https://idwiki.org/index.php?action=history&feed=atom&title=Asthma_in_pregnancy 2026-04-30T01:05:40Z Revision history for this page on the wiki MediaWiki 1.43.8 https://idwiki.org/index.php?title=Asthma_in_pregnancy&diff=4885&oldid=prev 2020-07-14T23:13:22Z

<p>Text replacement - &quot;Clinical Presentation&quot; to &quot;Clinical Manifestations&quot;</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 23:13, 14 July 2020</td> </tr><tr> <td colspan="2" class="diff-lineno">Line 28:</td> <td colspan="2" class="diff-lineno">Line 28:</td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Normal changes in pregnancy</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Normal changes in pregnancy</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker" data-marker="−"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>== Clinical <del style="font-weight: bold; text-decoration: none;">Presentation</del> ==</div></td> <td class="diff-marker" data-marker="+"></td> <td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>== Clinical <ins style="font-weight: bold; text-decoration: none;">Manifestations</ins> ==</div></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br /></td> </tr> <tr> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Chest tightness, shortness of breath</div></td> <td class="diff-marker"></td> <td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>* Chest tightness, shortness of breath</div></td> </tr> </table>

Aidan https://idwiki.org/index.php?title=Asthma_in_pregnancy&diff=4097&oldid=prev 2020-07-04T01:17:24Z

<p>Imported from text file</p> <p><b>New page</b></p><div>== Definition ==<br /> <br /> * Patients with asthma who become pregnant<br /> <br /> == Classification ==<br /> <br /> * Mild intermittent<br /> ** Symptoms &amp;lt;2 times per week ... ...<br /> * Mild persistent<br /> * Moderate persistent<br /> ** Daily symptoms<br /> ** Affect usual activities ...<br /> * Severe<br /> ** Continual symptoms<br /> ** Nighttime symptoms<br /> ** FEV1 &amp;lt;= 60% or predicted<br /> ** Peak flow &amp;gt; 30% variability<br /> <br /> == Epidemiology ==<br /> <br /> * 4-8% of pregnancies<br /> * Most common chronic condition affecting pregnancy<br /> <br /> == Differential Diagnosis ==<br /> <br /> * Chronic obstructive lung disease<br /> * Pulmonary embolism<br /> * Normal changes in pregnancy<br /> <br /> == Clinical Presentation ==<br /> <br /> * Chest tightness, shortness of breath<br /> * Triggers same as for asthma<br /> ** Allergens<br /> *** Pollen<br /> *** Mold<br /> *** Animals<br /> *** Feathers<br /> *** House dust mites<br /> *** Cockroaches<br /> ** Other environmental factors<br /> ** Exercise<br /> ** Infection<br /> ** Stress<br /> <br /> == Investigations ==<br /> <br /> * Spirometry<br /> ** Reversible airway obstruction with FEV1 improving by at least 12% after bronchodilator<br /> ** See article on Asthma for further criteria<br /> <br /> == Prognosis ==<br /> <br /> * For the asthma, 1/3 of patients improve, 1/3 of patients worsen, and 1/3 of patients stay the same<br /> ** Severe asthma is more likely to worsen<br /> ** Changes in previous pregnancies is most predictive<br /> ** Return to baseline within 3 months of delivery<br /> ** Exacerbations more common during second half of pregnancy<br /> * For the pregnancy, mild and well-controlled asthma has excellent outcomes<br /> * For the pregnancy, severe or poorly-controlled can cause:<br /> ** Hypertension<br /> ** C section<br /> ** Preeclapmsia<br /> ** Stillbirth<br /> ** Fetal growth restriction<br /> <br /> == Management ==<br /> <br /> * Treatment is safer than untreated asthma<br /> * Antenatal<br /> ** Severe asthma<br /> *** Respiratory exam<br /> *** Peak flow measurement and spirometry<br /> *** Review symptoms at every visit<br /> ** All asthma<br /> *** Influenza vaccination<br /> *** Smoking cessation<br /> * General asthma control with step therapy<br /> ** Patient education, including trigger control or avoidance<br /> ** SABA prn<br /> *** Albuterol preferred<br /> ** Low-dose inhaled corticosteroids<br /> *** Budesonide preferred in pregnancy<br /> ** Add LABA or medium-dose corticosteroids<br /> ** Systemic corticosteroids for exacerbations<br /> * Acute exacerbations<br /> ** Humidified O2<br /> ** Beta agonists<br /> ** Corticosteroids<br /> ** CXR<br /> ** Pulse oximetry<br /> ** Intubation<br /> * During labour<br /> ** Continue medication<br /> ** Hydration and analgesia to reduce chance of bronchospasm<br /> ** Hydrocortisone if needed<br /> * Breastfeeding<br /> ** Asthma medications not contraindicated<br /> <br /> [[Category:Respirology]]<br /> [[Category:Obstetrical medicine]]</div>

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