Asma e gravidez: repercussões no recém-nascido

Almeida, Maria Luíza Dória; Santana, Priscila Andrade; Guimarães, Alzira Maria D'avila Nery; Gurgel, Ricardo Queiróz; Vianna, Elcio Oliveira

doi:10.1590/s1806-37132010000300005

Cited by 12 publications

(5 citation statements)

References 23 publications

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“…The prevalence of asthma in women of childbearing age ranges from 0.4 to 12.4% [ 2 – 4 ], and it is estimated that between 4 and 8% of all pregnant women in the US suffer from this disease [ 5 ]. There are about 315 million people estimated to be suffering from asthma worldwide [ 6 ]. Moreover, the frequency of asthma in pregnancy (AP) is expected to increase in the coming decades [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Prospective cohort study of pregnancy complications and birth outcomes in women with asthma

Fazel

Kundi

Jensen‐Jarolim

et al. 2018

Arch Gynecol Obstet

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BackgroundAsthma is the most common potentially serious medical complication in pregnancy. The purpose of this study was to determine the association between maternal asthma and a spectrum of adverse neonatal and maternal outcomes.MethodsEvents during pregnancy and birth outcome were evaluated in 34 asthmatic as well as 1569 non-asthmatic pregnant women who were enrolled in a prospective cohort study undertaken at the antenatal clinics of Mobini Hospital in Iran. The women were interviewed and classified according to clinical severity and asthma control as per GINA guidelines. Information on asthma symptoms was collected by a questionnaire as well as by spirometry and physical examination. All subjects were followed until delivery, and postpartum charts were reviewed to assess neonatal and maternal outcomes. Eosinophil cells counts were obtained and total IgE was measured by ELISA. Results were assessed by multivariate logistic regression adjusting for maternal age and parity, and for birth outcomes, for gestational diabetes, and hypertension/pre-eclampsia.ResultsThe well-known relationship between family history of asthma and asthma in pregnancy was again supported (p < 0.001). Women with asthma had more bleeding events 3 weeks or more before delivery (OR 3.30, 95% CI 1.41–7.26), more often placenta problems (OR 6.86, 95% CI 1.42–33.02), and gestational diabetes mellitus (OR 3.82, 95% CI 1.06–13.75). No significant differences between asthmatic and non-asthmatic mothers regarding duration of gestation, birthweight, low Apgar scores, or neonatal respiratory difficulties were found. Total IgE antibody levels and eosinophil counts did not differ by asthma control and severity.ConclusionsAsthma in pregnancy poses some risk for pregnancy complications and adverse perinatal outcomes. Managing asthma effectively throughout pregnancy could benefit women and their babies and help to reduce the health burden associated with asthma during pregnancy.

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Section: Introductionmentioning

confidence: 99%

Prospective cohort study of pregnancy complications and birth outcomes in women with asthma

Fazel

Kundi

Jensen‐Jarolim

et al. 2018

Arch Gynecol Obstet

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“…Inter-rater agreement for inclusion and quality assessment was excellent (κ = 0.96 and κ = 0.93, respectively). Data from published studies on the prevalence of alcohol consumption during pregnancy were available from 5 of the 33 countries in LAC (Brazil, n = 17 (30–46); Chile, n = 2 (47, 48); Guatemala, n = 1 (49); Mexico, n = 3 (50–52); and Uruguay, n = 1 (53); there were no studies of the Caribbean).…”

Section: Resultsmentioning

confidence: 99%

Actual and predicted prevalence of alcohol consumption during pregnancy in Latin America and the Caribbean: systematic literature review and meta-analysis

Lange

Probst

Heer³

et al. 2017

Revista Panamericana De Salud Pública

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ObjectiveTo estimate the prevalence of alcohol consumption during pregnancy among the general population of Latin America and the Caribbean, by country, in 2012.MethodsThree steps were taken: a comprehensive, systematic literature search; meta-analyses, assuming a random-effects model for countries with published studies; and regression modelling (data prediction) for countries with either no published studies or too few to obtain an estimate.ResultsBased on 24 existing studies, the pooled prevalence of alcohol consumption during pregnancy among the general population was estimated for Brazil (15.2%; 95% confidence interval [95%CI]: 10.4%–20.8%) and Mexico (1.2%; 95%CI: 0.0%–2.7%). The prevalence of alcohol consumption during pregnancy among the general population was predicted for 31 countries and ranged from 4.8% (95%CI: 4.2%–5.4%) in Cuba to 23.3% (95%CI: 20.1%–26.5%) in Grenada.ConclusionsGreater prevention efforts and measures are needed in the countries of Latin America and the Caribbean to prevent pregnant women from consuming alcohol during pregnancy and decrease the rates of Fetal Alcohol Spectrum Disorder. Additional high quality studies on the prevalence of alcohol consumption during pregnancy in Latin America and the Caribbean are also needed.

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“…Borges et al69 develope and validated an asthma knowledge questionnaire for use in adult asthma patients in Brazil. Almeida et al70 endeavored to describe socio-economic and behavioral aspects of pregnant women with asthma and to analyzed the effects of maternal asthma on certain perinatal parameters in a birth cohort. They found that socioeconomic level appears to be a risk factor for asthma.…”

Section: Introductionmentioning

confidence: 99%

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Patel¹,

Caramelli²,

Gomes³

2011

Clinics

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Recent original scientific contributions published in selected Brazilian periodicals and classifiable under cardiovascular and pulmonary subject categories cover a wide range of sub specialties, both clinical and exprimental. Because they appear in journals with only recently enhanced visibility, we have decided to highlight a number of specific items appeared in four Brazilian journals, because we understand that this is an important subsidy to keep our readership adequately informed. These papers cover extensive sub-areas in both fields.

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Asma e gravidez: repercussões no recém-nascido

Cited by 12 publications

References 23 publications

Prospective cohort study of pregnancy complications and birth outcomes in women with asthma

Prospective cohort study of pregnancy complications and birth outcomes in women with asthma

Actual and predicted prevalence of alcohol consumption during pregnancy in Latin America and the Caribbean: systematic literature review and meta-analysis

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

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