The effectiveness of non-pharmacological healthcare interventions for asthma management during pregnancy: a systematic review

BMC Pulmonary Medicine

Johnson George²  Michael J Abramson¹  Kay Stewart²  Elida Zairina² 

[1]Department of Allergy, Immunology and Respiratory Medicine, The Alfred Hospital, Melbourne, VIC, Australia

[2]Centre for Medicine Use and Safety, Monash University, Parkville, VIC, Australia

关键词: Pregnancy;    Management;    Interventions;    Non-pharmacological;    Asthma;   

Others  :  866439
DOI  :  10.1186/1471-2466-14-46

 received in 2013-12-12, accepted in 2014-03-07,  发布年份 2014

【 摘 要 】

Background

While reviews have been published on asthma management in pregnant women, none has examined the effectiveness of non-pharmacological healthcare interventions for optimizing asthma management in pregnant women. This systematic review aims to identify non-pharmacological healthcare interventions for optimizing asthma management during pregnancy and to examine their effects on maternal asthma control and neonatal outcomes.

Methods

The Cochrane Central Register of Controlled Trials (CENTRAL, Cochrane Library), MEDLINE, EMBASE, PsycINFO, CINAHL Plus and International Pharmaceutical Abstracts (IPA) were searched. Two reviewers independently assessed the identified studies against the eligibility criteria and extracted relevant information. The effects of the intervention were assessed qualitatively.

Results

Nine studies were identified, of which six were rejected according to the exclusion criteria. The three studies included in the final review described an education program, progressive muscle relaxation (PMR) and Fraction of exhaled Nitric Oxide (FeNO) guided management of asthma in pregnant women. The PMR and FeNO-guided interventions showed significant improvements in maternal asthma control (lung function and quality of life) and neonatal outcomes (birth weight).

Conclusions

Further evidence from well-designed studies evaluating non-pharmacological healthcare interventions for optimizing asthma management in pregnant women is required.

【 授权许可】

   
2014 Zairina et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 5.

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