Can asthma worsen in pregnancy and affect the baby?

Question

Hello doctor,

I am 28 years old and currently three months pregnant. I have had asthma since I was a teenager, and lately, it feels like my symptoms are getting worse, especially at night. I am concerned about how uncontrolled asthma might affect my baby. What medications are safe to use during pregnancy, and how can I manage my symptoms to keep my asthma in check?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Controlling asthma (it is caused by inflammation and muscle tightening around the airways, which makes it harder to breathe) is crucial for both your health and the baby’s, as unmanaged asthma can lead to reduced oxygen levels, which can affect fetal development.

Many asthma medications are considered safe during pregnancy.

Inhaled corticosteroids (steroid hormones) are generally recommended as they reduce inflammation in the airways and are safe for long-term use in pregnancy.

Short-acting bronchodilators can also be used as needed for quick relief. However, you must consult your doctor to confirm that they are used safely and to adjust dosages.

Things to avoid:

Avoid common asthma triggers, such as smoke, strong odors, and dust.
Avoid common asthma triggers to reduce the frequency of flare-ups.
Having a clean home environment.
Using a humidifier, especially in a dry climate or during air-conditioned periods, may help minimize nighttime symptoms.
Regular, gentle exercise can also improve lung function.
Also, practicing breathing exercises and stress management would help.
A physical examination by a pulmonologist in a hospital is a must.

I hope this helps.

Please revert in case of further queries.

Thank you.