Asma na gravidez: atualização no manejo
Asthma in pregnancy: current management
Mauro M. de Aguiar; José A. Rizzo; Maria E. P. L. e Silva Lima; Elias F. de Melo Junior; Emanuel S. C. Sarinho
Resumo
A asma é doença crônica frequente na gestação, cujo descontrole encontra-se associado a desfechos maternos e perinatais desfavoráveis. O manejo da doença apresenta desafios, tais como a resistência das pacientes em utilizar medicações durante a gravidez, além de queixas frequentes de dispneia associada ao estado gravídico, não relacionada à asma. O objetivo do presente trabalho foi revisar os conhecimentos atuais sobre asma na gravidez. As fontes de dados foram revisões e artigos originais publicados nos últimos 12 anos e indexados nas bases de dados PubMed, SciELO e Lilacs. As conclusões deste artigo de revisão indicam que o controle adequado da asma juntamente com a vigilância obstétrica cuidadosa devem ser integrados e constituir objetivo global do tratamento de gestantes asmáticas. O tratamento medicamentoso permite o uso de algumas medicações utilizadas em pacientes não gestantes.
Palavras-chave
Abstract
Asthma is a common chronic disease during pregnancy, and inappropriate control of this condition is associated with unfavorable maternal and perinatal outcomes. Management of asthma during pregnancy presents challenges, including the patients’ resistance to use medications during pregnancy and frequent complaints of dyspnea associated with pregnancy but not related to asthma. The objective of the present study was to review the current knowledge about asthma in pregnancy. Data sources included reviews and original articles published in the past 12 years and indexed in PubMed, SciELO, and Lilacs databases. Our findings indicate that adequate control of asthma and careful obstetric follow-up should be integrated and constitute a global goal in treating pregnant women with asthma. Pharmacologic treatment allows for the use of some medications that are used in non-pregnant patients.
Keywords
References
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Submitted date:
10/12/2012
Accepted date:
10/27/2013
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