If you're taking asthma medication, continue doing so during labor and delivery.Breast-feeding is encouraged for women who have asthma — even if you take medication.A number of factors are thought to increase a person's chances of developing asthma, including having a parent or sibling who has asthma and having a mother who smoked while pregnant. Those with good asthma control are treated with step down treatment, while those with persistent asthma symptoms or acute exacerbation are treated with step-up treatment. AcipHex is not for immediate relief of heartburn symptoms.Rabeprazole can cause kidney problems. Achieving a good whole-course management of asthma patients in pregnancy still requires continuous efforts of clinicians and patients themselves.The authors declare that they have no conflicts of interest.This work was supported by the National Key R&D Program of China (2017YFC1310604), the Precision Medicine Research of the National Key Research and Development Plan of China (2016YFC0905800), and the National Natural Science Foundation Item (81570021).Copyright © 2020 Huijie Wang et al. In pregnant women, the prevalence of gestational rhinitis, GERD, overweight or obesity (in Europe), and depression is 22%, 30–50%, 25.6%–48.4%, and 11%, respectively [For pregnant women, physical structural changes, the direct effect of hormones, and the changes of immune function induced by hormones are involved in the control of asthma; one-third of asthma patients are aggravated due to pregnancy. To minimize maternal and fetal perinatal risks, assessing patient’s condition by early identification of new onset asthma in pregnancy, monitoring changes of asthma symptoms, PEF variability, FeNO, and fetal activity, education for improving patients’ compliance and standardizing medication, avoiding triggers, treating complications actively, and using drug therapy by a stepwise approach are all needed to be written in asthma control plan. However, the use of LTRAs in combination with ICS has the same effect as those of LABAs in combination with ICS in steroid-naïve asthmatic patients [Anti-IgE monoclonal antibody omalizumab is as an add-on therapy for the treatment of nonpregnant patients with moderate-to-severe persistent asthma that is inadequately controlled with ICS and has the effect of preventing exacerbation, reducing the frequency of asthmatic symptoms, reducing the frequency of emergency room visit or hospital admission, and reducing the steroid dose. In pregnancy studies, Aciphex (rabeprazole) did not cause any problems when given to pregnant animals, even in large doses. LABA is similar to salbutamol in pharmacologic and toxicologic profile; while there are limited data on their use during pregnancy, salmeterol might be chosen which has been available longer [A research finds no significant relationships between major congenital malformations and SGA infants with exposure to beta2-agonists, theophylline, cromolyn, and corticosteroids during the first trimester or at any time [Anticholinergics include the short-acting muscarinic antagonist (SAMA), ipratropium bromide, and long-acting muscarinic antagonists (LAMAs), tiotropium bromide. Asthma therapy during pregnancy is most successful when a woman receives regular medical care and follows her treatment plan closely. It is necessary not only to evaluate pregnant women but also to comment on the growth and development of the fetus. Depending on the type of medication you're taking and your symptoms, your health care provider might be able to monitor your asthma control during your prenatal visits. In other cases, you might need to consult your family doctor or asthma specialist throughout the pregnancy.If you started a course of allergy shots before pregnancy, you can continue the shots during pregnancy. Although cell-mediated immunity is more important in respiratory viral infections, the transfer of Th1 to Th2 immunity is considered to be an important mechanism for asthma induced by hormones during pregnancy [Women are in the state of hypercortisonism during pregnancy; meanwhile, the placenta secretes both CRH (corticotropin-releasing hormone) and ACTH (adrenocorticotropic hormone), which results in the increase of free cortisol and conjugated cortisol during pregnancy. Follow all directions on your prescription label and read all medication guides or instruction sheets. Low concentration of estradiol can promote CD4+Th1 cell response and cell-mediated immunity. All rights reserved. self contained breathing apparatus is needed.It is not allowed to leak in the air.
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