gynecology and obstetrics
Asthma in Pregnancy
Treatment of Asthma in Pregnancy
Inhaled bronchodilators and corticosteroids For an acute exacerbation, addition of IVmethylprednisolone, followed by oralprednisone Pregnancy does not usually change Treatment ( does not appear to increase the risk of congenital malformations in humans ( Treatment references ). For an acute exacerbation, in addition to bronchodilators,methylprednisolone60 mg IV every 6 hours for 24 to 48 hours may be used, followed by oralprednisonein a tapering dose. Women who are currently receiving or have recently required systemic corticosteroids should receive intravenous corticosteroids during labor and for 24 hours after delivery to prevent adrenal crisis. 1.Bonham CA, Patterson KC, Strek ME: Asthma outcomes and management during pregnancy.Chest153(2):515-527, 2018. doi:10.1016/j.chest.2017.08.029 2.Källén B, Rydhstroem H, Aberg A: Congenital malformations after the use of inhaledbudesonidein early pregnancy.Obstet Gynecol93(3):392-395, 1999. 