Asma bronquial y embarazo

Autores/as

  • Eduardo Contreras-Zúñiga
  • Fernando Sanabria
  • Sandra Ximena Zuluaga-Martínez
  • Isabel Cristina Casas-Quiroga

DOI:

https://doi.org/10.18597/rcog.453

Palabras clave:

asma, embarazo, broncoespasmo, falla respiratoria

Resumen

El asma está presente en un 4-7% de mujeres embarazadas. El curso del asma durante el embarazo es variable, un tercio permanece estable, otro tercio mejora y el resto empeoran. Las mujeres asmáticas tienen un riesgo aumentado de hipertensión arterial gestacional, preeclampsia, hiperémesis gravídica, placenta previa, hemorragia vaginal y parto inducido y/o complicado.

Objetivo: el objetivo del presente trabajo es revisar la epidemiología, la clasificación clínica, el diagnóstico y el tratamiento del asma en el embarazo.

Materiales y métodos: con las palabras clave antes descritas se buscó información en la bases de datos de PUBMED/Medline, Cochrane, SciELO, al igual que en referencias en artículos de revista y textos principalmente de los últimos cinco años. El resultado de esta búsqueda arrojó 84 referencias de las cuales se tomaron las 39 más relevantes.

Resultados: el buen control del asma en el embarazo evita o disminuye las complicaciones maternas y fetales.

Conclusión: un mejor control de la función pulmonar durante el embarazo está asociado de forma independiente con un aumento del crecimiento fetal.

Biografía del autor/a

Eduardo Contreras-Zúñiga

Medicina interna. Fundación Valle del Lili. Hospital Universitario del Valle. Cali, Colombia.

Fernando Sanabria

Neumólogo. Fundación Valle del Lili. Cali, Colombia.

Sandra Ximena Zuluaga-Martínez

Medicina y cirugía. Angiografía de Occidente S.A. Cali, Colombia.

Isabel Cristina Casas-Quiroga

Fisioterapeuta Unidad de Cuidado Intensivo Pediátrico. Clínica Farallones. Cali, Colombia.

Referencias bibliográficas

Adams BK, Cydulka RK. Asthma evaluation and management. Emerg Med Clin North Am 2003;21:315-30.

Alhoun W. Mild asthma: is it time for a new classification? En: American Asthma Association Initiative Annual Meeting; Denver, USA; 2003.

Hansen WF, Yankowitz J. Pharmacologic therapy for medical disorders during pregnancy. Clin Obstet Gynecol 2002;45:136-52.

Jadad AR, Moher M, Browman GP, Booker l, Sigous C, Fuentes M, et al. Systematic reviews and metaanalysis on treatment of asthma: critical evaluation. BMJ 2000;320:537-40.

Environmental allergen avoidance in allergic asthma. Ad Hoc Group of Environmental Allergens and Asthma from the American Academy of Allergy, Asthma and Inmunology. 2004. Visitado 2006 Jun 28. Disponible en: http://www.aaaai.org/media/resources/academy_statements/position_statements/ps36.asp

Finotto S, Neurath MF, Glickman JN, Qin S, Lehr HA, Green FH, et al. Development of spontaneous airway changes consistent with human asthma in mice lacking T-bet. Science 2002;295:336-8.

Murdock MP. Asthma in pregnancy. J Perinat Neonatal Nurs 2002;15:27-36.

Paris-Kohler A, Megret-Gabeaud ML, Fabre C, Mares P, Vincent D. The allergic pregnant woman. Allerg Immunol (Paris) 2004;33:399-403.

Dombrowski MP. Asthma and pregnancy. Obstet Gynecol 2006;108:667-81.

Dombrowski MP, Schatz M, Wise R, Momirova V, Landon M, Mabie W, et al. Asthma during pregnancy. Obstet Gynecol 2004;103:5-12.

National Asthma Education Program. Report of the working group on asthma and pregnancy: management of asthma during pregnancy. Bethesda, MD: National Heart, Lung, and Blood Institute. National Institutes of Health. NIH Pub No. 93-3279A; 1993.

National Institutes of Health (NIH), National Heart, Lung, and Blood Institute (NHLBI), National Asthma Education and Prevention Program. Expert Panel Report 2. Guidelines for the Diagnosis and Management of Asthma. Clinical Practice Guidelines. NIH Pub No. 97-4051. Bethesda, MD: NIH, July 1997. Visitado 2006 Jun 28. Disponible en: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf.

Rodrigo GJ, Rodrigo C, Hall JB. Acute asthma in adults: a review. Chest 2004;125:1081-102.

Boulet LP, Becker A, Berube D, Beveridge R, Ernst P. Canadian asthma consensus report, 1999. Canadian Asthma Consensus Group. CMAJ 1999;161(11 Suppl):S1-61.

Bracken MB, Triche EW, Belanger K, Saftlas A, Beckett WS, Leaderer BP. Asthma symptoms, severity, and drug therapy: a prospective study of effects on 2205 pregnancies. Obstet Gynecol 2003;102:739-52.

