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 ([email protected])