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post in: Lifestyle, Video Date:17 Oct 2017, 04:11 views:3501
Most women will happily swallow vitamins or iron supplements prescribed by their doctor during pregnancy and feel that these help build a strong baby, but are very reluctant to use other medications, and feel that these will jeopardise their fetus and produce congenital abnormalities. So, most expectant mothers will opt to forego medications they need, believing that this will be best for their baby. Sometimes, it is not just the pregnant women but doctors as well who may be unsure about the risks and benefits of drugs during pregnancy, and may fail to convince their patients about the importance of adhering to a required treatment regimen.
Unquestionably, all medications should be prescribed with caution during pregnancy, especially in the first trimester, and data may be controversial even regarding the safety of widely prescribed supplements such as folic acid, maternal use of which has been associated with increased prevalence of childhood wheeze.
Nevertheless, data show that uncontrolled chronic diseases are associated with adverse perinatal outcomes and, therefore, avoiding the use of tested safe medications increases the risk for both mother and fetus.
One of the most common chronic diseases affecting pregnant women is asthma, center affecting up.4 of pregnancies.
The goal of asthma treatment is the control of asthma, defined as having no symptoms, no exacerbations, no limitations of activities and a good quality of life with no future risk. In the case of asthma and pregnancy, the goal of treatment includes not only control of asthma but also a safe delivery and a healthy child. Exacerbations occur much more frequently and are more serious in untreated and uncontrolled disease and, therefore, maintaining control by adhering to the required level of treatment is very important.
Numerous studies have shown that inhaled medications used in asthma have a very low risk and are classified as Pregnancy Category B or C by the US Food and Drug Administration. Therefore, the benefit of their use outweighs any possible risk. All current guidelines recommend regular use of asthma medications during pregnancy, according to the level of control, and stress that treatment should continue following the same principles care that apply to nonpregnant individuals and should not be altered on the basis of pregnancy but only.
In this issue of the, european Respiratory Review eRR an article by Murphy and Schatz 9 highlights how important asthma medication and adherence to treatment are for a good outcome in pregnancy. These authors have published a number of pivotal articles on asthma and pregnancy, and are leading experts in the field 10,. They now review the current data and show once again that there is an increased risk of pre-term birth, hospitalisation and death, as well as the child being small for gestational age and low birth weight, particularly among females with moderatesevere asthma who experience exacerbations.