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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.

Recent News

Winter Allergies Making Us Miserable
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Winter Allergies Making Us Miserable

If you recently moved to Oklahoma thinking you would be safe from winter allergies, think again. Certain trees have an aggressive blooming season in the winter months. Cedar pollen can cause a myriad of symptoms including headache, conjestion, losing voice, sinus pressure, itchy eyes, post nasal drip, earaches, sore throat, and increased asthma symptoms.
OAAC’s Board-Certified Allergist Dr. Laura Chong says cedar pollen kicks in especially during the December, January and February months.
“It’s kind of an unusual allergen because most people think spring when tree pollen is wafting through the air,” she said. “Cedar pollen pollinates in the winter months catching many people by surprise.”
“Try to stay inside especially during windy days and make sure the pollen is washed off your body before you go to bed,” said Dr. Chong. “Treatments can vary for each person. Typically the first line of defense is to try over the counter antihistamines or discuss with your physician about prescription options.”
If, however, you are still struggling and miserable, it may be time to be allergy tested and a course of action of immunotherapy (allergy shots) may be in order to help build resistance to the allergen.
Ways to Reduce Your Exposure to Cedar Pollen
Dr. Chong suggests a proactive approach in dealing with cedar pollen allergies.
Install a premium, high efficiency particulate air (HEPA) filter to remove bacteria, mold and other allergens and to improve indoor air quality.
Vacuum daily and preferably with a HEPA-filter vacuum cleaner.
White vinegar is your friend (plus very cost effective). Spray air filters, vents and air returns with white vinegar. Wipe with a clean cloth periodically to remove pollen and other allergens.
On these warm Oklahoma winter days; it is tempting to open the windows for fresh air to be let inside your home. Dr. Chong recommends closing windows and doors to keep the pollen out and to drive with your car with its windows up.
Wipe down surfaces that collect pollen such as your furniture and other areas with a clean cloth and don’t forget your pets!
“Give your pets a quick wipe down to remove pollen when coming indoors,” said Dr. Chong.
After spending time outdoors in the pollen, Dr. Chong says after showering, changing clothes to remove any remaining residue will be helpful. She adds to not line-dry clothes outside when pollen counts are high.
“Check the OAAC website and social media for the daily pollen reports,” Dr. Chong said.
Website: Oklahomaallergy.com, Facebook: https://www.facebook.com/oklahomaallergyasthmaclinic/
For more information about cedar allergy, talk to your OAAC allergist.

The post Winter Allergies Making Us Miserable appeared first on Oklahoma Allergy and Asthma Clinic.

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