An observational study of the impact of an antenatal asthma management service on asthma control during pregnancy

Grzeskowiak, L. E., Smith, B., Roy, A., Dekker, G. A. and Clifton, V. L. (2016) An observational study of the impact of an antenatal asthma management service on asthma control during pregnancy. European Journal of Obstetrics Gynecology and Reproductive Biology, 197 48-53. doi:10.1016/j.ejogrb.2015.11.038


Author Grzeskowiak, L. E.
Smith, B.
Roy, A.
Dekker, G. A.
Clifton, V. L.
Title An observational study of the impact of an antenatal asthma management service on asthma control during pregnancy
Journal name European Journal of Obstetrics Gynecology and Reproductive Biology   Check publisher's open access policy
ISSN 1872-7654
0301-2115
Publication date 2016-02-01
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.ejogrb.2015.11.038
Open Access Status Not Open Access
Volume 197
Start page 48
End page 53
Total pages 6
Place of publication Shannon, Clare Ireland
Publisher Elsevier Ireland
Collection year 2016
Language eng
Formatted abstract
Objective

We sought to investigate the impact of introducing an antenatal asthma management service (AMS) on asthma control during pregnancy and subsequent perinatal outcomes.

Study design

Prospective, observational cohort study of pregnant asthmatic women attending a tertiary hospital antenatal clinic. Asthmatic women were recruited from the antenatal clinic and were followed prospectively with visits at 12, 20, 28 and 36 weeks gestation. A new nurse-led AMS was introduced offering asthma self-management education and support. Outcomes were compared between women recruited before and after the AMS was introduced (n = 89 and 80, respectively) and included; prevalence of exacerbations during pregnancy, asthma control throughout pregnancy and perinatal outcomes, including preterm birth and small-for-gestational-age (SGA).

Results

The relative risk for exacerbations (0.69; CI: 0.33–1.42), loss of control (0.67; CI 0.46–0.99) and persistent uncontrolled asthma (0.48; CI 0.26–0.9) were all reduced with attendance to AMS during pregnancy. AMS was associated with non-statistically significant reductions in asthma exacerbations (19.1–15.0%; p = 0.480) and uncontrolled asthma at ≥2 study visits (21.3–11.3%; p = 0.078).

Conclusions

These findings demonstrate the potential impact of an AMS in improving asthma control during pregnancy, supporting the need for an adequately powered RCT to determine its clinical- and cost-effectiveness.
Keyword Asthma
Pregnancy
Nurse-led care
Respiratory
Asthma management
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
Official 2016 Collection
 
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