Mount Sinai School of Medicine.)
- Published
- 2011
- Full Text
- View/download PDF
26. Management of asthma during pregnancy.
- Author
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Namazy JA and Schatz M
- Abstract
The prevalence of asthma in pregnant women appears to be increasing. Recent evidence demonstrates that pregnant asthmatic women with moderate-to-severe asthma may have an increased risk of adverse perinatal outcomes. The goal of asthma management during pregnancy is to optimize maternal and fetal health.
- Published
- 2006
- Full Text
- View/download PDF
27. Evidence-based protocols for oral NSAID challenges.
- Author
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Stevenson DD, Woessner KM, Simon RA, Namazy JA, and Lang DM
- Subjects
- Administration, Oral, Child, Dose-Response Relationship, Drug, Evidence-Based Medicine, Humans, Anti-Inflammatory Agents, Non-Steroidal administration & dosage, Anti-Inflammatory Agents, Non-Steroidal adverse effects, Bronchial Spasm chemically induced, Drug Hypersensitivity diagnosis
- Published
- 2006
- Full Text
- View/download PDF
28. Current guidelines for the management of asthma during pregnancy.
- Author
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Namazy JA and Schatz M
- Subjects
- Adrenal Cortex Hormones therapeutic use, Female, Humans, Pregnancy, Prevalence, United States epidemiology, Asthma prevention & control, Asthma therapy, Disease Management, Pregnancy Complications
- Abstract
Over the past few years, much has been learned that is relevant to the management of asthma in pregnancy. Although the studies that were reviewed here in provide more insight into the mechanisms that are involved and the treatment of asthma during pregnancy, there are more questions to be answered. It is hoped that the updated guidelines, which address the safety of contemporary asthma medications during pregnancy, will be a helpful resource in the treatment of our pregnant asthmatic patients.
- Published
- 2006
- Full Text
- View/download PDF
29. Treatment of asthma during pregnancy and perinatal outcomes.
- Author
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Namazy JA and Schatz M
- Subjects
- Administration, Inhalation, Adult, Anti-Asthmatic Agents administration & dosage, Female, Glucocorticoids administration & dosage, Humans, Infant, Newborn, Pregnancy, Pregnancy Complications drug therapy, Pregnancy Outcome, Anti-Asthmatic Agents therapeutic use, Asthma drug therapy, Glucocorticoids therapeutic use, Pregnancy Complications immunology, Prenatal Exposure Delayed Effects
- Abstract
Purpose of Review: Asthma is the most common, potentially serious medical problem to complicate pregnancy. Women with asthma have been shown to be at increased risk of complications during pregnancy. Managing asthma during pregnancy is unique because the effect of both the illness and the treatment on the developing fetus as well as the patient must be considered. This review summarizes the recent studies addressing the effects of asthma or asthma medications on perinatal outcomes, including the 2004 Asthma and Pregnancy Working Group of the National Asthma Education and Prevention Program., Recent Findings: This review summarizes the recent studies addressing the effect of asthma or asthma medications on perinatal outcomes., Summary: The prevalence of asthma in pregnant women appears to be increasing. Recent evidence supports that pregnant women with moderate to severe asthma may have an increased risk of adverse perinatal outcomes. The goal of asthma management during pregnancy is to optimize maternal and fetal health.
- Published
- 2005
- Full Text
- View/download PDF
30. Pregnancy and asthma: recent developments.
- Author
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Namazy JA and Schatz M
- Subjects
- Administration, Inhalation, Female, Humans, Pregnancy, Pregnancy Outcome, Anti-Asthmatic Agents administration & dosage, Asthma drug therapy, Asthma physiopathology, Glucocorticoids administration & dosage, Pregnancy Complications drug therapy, Pregnancy Complications physiopathology
- Abstract
Purpose of Review: Asthma is the most common potentially serious medical problem to complicate pregnancy. Asthmatic women have been shown to be at an increased risk of complications during pregnancy. Managing asthma during pregnancy is unique because the effects of both the illness and the treatment on the developing fetus and the patient must be considered., Recent Findings: This review summarizes the recent studies addressing the interrelationships between asthma and pregnancy and general aspects of pharmacologic therapy of gestational asthma., Summary: The prevalence of asthma in pregnant women appears to be increasing. Recent evidence supports that pregnant asthmatic women with moderate to severe asthma may have an increased risk of adverse perinatal outcomes. The goal of asthma management during pregnancy is to optimize maternal and fetal health.
