Abstract
Asthma during pregnancy can be complicated by intrauterine growth restriction, preterm delivery and stillbirth. This paper reports the obstetric and respiratory history of a 23 year old woman whose pregnancy was complicated by asthma and a severe asthma exacerbation that was associated with a stillbirth at 34 weeks gestation. The article attempts to link the relationship between asthma in pregnancy and adverse fetal outcomes and therefore highlights the need for multidisciplinary care of pregnant asthmatic women and the increased need for greater awareness by health professionals and pregnant women of the use of inhaled corticosteroid (ICS) treatment during pregnancy in combination with an asthma action plan.
Highlights
Our recent studies of pregnant asthmatic women identified that those asthmatic women who experienced an acute exacerbation during pregnancy had a number of adverse outcomes including intra uterine growth restriction, preterm delivery or still birth [2,3,4]
In this paper the events leading to a stillbirth in a pregnancy complicated by chronic asthma and an acute exacerbation that occurred during a prospective cohort study of asthmatic women will be described [5]
Pregnancy had been complicated with increasing reflux and heartburn this was not disclosed in any of her antenatal visits, a mild exacerbation of her asthma at 14 weeks and anemia at 30 weeks gestation at which time she was commenced on iron replacement
Summary
A large North American collaborative project on asthma and pregnancy reports that there are no significant differences in perinatal outcomes between asthmatic and non-asthmatic women [1]. Our recent studies of pregnant asthmatic women identified that those asthmatic women who experienced an acute exacerbation during pregnancy had a number of adverse outcomes including intra uterine growth restriction, preterm delivery or still birth [2,3,4].
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