Effect of maternal asthma and asthma control on pregnancy and perinatal outcomes
| Autor: | Edward F. Mitchel, William D. Dupont, Pingsheng Wu, Kecia N. Carroll, Tebeb Gebretsadik, Rachel Enriquez, William O. Cooper, Tina V. Hartert, Marie R. Griffin |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Adolescent Birth weight Immunology Population Prenatal care White People Cohort Studies Pregnancy immune system diseases medicine Birth Weight Humans Immunology and Allergy Anti-Asthmatic Agents education Asthma education.field_of_study Antepartum hemorrhage business.industry Infant Newborn Pregnancy Outcome Prenatal Care Emergency department medicine.disease respiratory tract diseases Hospitalization Pregnancy Complications Small for gestational age Female business |
| Zdroj: | Journal of Allergy and Clinical Immunology. 120:625-630 |
| ISSN: | 0091-6749 |
| DOI: | 10.1016/j.jaci.2007.05.044 |
| Popis: | Background Asthma is a common condition during pregnancy. Objective We sought to determine the effect of asthma on the rates of adverse pregnancy and fetal outcomes. Methods We identified pregnancies among black and white women age 15 to 44 with singleton gestations enrolled in the Tennessee Medicaid program over a period of 9 consecutive years, from 1995to 2003, and used claims data to determine the relationship of maternal asthma and asthma exacerbations on pregnancy and infant outcomes. Results Among the 140,299 pregnancies, 6.5% were in women with asthma. Among women with asthma, 23% had a hospital or emergency department visit (exacerbated asthma); 40% of black and 23% of white women received hospital or emergency department care for asthma during pregnancy. After controlling for race and other covariates, birth weights among infants of women with asthma were, on average, 38 g lower, and among infants of women with exacerbated asthma they were, on average, 56 g lower. There were moderate, dose-dependent relationships between asthma alone and exacerbated asthma with hypertensive disorders of pregnancy, membrane-related disorders, preterm labor, antepartum hemorrhage, and cesarean delivery. Maternal asthma was not associated with preterm birth or birth defects. Conclusion Asthma is a risk factor for several common adverse outcomes of pregnancy, and poorly controlled asthma during pregnancy increases these risks. Clinical implications It is possible that both maternal and infant outcomes could be improved in this population with appropriate asthma care, especially among black women. |
| Databáze: | OpenAIRE |
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