Abstract
BackgroundWhile reviews have been published on asthma management in pregnant women, none has examined the effectiveness of non-pharmacological healthcare interventions for optimizing asthma management in pregnant women. This systematic review aims to identify non-pharmacological healthcare interventions for optimizing asthma management during pregnancy and to examine their effects on maternal asthma control and neonatal outcomes.MethodsThe Cochrane Central Register of Controlled Trials (CENTRAL, Cochrane Library), MEDLINE, EMBASE, PsycINFO, CINAHL Plus and International Pharmaceutical s (IPA) were searched. Two reviewers independently assessed the identified studies against the eligibility criteria and extracted relevant information. The effects of the intervention were assessed qualitatively.ResultsNine studies were identified, of which six were rejected according to the exclusion criteria. The three studies included in the final review described an education program, progressive muscle relaxation (PMR) and Fraction of exhaled Nitric Oxide (FeNO) guided management of asthma in pregnant women. The PMR and FeNO-guided interventions showed significant improvements in maternal asthma control (lung function and quality of life) and neonatal outcomes (birth weight).ConclusionsFurther evidence from well-designed studies evaluating non-pharmacological healthcare interventions for optimizing asthma management in pregnant women is required.
Highlights
While reviews have been published on asthma management in pregnant women, none has examined the effectiveness of non-pharmacological healthcare interventions for optimizing asthma management in pregnant women
The study found that maternal and neonatal outcomes may be improved by asthma self-management education, which can be delivered in an antenatal clinic by a nurse with specific training in asthma education
The three studies included in the review assessed education, progressive muscle relaxation (PMR) and a Fraction of exhaled Nitric Oxide (FeNO)-based algorithm, which were found to have some positive effects on asthma management in pregnancy
Summary
While reviews have been published on asthma management in pregnant women, none has examined the effectiveness of non-pharmacological healthcare interventions for optimizing asthma management in pregnant women. This systematic review aims to identify non-pharmacological healthcare interventions for optimizing asthma management during pregnancy and to examine their effects on maternal asthma control and neonatal outcomes. Asthma is one of the most serious health problems affecting people of all ages throughout the world [1,2]. In Australia, asthma is the most common chronic disease affecting pregnant women, complicating one in eight pregnancies [5]. Good asthma control during pregnancy is important to reduce risks for both mother Pregnant women with asthma warrant additional support comprising education, ongoing monitoring and review of treatment [10]
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