How to manage asthma and preeclampsia during pregnancy?

Question

Hello doctor,

I am five months pregnant and have severe asthma, for which I use inhalers daily. Is it safe to continue taking these medications during pregnancy? Recently, I was diagnosed with preeclampsia and high blood pressure. How dangerous is this for me and my baby? What exactly is preeclampsia, and why did I develop it? How can I manage both my asthma and high blood pressure safely? I am scared about potential complications during delivery. What should I expect, and how can we prevent further problems?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I hope you are fine and thank you for reaching us. Yes, most asthma inhalers are considered safe during pregnancy, especially if they help keep your symptoms under control. Uncontrolled asthma can be more dangerous to both you and your baby than the medications. Inhalers like Albuterol (a rescue inhaler) and inhaled corticosteroids such as Budesonide are commonly used during pregnancy and are generally safe. It is important to continue your prescribed treatment and let your doctor know if your symptoms change.

Preeclampsia is a pregnancy-specific condition that usually develops after 20 weeks and is characterized by high blood pressure and protein in the urine. It can also cause swelling, headaches, vision changes, and affect liver and kidney function. It occurs due to issues with the placenta and blood vessels, though the exact cause is not always known. Risk factors include being a first-time mom, having chronic hypertension, obesity, autoimmune conditions, or a history of preeclampsia.

Preeclampsia can be serious if not managed properly. It increases the risk of complications such as preterm birth, restricted fetal growth, placental abruption, and even seizures (eclampsia). However, with close monitoring, medication to control your blood pressure, and proper prenatal care, most women and their babies do well.

Managing both asthma and preeclampsia involves taking your medications as prescribed, attending all prenatal appointments, monitoring your blood pressure at home if advised, and reporting any warning signs such as headaches, visual changes, or abdominal pain. Delivery may be planned early if the condition worsens, but your medical team will aim to keep you and your baby safe for as long as possible.

It is completely understandable to feel scared, but staying informed and working closely with your healthcare team can help you manage these conditions safely and prepare for a healthy delivery.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.