Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/46748
Citations
Scopus Web of Science® Altmetric
?
?
Type: Journal article
Title: Asthma during pregnancy: Mechanisms and treatment implications
Author: Murphy, V.
Gibson, P.
Smith, R.
Clifton, V.
Citation: European Respiratory Journal, 2005; 25(4):731-750
Publisher: European Respiratory Soc Journals Ltd
Issue Date: 2005
ISSN: 0903-1936
1399-3003
Statement of
Responsibility: 
V. E. Murphy, P. G. Gibson, R. Smith and V. L. Clifton
Abstract: Asthma is becoming increasingly prevalent worldwide. Numerous historical and prospective cohort studies have investigated the effects of maternal asthma on pregnancy outcome; however, the data has been conflicting and many studies have not used standard classifications for asthma severity. Overall, the literature suggests that asthmatic females are more at risk of low birth weight neonates, pre-term delivery and complications such as pre-eclampsia, especially in the absence of actively managed asthma treated with inhaled corticosteroids. Pregnancy with a female foetus may particularly increase the risk of these outcomes. In addition, pregnancy has an effect on the course of asthma. The risk of an exacerbation requiring medical intervention may be as high as 50% in females with severe asthma and this may further increase the risk of poor outcomes, particularly low birth weight and pre-term delivery. The mechanisms responsible for changes in asthma with pregnancy, or alterations in pregnancy outcomes due to asthma have not been thoroughly explored. Maternal inflammatory pathways may contribute to reduced foetal growth through alterations in placental function. Asthma treatment, by reducing maternal inflammation and preventing exacerbations, is safe for use in pregnant females and contributes to improved outcomes for both mother and foetus.
Keywords: Humans; Asthma; Pregnancy Complications; Prospective Studies; Pregnancy; Female
Description: Copyright © 2005 by the European Respiratory Society.
RMID: 0020081128
DOI: 10.1183/09031936.05.00085704
Appears in Collections:Paediatrics publications

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.