Quality of life and asthma control in pregnant women with asthma

BMC Pulmonary Medicine

Habibollah Esmaily¹  Michael Kundi²  Erika Jensen-Jarolim³  Isabella Maria Pali-Schöll³  Mojtaba Fattahi Abdizadeh⁴  Raheleh Ahmadi⁴  Asghar Kazemzadeh⁴  Roya Akbarzadeh⁵  Nasrin Fazel⁶  Hossain Jabbari⁷ 

[1] Department of Biostatistics and Epidemiology, Neonatal Research Center, Mashhad University of Medical Sciences, Mashad, Iran;Department of Environmental Health, Center for Public Health, Medical University Vienna, Vienna, Austria;Institute for Pathophysiology and Allergy Research, Medical University Vienna, Vienna, Austria;Comparative Medicine, The Interuniversity Messerli Research Institute of the University of Veterinary Medicine Vienna, Medical University Vienna and University of Vienna, Vienna, Austria;Iranian Research Center On Healthy Aging, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran;Iranian Research Center On Healthy Aging, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran;Department of Anesthesia and Operating Room, School of Paramedic, Sabzevar University of Medical Sciences, Sabzevar, Iran;Iranian Research Center On Healthy Aging, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran;Department of Environmental Health, Center for Public Health, Medical University Vienna, Vienna, Austria;Tehran University of Medical Sciences, Tehran, Iran;

关键词: Asthma severity;    Asthma control;    Quality of life;    Pregnancy;   

DOI  :  10.1186/s12890-021-01797-9

来源: Springer

【 摘 要 】

BackgroundAsthma is the most commonly occurring respiratory illness during pregnancy. Associations with complications of pregnancy and adverse perinatal outcome have been established. However, little is known about quality of life (QoL) in pregnant women with asthma and how it relates to asthma control particularly for Iran.ObjectiveTo determine the relationship between asthma related QoL and asthma control and severity.MethodsWe conducted a prospective study in pregnant women with asthma. We used the Asthma Control Questionnaire and the Asthma Quality of Life Questionnaire (AQLQ) and the guidelines of the Global Initiative for Asthma for assessment of asthma severity.ResultsAmong 1603 pregnant women, 34 were diagnosed with asthma. Of these 13 had intermittent, 10 mild, 8 moderate and 3 severe persistent asthma. There was a significant decrease of QoL with poorer asthma control (p = 0.014). This decline could be due to limitations of activity in those with poorer asthma control, which is underlined by the significant decline of QoL with increasing asthma severity (p = 0.024).ConclusionAlthough the majority of pregnant women with asthma had a favorable score in AQLQ, reduced QoL was related to increased asthma severity and poor asthma control. This underlines the importance of controlling asthma during pregnancy not only for the prevention of adverse pregnancy outcomes but also for the preservation of QoL.

【 授权许可】

CC BY