The most common lung disease during pregnancy is asthma.
Approximately 4% of all pregnancies have asthma. There is a 1/3 rule on the
course of asthma during pregnancy, so one-third of asthma patients' complaints
do not change during pregnancy, one-third becomes more severe, one-third
lessen. In different pregnancies of the same person, the disease may be
different. In some patients, although there is no intensity of complaints
during pregnancy, there may be an increase in complaints and shortness of
breath during delivery. Delivery by cesarean is more risky in terms of
exacerbation of asthma compared to normal birth, but most patients do not have
a problem during delivery.
Asthma that cannot be kept under control during pregnancy can
cause problems for both mother and baby. The most common reason for this
situation is that expectant mothers stop using medication by fearing the side
effects of medication.
After a woman with asthma decides to become a mother, she
should be evaluated by a pulmonologist and the pulmonary function tests should
be brought to normal before pregnancy occurs. During pregnancy, both asthma and
pregnancy should be followed by the relevant specialist doctors. Asthma attacks
should be treated appropriately, in a timely manner because the baby needs
oxygen to grow in the mother's womb.
If proper treatment is applied during pregnancy, asthma does
not affect maternal and infant health. However, if the medicines to be
determined by the physician are not used, regular checks are not made, and
negative factors such as smoking, such as smoking are not avoided, adverse
conditions may be encountered. For example; there may be conditions such as
miscarriage, premature birth, EMR, retarded development of the baby (IUGR).
What are
the risks of asthma that is not well controlled during pregnancy?
- Early birth
- Low birth weight
- PPROM
- IUGR (intrauterine growth retardation)
- Preeclampsia
- Antepartum vaginal bleeding
- Hyperemesis gravidarum is more common
- Increased maternal and perinatal mortality
Treatment
and asthma medications:
If asthma is effectively controlled during pregnancy, no
problem is usually encountered during childbirth. Factors and allergens that
trigger asthma should be avoided. No smoking should be avoided and cigarette
smoke should be avoided. Inhaler drugs are preferred during pregnancy.
Beta-agonite inhaler drugs, Sodium-chromoline, steroid inhalation, oral
theophylline, salmeterol inhalation, oral steroid drugs are used drugs step by
step. Each patient should consult their doctor again in terms of asthma use at
the very beginning of pregnancy, even before conception.
-PREGNANCY DEPRESSION
-INTRAHEPATIC CHOLESTASIS OF PREGNANCY
-PREGNANCY AND EPILEPSY
-ECLAMPSIA
-PREGNANCY AND HEART DISEASES
-PREGNANCY AND SYSTEMIC LUPUS ERYTHEMATOSUS