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Perinatal outcomes in pregnancy with asthma
Rashid Zaheer Syed1, Ali Bin Sarwar Zubairi, Muhammad Ahsan Zafar
1The Aga Khan University Hospital, Karachi.
JPMA. the Journal of the Pakistan Medical Association
|October 14, 2008
Summary
Asthmatic pregnancies increase risks for mothers and newborns, leading to higher rates of abortion, premature birth, low birth weight, and urinary tract infections (UTIs). Vigilant monitoring is crucial for asthmatic pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Health
- Respiratory Medicine
Background:
- Asthma is a common chronic respiratory condition that can affect pregnant individuals.
- Pregnancy can influence asthma control, and asthma can impact pregnancy outcomes.
- Understanding the specific risks associated with asthmatic pregnancies is essential for optimal maternal and neonatal care.
Purpose of the Study:
- To investigate the association between asthma during pregnancy and key maternal and neonatal health outcomes.
- To identify specific risks faced by pregnant individuals with asthma and their infants.
Main Methods:
- A retrospective cohort study was conducted, comparing asthmatic pregnancies with non-asthmatic pregnancies.
- Data included 65 asthmatic and 63 non-asthmatic singleton births.
- Outcomes assessed: neonatal birth weight, prematurity, Apgar scores, maternal hospital admissions, urinary tract infections (UTIs), abortions, and stillbirths.
Main Results:
- Neonates from asthmatic mothers exhibited lower Apgar scores, increased prematurity, and shorter gestational ages.
- Asthmatic mothers faced higher risks of abortions, low birth weight infants, UTIs, and hospital admissions.
- No significant difference in mean maternal age or parity was observed between groups.
Conclusions:
- Asthmatic pregnancies are significantly associated with adverse outcomes, including abortion, premature delivery, and low birth weight.
- Maternal UTIs are more prevalent in pregnancies complicated by asthma.
- Enhanced monitoring and management strategies are recommended for pregnant individuals with asthma.
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