- Published
- 2005
- Full Text
- View/download PDF
31. Update in the treatment of asthma during pregnancy.
- Author
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Namazy JA and Schatz M
- Subjects
- Adrenergic beta-Agonists therapeutic use, Anti-Asthmatic Agents therapeutic use, Asthma epidemiology, Bronchodilator Agents therapeutic use, Female, Health Planning Guidelines, Humans, Immunotherapy, Maternal Welfare, Pregnancy, Pregnancy Complications epidemiology, Risk Factors, Asthma therapy, Pregnancy Complications therapy
- Abstract
Asthma is the most common potentially serious medical problem to complicate pregnancy. Recent reports suggest that 7 of every 100 pregnant women suffer from asthma during pregnancy. Asthmatic women have been shown to be at an increased risk of complications during pregnancy. This may be secondary to inadequately controlled asthma or perhaps the result of the effects of certain asthma medications taken during pregnancy. The choice to use a specific medication during pregnancy is based on available human and animal data. Much of the information currently available regarding the safety of various asthma medications during pregnancy comes from several large cohort studies. This article reviews the specific aspects of pharmacological therapy during pregnancy as provided in the recommendations of the joint ad hoc committee of the American College of Allergy Asthma and Immunology and the American College of Obstetricians and Gynecologists. This article presents practical strategies for the management of asthma in our pregnant patients.
- Published
- 2004
- Full Text
- View/download PDF
32. Sensitivity to nonsteroidal anti-inflammatory drugs.
- Author
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Namazy JA and Simon RA
- Subjects
- Acetaminophen adverse effects, Adult, Anaphylaxis chemically induced, Anti-Inflammatory Agents, Non-Steroidal immunology, Aspirin immunology, Asthma chemically induced, Bleeding Time, Child, Clinical Trials as Topic, Cross Reactions, Cyclooxygenase 1, Cyclooxygenase 2, Cyclooxygenase 2 Inhibitors, Cyclooxygenase Inhibitors immunology, Desensitization, Immunologic, Drug Hypersensitivity classification, Drug Hypersensitivity diagnosis, Drug Hypersensitivity epidemiology, Drug Hypersensitivity therapy, Female, Humans, Immunoglobulin E immunology, Isoenzymes antagonists & inhibitors, Isoenzymes physiology, Leukotriene Antagonists therapeutic use, Male, Membrane Proteins, Nasal Polyps chemically induced, Prevalence, Prostaglandin-Endoperoxide Synthases physiology, Respiratory Hypersensitivity chemically induced, Respiratory Hypersensitivity diagnosis, Respiratory Hypersensitivity epidemiology, Respiratory Hypersensitivity immunology, Rhinitis chemically induced, Urticaria chemically induced, Anti-Inflammatory Agents, Non-Steroidal adverse effects, Aspirin adverse effects, Cyclooxygenase Inhibitors adverse effects, Drug Hypersensitivity etiology
- Abstract
Background: Aspirin can provoke reactions ranging from respiratory to cutaneous in susceptible individuals. There has been particular attention looking at the role of cyclo-oxygenase enzymes 1 and 2 and their role in aspirin-exacerbated respiratory disease., Objective: Patients who present with a spectrum of allergic and pseudoallergic reactions to aspirin pose a special challenge for the physician. This article discusses proposed classification system, clinical manifestations, pathogenesis of disease, and current treatment options of aspirin-related disease., Data Sources: Relevant articles in the medical literature were derived from searching the MEDLINE database with key terms aspirin-sensitive asthma, cyclo-oxygenase enzymes 1 and 2. Sources also include review articles, randomized control trials, and standard textbooks of allergy and immunology., Results: Aspirin-exacerbated respiratory disease remains a complex, heterogenous disease with varied clinical presentations. There have been many advances in trying to elucidate the pathogenesis of this disease. The classification system presented will provide greater ease when reading the literature and communicating with one another. Oral aspirin challenge remains the diagnostic test of choice for both respiratory and cutaneous reactions. Aspirin desensitization is an option for those with refractory respiratory disease or who require aspirin for other medical conditions., Conclusions: This review discusses the challenges in classification, diagnosis, and treatment of those patients with a sensitivity to aspirin. Special attention is made to the possible mechanisms mediating disease progression and how specific therapies, such as leukotriene modifiers, may be helpful.
- Published
- 2002
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