How is asthma exacerbation managed in pregnancy?

How is asthma exacerbation managed in pregnancy?

• A. Supplemental O2, beta-agonists (albuterol), corticosteroids if needed; avoid hypoxia
• B. Avoid beta-agonists entirely
• C. Rely only on inhaled anticholinergics
• D. No change from nonpregnant management

Answer: (A)

Managing asthma exacerbation in pregnancy centers on keeping the mother well oxygenated to protect fetal oxygen delivery, while using proven asthma therapies that are safe in pregnancy. The best approach includes providing supplemental oxygen to maintain maternal oxygen saturation (to prevent fetal hypoxia), giving a fast-acting bronchodilator such as albuterol to reverse bronchospasm, and adding corticosteroids if needed to control airway inflammation and prevent progression. Inhaled corticosteroids are preferred for ongoing control, and systemic corticosteroids may be used for moderate to severe flares. This combination directly supports both maternal and fetal health and is preferred over delaying bronchodilation, avoiding beta-agonists, or relying only on anticholinergics or nonpregnant management without adjustment.

Managing asthma exacerbation in pregnancy centers on keeping the mother well oxygenated to protect fetal oxygen delivery, while using proven asthma therapies that are safe in pregnancy. The best approach includes providing supplemental oxygen to maintain maternal oxygen saturation (to prevent fetal hypoxia), giving a fast-acting bronchodilator such as albuterol to reverse bronchospasm, and adding corticosteroids if needed to control airway inflammation and prevent progression. Inhaled corticosteroids are preferred for ongoing control, and systemic corticosteroids may be used for moderate to severe flares. This combination directly supports both maternal and fetal health and is preferred over delaying bronchodilation, avoiding beta-agonists, or relying only on anticholinergics or nonpregnant management without adjustment.