A COMPARATIVE STUDY OF CLINICAL FEATURES AND TREATMENT OUTCOMES IN PREGNANT AND NON PREGNANT FEMALE HAVING BRONCHIAL ASTHMA

Author:

M Prakashkar Anaya1,S Kachhadiya Milan2,S Pandey Arvind3

Affiliation:

1. Senior Resident, Respiratory Medicine Department, NHL Municipal Medical Collage, Ahmedabad.

2. Resident, Respiratory Medicine Department, SMIMER, Surat

3. Professor and Head, Respiratory Medicine Department, SMIMER, Surat.

Abstract

Background: Asthma is the most common potentially serious medical condition complicating 4-8% of the pregnancies. The goals of effective asthma management in pregnancy are to maintain the best possible asthma control and prevent exacerbations. Objectives: To compare difference in clinical features between pregnant and non-pregnant females having bronchial asthma. To study the treatment given in pregnant and nonpregnant females having bronchial asthma. To compare the treatment outcome between pregnant and non-pregnant females having bronchial asthma. Material and Methods: This Prospective cohort study included 35 pregnant and 35 non-pregnant females(total 70) diagnosed with bronchial asthma attending the OPD and indoor facility of Respiratory Medicine Department in tertiary care center ,over the period of 15 months. Results: Out of 70 females most common symptoms is dyspnea followed by Cough, Rhinitis, Fever and Chest tightness in non-pregnant and pregnant females and there was signicant statistical difference found between two groups(p=0.02). After giving treatment in 1st follow up symptoms were well controlled in 20 (57.14%)pregnant and 29(82.86%) non pregnant female and there was statistical difference between the two groups (p=0.018).After 2nd follow up, symptoms were well controlled in 20(57.15%)pregnant and 31(88.57%) non pregnant there was statistical difference in control of symptoms between the two groups(p=0.010). Conclusion: Management of asthma in pregnancy does not signicantly differ from management in non-pregnant. Inhaled Corticosteroids remain the cornerstone of treatment in both pregnant as well as non-pregnant females.

Publisher

World Wide Journals

Subject

Animal Science and Zoology,Ecology, Evolution, Behavior and Systematics,Health Professions (miscellaneous),Law,Public Health, Environmental and Occupational Health,Nutrition and Dietetics,Applied Microbiology and Biotechnology,Food Animals,Management Science and Operations Research,Strategy and Management,Business and International Management,General Business, Management and Accounting,Management of Technology and Innovation,Strategy and Management,Economics and Econometrics,Business and International Management,Management Science and Operations Research,Safety, Risk, Reliability and Quality,Business and International Management,Industrial and Manufacturing Engineering,Management Science and Operations Research,Economics and Econometrics,General Business, Management and Accounting,Industrial and Manufacturing Engineering,Management Science and Operations Research,Strategy and Management

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