PHRM 211 Lecture Notes - Lecture 10: Low Birth Weight, Gestational Hypertension, Complications Of Pregnancy
Document Summary
Treatment of asthma in pregnancy & lactation. Most common chronic condition in pregnancy: affects 1-10% of pregnant women. Difficult to predict if asthma symptoms will improve, worsen or remain stable during pregnancy. If symptoms are poorly controlled at time of conception , may increase likelihood of symptoms worsening in pregnancy. Effect of asthma on pregnancy is most important. Maternal asthma (especially poorly controlled asthma) is associated with. Women with well controlled asthma are not expected to have more pregnancy complications than those without the condition. Encourage smoking cessation: nrt is suitable in pregnancy patch, lozenge, gum, inhaler, e-cigarettes not recommended. Treat conditions that may affect asthma e. g. gerd chewable calcium carbonate & ranitidine are suitable in pregnancy. Exercise caution with medications that can exacerbate sx e. g. beta-blockers if starting treatment for gestational hypertension. Clinical factors : exacerbation of asthma, hospitalization, rescue drug therapy. Plasma elimination half-life ( with time at maternal-fetal interface)
