British guideline on the management of asthma in pregnancy

The British Thoracic Society & Scottish Intercollegiate Guidelines Network

  • Several physiological changes occur during pregnancy which could worsen or improve asthma
  • Pregnancy can affect the course of asthma, and asthma and its treatment can affect pregnancy outcomes
  • Women should be advised of the importance of maintaining good control of their asthma during pregnancy to avoid problems for both mother and baby
  • Monitor pregnant women with moderate/severe asthma closely to keep their asthma well controlled
  • Advise women who smoke about the dangers for themselves and their babies and give appropriate support to stop smoking

Drug therapy in pregnancy

  • The following drugs should be used as normal during pregnancy:
    • short acting β2-agonists
    • long acting β2-agonists
    • inhaled corticosteroids
    • oral and intravenous theophyllines

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