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Asthma During Pregnancy - Part 2
Asthma in Pregnancy & After Delivery

by Kathleen MacNaughton, R.N.
for About.com

Updated: October 23, 2008

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

As mentioned earlier, very few women who have asthma during pregnancy have difficulty with asthma symptoms or asthma attacks during labor and delivery. But just in case, it's a good idea to have an up-to-date Asthma Action Plan to guide you and your healthcare team, so that quick action can be taken. It's also important that fetal monitoring be done during labor. For low-risk moms with good asthma control, 20 minutes of electronic fetal monitoring right after you get to the hospital in labor is usually sufficient.

Asthma's Effect on Your Newborn Infant

Many new mothers who had asthma during pregnancy and are still taking asthma medication have concerns about whether breastfeeding is safe for their babies, considering they are taking medication. Breastfeeding has many benefits for both you and your baby, both physically and emotionally. Medicines can be passed from mother to baby through breast milk. But there has been no evidence that asthma or allergy medicines are harmful to a nursing infant. So, in most cases, the same medicines that can be taken safely during pregnancy can also be used when nursing. Check with your allergist if you have any concerns, however.

Also, if you can, schedule your medications to be taken at least 15 minutes after you nurse your baby and 3 to 4 hours before the next feeding to lower any risk even further.

New mothers may also worry that they have passed asthma on to their babies. This is actually a valid concern, as one of the main risk factors for developing asthma in children is having a parent with asthma, especially with first-born babies. But you can take measures to help protect your child, such as:

And remember, it is not certain that your infant will have asthma, just because you do. Although the risk is high, it is not inevitable. But because it is possible, you should be alert for the early signs that breathing problems are in store. That way, you can have your baby checked out by your pediatrician early on, so that any issues can be dealt with.

In Summary - About Asthma During Pregnancy

Pregnancy can be a joyous time for the expectant mother. But it can also be an anxious time, if you had asthma during pregnancy and worry that everything you do might harm your fetus. The good news is that asthma in pregnancy, as long as you stay in control, should cause little reason to worry. With good medical care and a solid asthma management plan, you and your baby should be able to stay healthy during your pregnancy and beyond.

Sources:

"Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma." NHLBI Guidelines for the Diagnosis and Treatment of Asthma. 28 Aug 2007. National Heart Lung and Blood Institute. 18 Dec. 2007 <http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf>

"Tips to remember: Asthma and pregnancy." 2007. American Academy of Allergy Asthma & Immunology. 29 June 2008.

Frew, Anthony J. MD"Managing Asthma and Allergies During Pregnancy." February 2005. American College of Asthma, Allergy & Immunology. 29 Jun 2008.

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