Medical disorders in pregnancyFree in the app
Asthma in pregnancy
Uncontrolled asthma is the bigger risk.
Source: BTS/NICE/SIGN- Continue all usual inhalers through pregnancy, labour and breastfeeding.
- Treat attacks as outside pregnancy, including prednisolone 40–50 mg. Do not withhold steroids.
- Prednisolone above 7.5 mg/day for over 2 weeks: hydrocortisone 100 mg IV/IM 6–8-hourly in labour.
- Carboprost (PGF2α) can cause bronchospasm — use with great caution. PGE2 and misoprostol are fine.
- Regional anaesthesia preferred to general.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.