Management goals

Asthma management goals for pregnant women with asthma are the same as for other adults. An additional goal for pregnant women with asthma, is to maintain fetal oxygenation by preventing episodes of maternal hypoxia.

It is recommended that the Global Initiative for Asthma (GINA) definition of well-controlled asthma is applied to the management of all pregnant women with asthma (GINA, 2022).

Recommendations for achieving these goals

 For asthma exacerbations:

Pre-conception recommendations

  • Offer advice that uncontrolled asthma or asthma exacerbations put both mothers and babies at risk
  • Provide an asthma review prior to conception including performing baseline spirometry, offering a written Asthma Action Plan
  • Discuss the need to continue taking preventer therapies (if prescribed) when pregnant
  • Smoking cessation advice
  • Vaccinations as required

(Reference: Murphy 2015)