Asthma During Pregnancy

A guide to breathing well for you and your baby

What Is Asthma?

🫁

Asthma is a condition where airways (breathing tubes) become narrow and swollen.

This makes it harder to breathe and can cause coughing, wheezing, or chest tightness.

You're Not Alone

1 in 12

About 8% of pregnant women have asthma.

It's one of the most common medical conditions during pregnancy.

How Pregnancy Affects Your Asthma

📊

33% Better

Some women notice improvement

➡️

33% Same

No change in symptoms

📈

33% Worse

More symptoms during pregnancy

We can't predict which group you'll be in, so we monitor everyone closely.

Why Asthma Control Matters

Well-controlled asthma: Pregnancy outcomes are similar to women without asthma.

Uncontrolled asthma: May be associated with higher risk of preterm birth or low birth weight.

Good news: Control is achievable with safe medications and monitoring.

Your Baby Needs Oxygen

💨➡️👶

When you breathe well, your baby gets enough oxygen to grow.

When asthma is uncontrolled, less oxygen reaches your baby.

Keeping your asthma controlled protects your baby.

Are Asthma Medications Safe?

Yes. Most asthma medications are safe during pregnancy.

The risk of uncontrolled asthma is greater than the risk from medications.

Don't stop your medications without talking to your doctor first.

Common Asthma Medications

Type Purpose Safe in Pregnancy?
Rescue inhalers
(albuterol)
Quick relief during symptoms ✓ Safe
Controller inhalers
(inhaled steroids)
Prevent symptoms daily ✓ Safe
Other medications Additional control if needed ✓ Most are safe

What Happens Next?

Regular Monitoring

Asthma Through Pregnancy

1st

First Trimester

Review medications, establish baseline

2nd

Second Trimester

Monitor symptoms, adjust as needed

3rd

Third Trimester

Peak monitoring, plan for labor

PP

After Birth

Asthma usually returns to pre-pregnancy state

What Can You Do?

💊

Take Your Medications

Use controller inhalers daily, even when feeling well

🚫

Avoid Triggers

Smoke, dust, pets, cold air, infections

🩺

Track Symptoms

Note when you use rescue inhaler or have symptoms

💬

Communicate

Tell us if symptoms worsen or change

When to Call Your Doctor

Call right away if you have:

  • Rescue inhaler needed more than twice per week
  • Waking up at night with asthma symptoms
  • Asthma limits daily activities
  • Peak flow readings dropping (if you use a meter)

Emergency Warning Signs

🚨

Call 911 or go to the ER if:

  • Severe trouble breathing or talking
  • Lips or fingernails turning blue
  • Rescue inhaler doesn't help within minutes
  • Feeling confused or very drowsy

What About Labor and Delivery?

Most women with asthma have normal vaginal deliveries.

Breastfeeding With Asthma

🤱

You can safely breastfeed while taking asthma medications.

Most asthma medications pass into breast milk in very small amounts.

The benefits of breastfeeding outweigh any minimal risks.

We're Partners in Your Care

🫁

Your Asthma Doctor

Manages medications and lung function

👶

Your OB Team

Monitors pregnancy and baby's growth

💪

You

Take medications, track symptoms, communicate

Key Takeaways

You Can Do This

Thousands of women with asthma have healthy pregnancies every year.

With good control and teamwork, you and your baby will thrive.

We're here to support you every step of the way.

Questions?

💬

We're here to answer any questions you have about asthma and pregnancy.

Don't hesitate to reach out between visits if concerns come up.