Asthma in a prospective cohort of rural pregnant women from Sri Lanka: Need for better care during the pre-conceptional and antenatal period.
Autor: | Shashanka Rajapakse, Nuwan Wickramasinghe, Janith Warnasekara, Parami Abeyrathna, Gayani Amarasinghe, Ayesh Umeshana Hettiarachchi, Imasha Upulini Jayasinghe, Iresha Koralegedara, Thilini Chanchala Agampodi, Suneth B Agampodi |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: | |
Zdroj: | PLoS ONE, Vol 17, Iss 7, p e0269888 (2022) |
Druh dokumentu: | article |
ISSN: | 1932-6203 06194443 |
DOI: | 10.1371/journal.pone.0269888 |
Popis: | ObjectivesTo describe the epidemiology and the effect of asthma on pregnancy outcomes in pregnant women from a rural geography.MethodsWe conducted a prospective cohort study in Anuradhapura district, Sri Lanka enrolling all eligible pregnant women registered in the maternal care program. An interviewer-administered questionnaire-based symptom analysis and clinical assessment was conducted in the first and second trimesters.ResultsWe recruited 3374 pregnant women aged 15-48 years at conception. Self-reported physician-diagnosed asthma prevalence was 6.6% (n = 223) with only 41.7% (n = 93) on regular medical follow-up for asthma. The prevalence of wheeze reduced from pre-pregnancy (67.0%) to the first (46.4%) and second trimesters (47.7%; pConclusionThis study reports the high prevalence of asthma and asthma-associated pregnancy outcomes in women from a rural geography signifying the importance of targeted management. |
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