Pregnancy and bronchial asthma

[krupin]

15 years (from 13 years) are ill or sick with a bronchial asthma. Last 7 years I accept Prednisolonum, from first day of disease berotek. How reception of preparations can affect or have an effect the future child, whether it is possible to give birth or travail?

Now term 4 weeks. Refuse reception of medicines I can not under medical indications. What will advise to do or make? And what probability to give birth to the sick child?

[Zema]

Dear Masha!



As have shown recent researches a degree of gravity of an asthma is not the brave factor for pregnancy or the child, influence is rendered with medicines: Prednisolonum on the average for 15 days reduces the period vynashivanija, Theophyllinum - to a week, therefore it is better to use only 2-agonists (berotek). Besides on Prednisolonum the risk of a preeclampsia and nezarashchenija a soft palate/firm at a fetus raises or increases. Inadequate treatment leads to a hypoxia of a fetus and raises or increases risk of a fetal arrest of development:



Dombrowski MP, Schatz M, Wise R, Momirova V, Landon M, Mabie W, et al. Asthma during pregnancy. Obstet Gynecol 2004; 103:5-12.



Bracken MB, Triche EW, Belanger K, Saftlas A, Beckett WS, Leaderer BP. Asthma symptoms, severity, and drug therapy: a prospective study of effects on 2,205 pregnancies. Obstet Gynecol 2003; 102:739-52.



Similar, that inhalation hormonal -you do not render so negative action:



Norjavaara E, de Verdier MG.Normal pregnancy outcomes in a population-based study including 2,968 pregnant women exposed to budesonide. J Allergy Clin Immunol. 2003 Apr; 111 (4):736-42.



Schatz M. The efficacy and safety of asthma medications during pregnancy.

Semin Perinatol. 2001 Jun; 25 (3):145-52.

[Annette]

Masha, what dose of Prednisolonum? Whether you accept inhalation corticosteroids (Becotidum, fliksotid, ingakort, pulmikort, aldetsin, beklazon, etc.)?

[stas0523]

Masha, what dose of Prednisolonum? Whether you accept inhalation corticosteroids (Becotidum, fliksotid, ingakort, pulmikort, aldetsin, beklazon, etc.)?

Prednisolonum on the average 15 (3 tablets in day), from beklazona to become worse, in current of 15-30 minutes develop an attack which it is necessary to stop berotekom. From aldetsina the same reaction. From all tried ingoljatorov helps or assists only berotek and Tajled. Euffilin and Theophedrinum cause a vomiting.

[Karl]

Masha, Prednisolonum inside in your situation is not so correctly. At a bronchial asthma the patient should receive bronhorasshirjajushchy a preparation (berotek is at you is) and an inhalation corticosteroid which unlike Prednisolonum practically has no by-effects. If you do not transfer or carry beclomethasone (beklazon and aldetsin is same substance), it is necessary to try or taste other preparations. SELECTION and use of an inhalation steroid will allow to lower a dose of Prednisolonum (and in the long term at successful rasklade and to cancel it or him absolutely) in your situation.

[Hrundel]

And as to the child, what probability of a birth of the asthmatic? At me an asthma got, in a sort at anybody was not.

[gameboy2006]

Masha, about probability to tell or say difficultly. The asthma is not hereditary disease which probability can be predicted or forecast as in experiences with mendelevskim a peas. PREDISPOSITION is inherited; so-called people sick of an asthma have higher probability of disease of posterity (also as for example and at a hypertonia, a peptic ulcer, etc.). In percentage expression to you nobody will tell or say. And any predisposition can be realized, and it is possible to not realize. As will develop...