Asthma During Pregnancy: Management and Treatment Tips

Asthma during pregnancy requires careful monitoring, appropriate treatment, and awareness of changing symptoms. Regular check-ups, correct inhaler use, trigger avoidance, and timely medical care can help maintain asthma control and support the health of both mother and baby.

Pregatips
Asthma can usually be treated effectively with medication and symptom monitoring during pregnancy. However, pregnancy is likely to alter asthma in a different way for every woman. Some may experience improvement in their symptoms, while others may have to monitor and adapt their treatment plan. Controlling asthma during pregnancy is crucial, as the breathing disorder can affect the state of both mother and child. Dr Soumya Lakshmi T V, Senior Consultant, Obstetrics & Gynaecology, Aster CMI Hospital, Bangalore, recommends that pregnant women stick to their prescribed treatment plan and inform their doctor of any issues instead of stopping their medications.

How Can Pregnancy Affect Asthma?

Pregnancy can have a different impact on asthma for every woman. Some women find their symptoms hardly change, while others may suffer from increased coughing, wheezing, chest tightness, or shortness of breath. The hormonal and physical changes that happen during pregnancy can trigger this. Regular monitoring will help find worsening symptoms early and provide assistance in securing necessary treatment.

In cases where asthma attacks occur even more frequently, disrupt sleep, or require the use of a reliever inhaler on more occasions, you can get a consultation and opinion from your regular physician. The breathlessness associated with pregnancy can sometimes be mistaken for asthma symptoms. This is why any new problems with breathing should be taken care of by a medical expert.

Good asthma control during pregnancy protects both mother and baby, so prescribed treatment and regular monitoring should never be neglected.Dr Soumya Lakshmi T V

Why is Asthma Control Important During Pregnancy?

Good asthma control helps the mother breathe comfortably and supports the baby's health. Poorly controlled asthma and severe attacks can cause a drop in oxygen levels. This may increase the risk of complications such as premature birth and low birth weight. For this reason, asthma should continue to be treated during pregnancy. Avoiding treatment because of concerns about medicines can allow symptoms to worsen.

Can Asthma Medicines be Used During Pregnancy?

Numerous asthma treatments can be used safely during pregnancy when prescribed by a doctor. The inhaled corticosteroids take care of inflammation in the airways, while the reliever inhalers provide rapid relief. The treatment that needs to be undertaken is determined by considering the severity of asthma, symptoms, and health condition. It is worth mentioning that it is prohibited for pregnant women to change, reduce, or stop using their medications without getting medical advice.

Practical Tips to Manage Asthma During Pregnancy

Along with prescribed medications, Dr Soumya Lakshmi T V recommends some simple measures to help reduce asthma symptoms and support better control:

  • Identify your triggers: Dust, smoking, pollen (allergens), strong odours, cold air, air pollution, and respiratory infections can trigger asthma in some women. Try to avoid triggers that are known to affect you
  • Use your inhaler correctly: Incorrect technique may prevent enough medicine from reaching the lungs. Ask your doctor or asthma nurse to check your technique
  • Follow your treatment schedule: Take controller medicines as prescribed, even when you feel well. Also, keep your vaccinations up to date
  • Stay active: Regular, suitable physical activity can support overall health. If exercise causes asthma symptoms, speak with your doctor
  • Attend regular checkups: Keep both antenatal and asthma appointments. Tell your doctor about any change in symptoms
  • Keep an asthma action plan: Know which medicines to take regularly, how to respond to worsening symptoms, and when to seek urgent care

How Can Asthma Attacks Be Managed?

Asthma attacks can lead to increased wheezing, coughing, chest pain, and trouble breathing. Be sure to follow your doctor's instructions and use your inhaler as directed. Dr Soumya Lakshmi T V suggests seeking immediate medical attention if you have severe or rapidly worsening breathlessness, difficulty speaking, bluish lips or face, severe chest tightness, or very low peak-flow readings.

Asthma During Labour and Delivery

Women with asthma can usually expect a normal labour and delivery if their asthma is under good control. Asthma medicines usually need to be continued as advised by the doctor. Make sure to inform your gynaecologist and maternity team about your asthma medications and any recent attacks. Also, keep your reliever inhaler handy with you during labour. Having a proper treatment plan in place can assist the doctors to manage your labour and delivery effectively.

Proper management of asthma means it does not have to interfere with a healthy pregnancy. Take your prescribed medications, avoid known triggers, and monitor any changes in your breathing pattern. Make sure to attend your antenatal and asthma check-ups and keep your asthma action plan available. Never change or stop your asthma medications without consulting your doctor. If your symptoms worsen suddenly or breathing gets difficult, seek professional help as soon as possible.

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FAQs on Asthma During Pregnancy: Management and Treatment Tips

  1. Can pregnancy affect how frequently asthma inhalers need to be used?
    Yes, pregnancy might change the amount of medication women may need. When there is an increase or decrease in the use of inhalers, it is important to consult your doctor and not manage it alone.
  2. Can asthma attacks affect baby movements?
    An asthma attack can greatly impact the supply of oxygen to the mother and baby. If any unusual or reduced foetal movement is noticed, the maternal care team should be contacted immediately.
  3. Is it important to inform the anaesthesiologist about asthma before delivery?
    Yes, it is important to inform the anaesthesiologist about asthma, medications being taken, and a history of previous asthma attacks before delivery. This will help the medical staff prepare accordingly.
Medically Reviewed By:
Dr Soumya Lakshmi T V, Senior Consultant, Obstetrics & Gynaecology, Aster CMI Hospital, Bangalore