- Title
- An observational study of the impact of an antenatal asthma management service on asthma control during pregnancy
- Creator
- Grzeskowiak, L. E.; Smith, B.; Roy, A.; Dekker, G. A.; Clifton, V. L.
- Relation
- NHMRC.1041918 http://purl.org/au-research/grants/nhmrc/1041918
- Relation
- European Journal of Obstetrics Gynecology and Reproductive Biology Vol. 197, Issue February 2016, p. 48-53
- Publisher Link
- http://dx.doi.org/10.1016/j.ejogrb.2015.11.038
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2016
- Description
- 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.
- Subject
- asthma management; pregnancy; nurse-led care; respiratory; asthma
- Identifier
- http://hdl.handle.net/1959.13/1343443
- Identifier
- uon:29169
- Identifier
- ISSN:0301-2115
- Language
- eng
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