Analysis of the set of pregnancy women with asthma bronchiale

Czech version

Authors: J. Záhumenský; B. Zmrhalová; O. Šottner; E. Menzlová; J. Vojtěch; I. Mikysková; M. Dvořák; M. Halaška
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a FN Na Bulovce, Praha, vedoucí prof. MUDr. M. Halaška, DrSc.
Published in: Ceska Gynekol 2010; 75(5): 439-442

Overview

Objective:
The set of pregnant females suffering from bronchial asthma – retrospective analysis.

Type of study:
Retrospective analysis.

Setting:
Department of Obstetrics and Gynecology, University Hospital Na Bulovce, First Medical Faculty, Charles University in Prague, Czech Republic.

Subject and method:
Our set consists of pregnant women suffering from bronchial asthma and attending our Antenatal Clinic & delivering at our Maternity Hospital from January 2008 through December 2009. Retrospective analysis of the set based on the medical records was performed.

Results:
80 females suffering from bronchial asthma gave birth at our Hospital during the studied time span, i.e. 1.7% of all deliveries at our Maternity Hospital. In 4 females (i.e. 5%) the asthma attack was observed during the pregnancy. 33% of all females suffering from bronchial asthma did not require any bronchodilator medication, 22% were just on betamimetics, 23% required inhalational betamimetics with intermittent inhalational corticosteroid and 21% use both regularly. Perorally corticosteroids or leukotrien inhibitors were not used at all. There was no negative influence on subjective felling of the female during her pregnancy and labor in 71% of cases. 24% of all females suffering from bronchial asthma delivered by Caesarean Section but just in two of them it was indicated due to the bronchial asthma itself. We observed no case of IUGR or congenital defect. No change in the length of the hospital stay in comparison to the other females was shown.

Conclusion:
The nowadays standard treatment of bronchial asthma during pregnancy is based on local inhalative bronchodilator and anti-inflammatory medication. Pregnant females are usually well compensated, and thus their perinatal outcome shows no difference compared to the healthy population.

Key words:
pregnancy, delivery, bronchial asthma.

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