Quality of life and asthma control in pregnant women with asthma

N Fazel, M Kundi, E Jensen-Jarolim… - BMC pulmonary …, 2021 - Springer
BMC pulmonary medicine, 2021Springer
Background Asthma is the most commonly occurring respiratory illness during pregnancy.
Associations with complications of pregnancy and adverse perinatal outcome have been
established. However, little is known about quality of life (QoL) in pregnant women with
asthma and how it relates to asthma control particularly for Iran. Objective To determine the
relationship between asthma related QoL and asthma control and severity. Methods We
conducted a prospective study in pregnant women with asthma. We used the Asthma …
Background
Asthma is the most commonly occurring respiratory illness during pregnancy. Associations with complications of pregnancy and adverse perinatal outcome have been established. However, little is known about quality of life (QoL) in pregnant women with asthma and how it relates to asthma control particularly for Iran.
Objective
To determine the relationship between asthma related QoL and asthma control and severity.
Methods
We conducted a prospective study in pregnant women with asthma. We used the Asthma Control Questionnaire and the Asthma Quality of Life Questionnaire (AQLQ) and the guidelines of the Global Initiative for Asthma for assessment of asthma severity.
Results
Among 1603 pregnant women, 34 were diagnosed with asthma. Of these 13 had intermittent, 10 mild, 8 moderate and 3 severe persistent asthma. There was a significant decrease of QoL with poorer asthma control (p = 0.014). This decline could be due to limitations of activity in those with poorer asthma control, which is underlined by the significant decline of QoL with increasing asthma severity (p = 0.024).
Conclusion
Although the majority of pregnant women with asthma had a favorable score in AQLQ, reduced QoL was related to increased asthma severity and poor asthma control. This underlines the importance of controlling asthma during pregnancy not only for the prevention of adverse pregnancy outcomes but also for the preservation of QoL.
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