British guideline on the Management of Asthma. Thorax. British Thoracic Society. Scottish Intercollegiate Guidelines Network. Thorax 2003;58 (Suppl 1):1-94.

Powrie RO. Drugs in pregnancy. Respiratory disease. Best Pract Res Clin Obstet Gynaecol 2001;15:913-36.

Lao TT, Huengsburg M. Labour and delivery in mothers with asthma. Eur J Obstet Gynecol Reprod Biol 1990;35:183-90.

Schatz M, Dombrowski MP, Wise R, Momirova V, Landon M, Mabie W, et al. Spirometry is related to perinatal outcomes in pregnant women with asthma. Am J Obstet Gynecol 2006;194:120-6.

Barnes PJ, Chung KF, Page CP. Inflammatory mediators of asthma: an update. Pharmacol Rev 1998;50:515-96.

Bousquet J, Jeffery PK, Busse WW, Johnson M, Vignola AM. Asthma: from bronchoconstriction to airways inflammation and remodelling. Am J Respir Crit Care Med 2000;161:1720-45.

National Institutes of Health, National Heart, Lung, and Blood Institute, National Asthma Education and Prevention Program. Working group report on managing asthma during pregnancy: recommendations for pharmacologic treatment, update 2004. Visitado 2006 Jun 28. Disponible en: http://www.nhlbi.nih.gov/health/prof/lung/asthma/astpreg/astpreg_full.pdf

Barnes PJ. Scientific rationale for inhaled combination therapy with long-acting beta2-agonists and corticosteroids. Eur Respir J 2002;19:182-91.

Cockcroft DW, Murdock KY. Comparative effects of inhaled salbutamol, sodium cromoglycate, and beclomethasone dipropionate on allergen-induced early asthmatic responses, late asthmatic responses, and increased bronchial responsiveness to histamine. J Allergy Clin Immunol 1987;79:734-40.

Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. National Institutes of Health. National Heart, Lung, and Blood Institute. NIH Pub No. 02-3659. Revised 2002.

Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention NHLBI/WHO Workshop Report. 2002. Visitado en 2006 Jun 28. Disponible en: http://www.ginasthma.com

Juergens UR, Degenhardt V, Stober M, Vetter H. New insights in the bronchodilator y and antiinflammatory mechanisms of action of theophylline. Arzneimittelforschung 1999;49:694-8.

Plotnick LH, Ducharme FM. Combined inhaled anticholinergics and Beta 2 agonists for initial treatment of acute asthma (Cochrane review). En: The Cochrane Library, Issue 3, 2002. Oxford, UK: Update Software.

Guía Española para el Manejo del Asma (GEMA). Ediciones Mayo S.A. 2003.

Sears MR. Natural history and epidemiology. En: Fitzgerald JM, Ernst P, Boulet LPh, O’Byrne PM, eds. Evidence-based asthma management. Hamilton (Ont): BC Decker Inc.; 2001.

Ernst P, Spitzer WO, Suissa S, Cockcroft D, Habbick B, Horwitz RI, et al. Risk of fatal and near-fatal asthma in relation to inhaled corticosteroid use. JAMA 1992;268:3462-4

Haahtela T, Jarvinen M, Kava T, Kiviranta K, Koskinen S, Lehtonen K, et al. Comparison of beta 2-agonist, terbutaline, with an inhaled corticosteroid, budesonide, in newly detected asthma. N Engl J Med 1991;325:338-92.

Sorensen TK, Dempsey JC, Xiao R, Frederick IO, Luthy DA, Williams MA. Maternal asthma and risk of preterm delivery. Ann Epidemiol 2003;13:267-72.

Kallen B, Rydhstroem H, Aberg A. Congenital malformations after the use of inhaled budesonide in early pregnancy. Obstet Gynecol 1999;93:392-5.

Lemanske RF Jr, Sorkness CA, Mauger EA, Lazarus SC, Boushey HA, Fahy JV, et al. Inhaled corticosteroid reduction and elimination in patients with persistent asthma receiving salmeterol: a randomized controlled trial. JAMA. 2001;285:2594-603.

Rowe BH, Spooner CH, Ducharme FM, Bretzlaff JA, Bota GW. Corticosteroids for preventing relapse following acute exacerbations of asthma. Cochrane Database Syst Rev 2001;(1):CD000195.

Janson C, Anto J, Burney P, Chinn S, de Marco R, Heinrich J, et al. The European Community Respiratory Health Survey: what are the main results so far? European Community Respiratory Health Survey II. Eur Respir J 2001;18:598-611.

Dombrowski MP, Schatz M, Wise R, Thom EA, Landon M, Mabie W, et al. Randomized trial of inhaled beclomethasone dipropionate versus theophylline for moderate asthma during pregnancy. Am J Obstet Gynecol 2004;190:737-44.

Cómo citar

1.
Contreras-Zúñiga E, Sanabria F, Zuluaga-Martínez SX, Casas-Quiroga IC. Asma bronquial y embarazo. Rev. colomb. obstet. ginecol. [Internet]. 30 de septiembre de 2007 [citado 20 de abril de 2024];58(3):213-21. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/453

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2007-09-30

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