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Published on: June 13, 2021
Developmental perturbation induced by maternal asthma during pregnancy: the short- and long-term impacts on offspring
Vicki L Clifton1, Michael Davies, Vivienne Moore
1Robinson Institute, University of Adelaide, Adelaide, SA 5005, Australia; Robinson Institute, University of Adelaide, Lyell McEwin Hospital, Haydown Road, Elizabeth Vale, SA 5112, Australia. vicki.clifton@adelaide.edu.au
Insights
Maternal asthma during pregnancy can harm newborns and impact children's lifelong health. Research shows it causes placental issues and fetal development problems, particularly in females, increasing risks for conditions like diabetes and hypertension.
Area of Science:
- Reproductive biology
- Developmental biology
- Perinatology
Background:
- Maternal asthma is a common pregnancy complication.
- Asthma in pregnancy is linked to adverse neonatal outcomes like low birthweight and preterm birth.
- These outcomes pose risks for the lifelong health of children born to asthmatic mothers.
Purpose of the Study:
- To investigate the impact of maternal asthma on placental function and fetal development.
- To explore the sex-specific effects of maternal asthma on fetal development.
- To hypothesize the long-term health risks for children of asthmatic mothers.
Main Methods:
- Review of epidemiological studies on maternal asthma and neonatal outcomes.
- Analysis of placental function in pregnancies complicated by asthma.
- Assessment of fetal development and potential sex-specific alterations.
Main Results:
- Maternal asthma induces placental dysfunction.
- Fetal development is perturbed in a sex-specific manner due to maternal asthma.
- These developmental changes may increase the risk of adult-onset metabolic diseases.
Conclusions:
- Maternal asthma during pregnancy can lead to sex-specific placental and fetal developmental issues.
- Children of asthmatic mothers, especially females, may face increased risks of lifelong health complications such as diabetes and hypertension.
- Further research is warranted to confirm and understand these long-term health risks.
Abstract:
Maternal asthma is a common disease to complicate human pregnancy. Epidemiological studies have identified that asthma during pregnancy increases the risk of a number of poor outcomes for the neonate including growth restriction, lower birthweight, preterm delivery, neonatal resuscitation, and stillbirth. Asthma therefore represents a significant health burden to society and could have an impact on the lifelong health of the children of women with asthma. Our research has identified that maternal asthma in pregnancy induces placental dysfunction and developmental perturbation in the fetus in a sex specific manner. These alterations in development could increase the risk of metabolic disease in adulthood of children of asthmatic mothers, especially females. In this paper, we will discuss the evidence currently available that supports the hypothesis that children of mothers with asthma may be at risk of lifelong health complications which include diabetes and hypertension.
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