Dr. Chapa’s OBGYN Clinical Pearls

Asthma in Pregnancy: the GINA Recs


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ACOG’s last practice bulletin on asthma in pregnancy (ACOG PB 90) was back in February 2008. Yep, 2008. Sooo… No advances since then? There’s been big shifts in the management of asthma, of course. That’s why we’re doing this podcast- things move so fast, and it’s often hard for guidelines to keep pace at times. That’s why we’re here. And that’s why it’s important to always stay ahead of the data. are you aware of the new recommendations from the GINA? It has changed the way we view Short Acting B Agonist therapy (SABA) as solo medication. And what about antepartum fetal surveillance? Is that indicated in moderate to severe asthma? Maternal asthma is not listed on the “indications for outpatient fetal surveillance“ from the ACOG‘s 2021 Committee Opinion. Should it be there? Can biologics be used? We’ve got lots to cover in this episode. So take a deep breath in and out… and listen in.
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