{"id":1148,"date":"2021-12-08T16:34:03","date_gmt":"2021-12-08T21:34:03","guid":{"rendered":"https:\/\/www.allergy-associates.com\/?p=1148"},"modified":"2021-12-08T16:34:03","modified_gmt":"2021-12-08T21:34:03","slug":"dear-dr-k-6","status":"publish","type":"post","link":"https:\/\/www.allergy-associates.com\/?p=1148","title":{"rendered":"Dear Dr. K;"},"content":{"rendered":"\n<p><em>My husband and I are pre-planning for our first pregnancy.&nbsp; I\u2019ve had asthma since I was 11years old, can I stay on my asthma medications while pregnant?&nbsp;<\/em><\/p>\n\n\n\n<p>The short answer is yes.&nbsp; The emphatic answer is yes, its vital.&nbsp; The long answer comes next.&nbsp;<\/p>\n\n\n\n<p>Asthma affects 5 to 8% of women of childbearing age and is one of the most common underlying health conditions that can complicate pregnancy.&nbsp; Poorly controlled asthma is associated with increased risk of maternal morbidity, spontaneous miscarriage, gestational diabetes, hypertension of pregnancy, pre-term delivery, fetal growth retardation, and congenital abnormalities.&nbsp;<\/p>\n\n\n\n<p>Therefore, the basic take home message is \u201ccontrol your asthma as well as you can during pregnancy\u201d.&nbsp; In 2019 the NIH (National Institute of Health) hosted a scientific workshop to better define the safety of asthma medications during pregnancy.&nbsp; Based on their findings they recommended a six-step approach to treating pregnant asthmatics based on the severity of their condition.&nbsp;<\/p>\n\n\n\n<p><strong>Step 1<\/strong> for very mild intermittent asthma was to use a rescue inhaler as needed but no daily \u201ccontroller\u201d medicine.&nbsp;<\/p>\n\n\n\n<p><strong>Step 2<\/strong> for mild persistent asthma was to start a controller medication.&nbsp; The preferred controller was low dose inhaled steroid but alternative controllers were theophylline, cromolyn, or a leukotriene antagonist (LTRA) such as Singular or Accolate.&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>My husband and I are pre-planning for our first pregnancy.&nbsp; I\u2019ve had asthma since I was 11years old, can I stay on my asthma medications while pregnant?&nbsp; The short answer is yes.&nbsp; The emphatic answer is yes, its vital.&nbsp; The long answer comes next.&nbsp; Asthma affects 5 to 8% of women of childbearing age and is one of the most common underlying health conditions that can complicate pregnancy.&nbsp; Poorly controlled asthma is associated with increased risk of maternal morbidity, spontaneous&#8230;<\/p>\n<p class=\"read-more\"><a class=\"btn btn-default\" href=\"https:\/\/www.allergy-associates.com\/?p=1148\"> Read More<span class=\"screen-reader-text\">  Read More<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[555],"class_list":["post-1148","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-asthma-and-pregnancy"],"_links":{"self":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts\/1148","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1148"}],"version-history":[{"count":1,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts\/1148\/revisions"}],"predecessor-version":[{"id":1149,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts\/1148\/revisions\/1149"}],"wp:attachment":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}