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Review
. 2025 Jan;25(1):100277.
doi: 10.1016/j.clinme.2024.100277. Epub 2024 Dec 17.

Management of asthma in pregnancy

Affiliations
Review

Management of asthma in pregnancy

C E Jones et al. Clin Med (Lond). 2025 Jan.

Abstract

Asthma is the most common chronic disease to affect pregnant women and can have a significant effect on pregnancy outcomes, with increased rates of preterm birth, premature delivery and caesarean section observed if poorly controlled. Pregnancy can also influence asthma control. Prescribing in pregnancy causes anxiety for patients and healthcare professionals and can result in alteration or undertreatment of asthma. Good asthma control with prompt and adequate management of exacerbations is key to reducing adverse pregnancy outcomes for both mother and fetus. The majority of asthma treatment can be continued as normal in pregnancy and there is emerging evidence of the safety of biologic medications also. This article aims to summarise the current evidence about asthma in pregnancy and guide the appropriate management of this population.

Keywords: Asthma; Biologics for asthma; Biologics in pregnancy; Maternal medicine; Pregnancy; Prescribing in pregnancy.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig 1:
Fig. 1
Adapted stepwise approach as outlined by NICE and the Global Initiative for Asthma (GINA).,

References

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