You don’t have to do it alone – your doctor, pharmacist or asthma educator can help.Keep taking all your asthma medications and see your doctor for regular asthma check-ups. Ensuring asthma is well-controlled is key.

Asthma is classified into four general categories, from least to most severe. These include:Based on the severity of the mother’s asthma, a doctor may consider switching her treatment to an inhaled corticosteroid alone.Long-acting beta agonists (like SEREVENT®, Symbicort® and ADVAIR®) and theophylline are not considered first-line treatments for pregnant asthma patients. Uncontrolled asthma can increase the risk of complications. Also, most women with well-controlled asthma are able to perform breathing techniques during their labor without difficulty.Doctors do not believe asthma medicines are harmful to a nursing baby when used in usual amounts. If your asthma isn’t controlled, oxygen levels in your If you don’t control your asthma properly during pregnancy, you’re much more likely to harm yourself and your It’s OK to use an inhaler. Swimming is a particularly good exercise for people with asthma. In fact, influenza may be particularly severe in pregnant women.When asthma is under control, asthma attacks almost never occur during labor and delivery. Family Conception American Journal of Obstetrics and Gynecology 192(2):369-380 Liccardi G, Cazzola M, Canonica GW, et al. Pregnant women with asthma may have a bit greater risk of delivering early. Talk to your obstetrician for the best advice about exercising during pregnancy. The transfer of asthma medicines into breast milk has not been fully studied.When breastfeeding, drinking extra liquids to avoid dehydration is also important (as it is for all people with asthma). The NHS currently states that about a third of pregnant women with asthma find their symptoms improve during pregnancy, a third will have worse asthma, and a third will stay the same.“Some women find that their asthma improves during pregnancy anyway as pregnancy is a steroid-producing state and many of the medications used for asthma contain steroid,” explains MFM’s GP Dr Philippa Kaye.Uncontrolled asthma during pregnancy could mean that less oxygen is delivered to your blood, and it’s from here your developing baby get their oxygen supply.Poorly controlled asthma increases the risk of a premature birth, or the baby being too small, even if born at full term.It also increases the risk of pre-eclampsia, where the main symptom is very high blood pressure that can be dangerous for the mother and baby.There are several kinds of asthma medication, so it’s worth knowing how they differ.“The most commonly used inhalers are salbutamol and steroid inhalers, which are safe in pregnancy but, as with all medications, please do check with your doctor,” urges Dr Kaye.Inhalers deliver the medicine directly to the airways and lungs, so a much smaller amount of the drug is needed than using tablets.Drugs inside inhalers can be grouped into relievers (bronchodilators), preventers (steroid inhalers) and long-acting bronchodilators – these are generally all considered safe in pregnancy.However, they have been widely studied and are considered safe, when bearing in mind the risks of not controlling asthma.They include the drugs beclometasone, budesonide, ciclesonide, fluticasone and mometasone, with brand names such as Asmabec, Beclazone, Becodisks, Easyhaler Budesonide, Flixotide and Asmanex Twisthaler.The drugs in these inhalers work in a similar way to relievers, but work for up to 12 hours after taking each dose. Many women find their asthma changes during pregnancy.

But doctors may consider them if the mother’s asthma is not adequately controlled by the above medicines.If asthma is very severe, oral steroids such as prednisone, may be necessary for the health of the mother and baby.Remember: It is better for mother and baby if the mother maintains asthma control (using any approved asthma drugs).Pregnant woman with asthma already receiving allergy shot therapy can usually continue if they are not having reactions. Asthma and Allergy Foundation of America. Asthma controller therapy during pregnancy. There is evidence that adequate control of asthma during pregnancy reduces the chances of fetal or newborn death and improves fetal growth inside the uterus. Short-acting medications in your daily use inhaler, like The best thing to do is to talk to your doctor, who will look at how severe your asthma is and what treatment is right for you while you're pregnant.Good asthma control is the key to a successful pregnancy.

Work with your doctor to develop a personal asthma action plan for during your pregnancy. Any symptoms that do occur can usually be managed according to your asthma action plan. Pregnant women with asthma should increase avoidance measures to gain greatest comfort with the least medication.Regular exercise is important to health.

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