Managing Asthma Through Labor And Delivery

Asthma is common in many people and so as in pregnant women as well

. It affects the lungs during pregnancy. It is calculated that up to 8 percent of women have asthma in one way or another. It is a matter of common concern in all the women with asthma that how pregnancy will affect asthma and if any treatment cause any harm to baby. It is not hard to keep asthma under control during pregnancy period. What you need is a proper asthma therapy. This therapy will help you to breathe properly during your pregnancy and eventually deliver a healthy baby. Remember, poor controlled asthma is much dangerous than controlling it with proper medication.

It is important for a pregnant woman to have a regular medical care and stick to the asthma therapy plan firmly. For women who have any background with asthma, it is essential to talk to their health care provider to discuss their condition before becoming pregnant. The women who come to know that they are pregnant, it is suggested to continue their asthma medication for stopping medication suddenly will result in less availability of oxygen for the developing baby.

If you are the one, who closely follow her asthma therapy plan during the pregnancy period, you must be in good condition for labor and delivery. You dont have much problem while your baby is being born. You may be asked to continue your medication by your doctor.

After admitting to the hospital, your peak flow rate (PEFR) would be observed. This will be done after every 12 hours during youre the period of your labor. Your doctor will have a close look on your PEFR and may direct the staff to give you oxygen for proper breathing, if required.

Another precaution taken by your doctor is fetal monitoring. You need to undergo 20 minutes of electronic heart rate monitoring for the women with mild asthma. It is not unusual; it is a part of routine checkup. For women with severe asthma, doctor keeps them under observation and intensive fetal heart rate monitoring will be done with them.

The critical time for doctors is the labor and delivery time. Doctors have to make smart choices between the selections of drugs so that they do not trigger the asthma attack. For instance, to induce labor for postpartum hemorrhage after birth, doctors choice would be oxytocin; epidural analgesic will be used as a pain reliever. Ketamine is used as a general anesthetic.

There are few situations that require extra care and handling. One such problem is preterm labor. The asthma attack in last days of your pregnancy can cause you uterine contractions. These can be in some situations progress to labor. In that case, along with an oral (systemic) beta agonist, you will be given a magnesium sulfate to calm the contractions.

by: Tauqeer Hassan

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