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Pregnancy and its Effects on Asthma & Allergies

Pregnancy and its Effects on Asthma & Allergies

Pregnancy and its associated changes may affect either your asthma or rhinitis, or both. Should you become pregnant please notify your OAAC physician as soon as possible. This will allow us to work closely with the physician providing your obstetrical care. A team approach to the assessment and care of the pregnant allergic patient will result in the best care for your condition.

Remember, the final decisions on your medications and treatments are always made by the physician providing the obstetrical care. However, your OAAC physician should follow your asthma closely during the pregnancy. We can provide advice about continuation or discontinuation of treatments you are already on for your allergy/asthma prior to the pregnancy.

Allergy Immunotherapy (Shots)

There is no reason to discontinue immunotherapy during pregnancy. It does not pose a risk to the development of your baby. However, we do not want to present an increased risk for systemic reaction during the pregnancy.

Therefore all immunotherapy during a pregnancy must be at a stable or maintenance dose. We do not build or increase the dose of your shots during pregnancy. If you are on build-up of your immunotherapy and you become pregnant, contact your OAAC provider immediately to discuss how to proceed. If you are on your maintenance dose and are having symptoms from the injections or other concerns, contact your OAAC provider.

Rhinitis (Nasal Symptoms)

Your nasal allergy symptoms may improve (15%), worsen (34%) or stay unchanged (46%) during your pregnancy. Some patients develop unrelated non-allergic nasal congestion (rhinitis of pregnancy) during the second half of their pregnancy. If you are having problems please contact your OAAC physician. Some medications are considered safer than others during pregnancy. Non-medical approaches like saline nasal rinses and external nasal dilator strips are very safe.

Asthma

Asthma symptoms during pregnancy appear to worsen, improve or remain unchanged in roughly equal proportions (1/3, 1/3, 1/3). This means that some patients with even very mild asthma may develop more severe symptoms when pregnant. The period of greatest increased incidents of increased symptoms is the third trimester (2436 weeks).

Since the well-being of the baby depends on the severity of the asthma in the mother, close monitoring is necessary. We want to work with your obstetrical physician to maintain your asthma control with the least amount of medications possible. However, because uncontrolled asthma presents the greatest risk to the baby (versus drug side effects) it is imperative not to discontinue or change your asthma medications without the consultation of your OAAC physician. Inhaled steroids for example are considered safe and effective in pregnancy.

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Back to School with Asthma and Allergies

Back to School

Where did the summer go? It’s almost back to school time for thousands of Oklahoma children. Is your family ready? Are your children starting a new school? Was your child recently diagnosed with an allergy, a food allergy and/or asthma? OAAC will help you be prepared for back to school!

First, if you need birth certificates, they can be ordered online oklahoma.gov/health/services/birth-and-death-certificates.html or by calling 877-817-7364. The cost is $15. Additional copies $15. There is an online/phone convenience fee of $5.

Need immunization records? You can access them online through the Oklahoma Immunization Information System Portal - shotrecords.health.ok.gov

Children with Asthma
Talk to your OAAC provider especially if your child’s asthma is not in control. Update or complete an Asthma Action plan to use at home and at school. You can download a plan from the OAAC website oklahomaallergy.com/wp-content/uploads/521-ASTHMA-ACTION-PLAN.pdf Update any medication orders. If your child is going to a new school, make an appointment to have a conversation with the school staff. Review when your child should take his/her asthma medications. Ensure your child or teen is using daily controller medications on schedule and quick-relief medication as needed.

Visit with the school’s nurse or school administrator about your child’s asthma. Take the medication, forms and supplies to school before or by the first day. For those with children who use a nebulizer, check with the school to see if you need to provide tubing and a face mask and/or the nebulizer itself.

Develop a healthy schedule which includes eating regular, nutritious meals and a set sleep routine.

Check with your child at the end of school day to see if he/she experienced any issues maintaining their asthma at school.

Children with exercise-induced bronchoconstriction may complain about participating in physical activities. However, it is very important for children to stay active, so work with school staff to develop strategies to keep your child symptom-free while exercising. These may include:
•    Using a short-acting inhaler 15 minutes prior to exercise
•    Drinking plenty of water before, during and after exercise
•    Choosing sports that are less likely to trigger symptoms.

Allergies at School

Depending on your child’s allergic condition, you may want to:
•    Tour the school to identify potential allergy triggers
•    Talk with your child’s teacher(s) and other relevant school personnel (such as sports coaches) about your child’s condition and treatment plan
•    If your child is at risk for life-threatening reactions, such as those to food or insect stings, complete an Anaphlyaxis Action Plan and show school staff how to administer autoinjectable epinephrine.

In the Classroom
There are many potential allergy and asthma triggers in schools. It is very important that your child’s allergies have been accurately diagnosed in order to determine what allergens to avoid. If your child has not been tested, make an appointment with the OAAC for testing.

Common asthma and allergy triggers in the classroom include:
•    Dust mites
•    Mold
•    Chalk dust
•    Animal dander

At Recess, Gym Class and After-School Sports
Recess may be the favorite time of the school day for many children, but for those with allergies or asthma, it can be a minefield of potential triggers.

If your child has allergic rhinitis (hay fever), you can view the daily pollen and mold counts (Monday-Friday) on the OAAC website and on social media. When levels are very high, plan accordingly if your child takes medication to control symptoms. When indoors, ask staff to keep windows closed to keep pollen out.

Insect bites can cause severe reactions in children with stinging insect allergy. Explain the symptoms to school staff and make sure your child always carries auto injectable epinephrine in case of an emergency.

Working as a team with your OAAC provider, your school staff and your family, back to school can be an easy transition with proper preplanning.

The post Back to School with Asthma and Allergies appeared first on Oklahoma Allergy and Asthma Clinic.

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