About 12% of pregnant women have asthma — making it a fairly common problem [1]. Doctors agree that treatment for asthma should be continued throughout pregnancy.
If I feel good now, wouldn't it be better to give up my medication?
Of course, it's scary that drugs that help with asthma can sometimes harm the baby. However, a lack of oxygen is more likely to do damage [1]. In addition, exacerbations of asthma during pregnancy increase the likelihood of preeclampsia, gestational diabetes, and placental abruption [2]. The decision to cancel treatment or reduce doses can only be made in conjunction with a pulmonologist and gynecologist.
What are the risks to my child if I take corticosteroids?
If you have to take these drugs throughout your pregnancy, especially in pills, your baby may be delayed, underweight, or prematurely born. But inhaled corticosteroids (especially at the lowest effective doses) in most cases do not harm the baby [3].
Are bronchodilators safe?
Inhaled medications that relax the bronchi and make it easier for the mother to breathe are likely to be safe for the baby. In any case, mothers with controlled asthma have healthier babies than women with uncontrolled asthma [1].
Is natural childbirth possible if I have asthma?
Yes, if asthma is under control, asthma attacks almost never occur during labor and childbirth. Most women with well-controlled asthma can, like everyone, perform breathing techniques during labor [4].
Can my child develop asthma if I do not take medications for it during pregnancy?
No, treatment will not affect this — only genetic predisposition and the environment can cause asthma [4].
