O manejo da asma durante a gravidez e suas consequências para a mãe e o infante

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Ester Araújo Vieira
Maria Luiza Cronemberger de Faria
Fernanda Barbiere Sampaio
Gabriela Veiga de Castro Cabrero
João de Sousa Pinheiro Barbosa

Resumo

Objetivo: Descrever o manejo da asma durante a gravidez e suas consequências para a mãe e o infante.  Métodos: Este estudo é uma revisão integrativa da literatura, com aplicação da estratégia PICO (acrônimo para P: população/pacientes; I:  intervenção; C: comparação/controle; O: desfecho/outcome). A pesquisa será realizada através Descritores em Saúde (DeCS)/Medical Subject  Headings (MeSH): combinado com o operador booleano AND e OR: das palavras chaves  que foram definidas usando os “pregnant”, “asthma” e “treatment”. Nas bases de  dados: Scientific Electronic Library Online (SciELO), PubMed Central®. Resultados: Foi observado que a asma durante a gravidez pode provocar consequências adversas, tanto na mãe, quanto no bebê. Nesse sentido, pode afetar a função cardiaca do bebe, ter agravo nas funções diastolicas, aumento dos indices de pré-eclâmpsia/eclâmpsia, baixo peso ao nascer, anomalias congênitas, aborto espontâneo e trabalho de parto prematuro, além de outros, como os relacionados ao advento da pneumonia. Ademais, em relação às mães, os níveis de depressão pós-partos aumentam, em consoante com a retroalimentação do maior índice de obesidade. Considerações finais: Pode-se considerar que a asma materna tem relação a diversos agravos não apenas na mãe, mas também no infante.

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Como Citar
VieiraE. A., FariaM. L. C. de, SampaioF. B., CabreroG. V. de C., & BarbosaJ. de S. P. (2024). O manejo da asma durante a gravidez e suas consequências para a mãe e o infante. Revista Eletrônica Acervo Médico, 24, e15482. https://doi.org/10.25248/reamed.e15482.2024
Seção
Revisão Bibliográfica

Referências

1. ABDULLAH K, et al. Effect of asthma exacerbation during pregnancy in women with asthma: a population-based cohort study. The European respiratory journal: official journal of the European Society for Clinical Respiratory Physiology; 2020; 55(2): 1901335.

2. BHAUMIK S, et al. The impact of obesity and uncontrolled asthma during pregnancy on metabolic and inflammatory pathways. The J of asthma: official j of the Assoc for the Care of Asthma, 2023; 60(6): 1141-1152.

3. BLAIS L, et al. Risk of postpartum depression among women with asthma. The journal of allergy and clinical immunology in practice, 2019; 7(3): 925-933.e2.

4. BOKERN MP, et al. Factors associated with asthma exacerbations during pregnancy. The journal of allergy and clinical immunology in practice, 2021; 9(12): 4343-4352.e4.

5. COHEN JM, et al. Poorly controlled asthma during pregnancy remains common in the United States. The journal of allergy and clinical immunology in practice, 2019; 7(8): 2627-2680.e10.

6. FAZEL N, et al. Quality of life and asthma control in pregnant women with asthma. BMC pulmonary medicine, 2021; 21(1).

7. HARVEY SM, et al. Maternal asthma, breastfeeding, and respiratory outcomes in the first year of life. Pediatric pulmonology, 2020; 55(7): 1690-1696.

8. IBRAHIM WH, et al. Asthma knowledge, care, and outcome during pregnancy: The QAKCOP study. Chronic respiratory disease, 2019; 16: 147997231876771.

9. ISSA S, et al. Association between the timing of asthma diagnosis and medication use during pregnancy. Pharmacotherapy, 2021; 41(4): 342-349.

10. JENSEN ME, et al. Longitudinal analysis of lung function in pregnant women with and without asthma. The journal of allergy and clinical immunology in practice, 2021; 9(4): 1578-1585.

11. JENSEN ME, et al. Vitamin D status in pregnant women with asthma and its association with adverse respiratory outcomes during infancy. The journal of maternal-fetal & neonatal medicine: the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2019; 32(11): 1820-1825.

12. LALELI KB, et al. Assessment of fetal cardiac functions in pregnant women with asthma. Echocardiography (Mount Kisco, N.Y.), 2023; 40(6): 500-506.

13. LONGO C, et al. Timing of maternal asthma diagnosis in relation to adverse perinatal outcomes. The journal of allergy and clinical immunology in practice, 2020; 8(6): 1938-1946.e4.

14. MCLAUGHLIN K, et al. Are pregnant women with asthma receiving guideline-recommended antenatal asthma management? A survey of pregnant women receiving usual care in Australia. Women and birth: journal of the Australian College of Midwives, 2023; 36(1): 108-116.

15. MURATA T, et al. Association of maternal asthma and total serum immunoglobulin E levels with obstetric complications: The japan environment and children’s study. Maternal and child health j, 2023; 27(7): 1229–1237.

16. MURPHY VE, et al. Exacerbations of asthma following step-up and step-down inhaled corticosteroid and long acting beta agonist therapy in the managing asthma in pregnancy study. The Journal of asthma: official journal of the Association for the Care of Asthma, 2022; 59(2): 362–369.

17. SCHRIEK PS, et al. New onset asthma during pregnancy: two case reports. F1000Research, 2023; 10: 1120.

18. STEVENS DR, et al. Maternal asthma in relation to infant size and body composition. The journal of allergy and clinical immunology. Global, 2023; 2(3): 100122.

19. STEVENS DR, et al. Determining the clinical course of asthma in pregnancy. The journal of allergy and clinical immunology in practice, 2022; 10(3): 793- 802.e10.

20. TAMAYO JM, et al. Maternal allergic asthma induces prenatal neuroinflammation. Brain sciences, 2022; 12(8): 1041.