Asthma in the mother: The following risks for the child



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Careful medical observation against a wide range of possible subsequent diseases
05.08.2013

Researchers from the universities of Basel and Bochum recently published a study in the specialist magazine "Pediatrics" with colleagues from Switzerland, the USA and Denmark. It was about pregnant women suffering from asthma. It was found that the offspring has an increased risk of a wide variety of diseases in the long term. It was based on data from over 66,000 pregnant women. About 8 percent of all women of childbearing age suffer from asthma. The disease often only occurs during pregnancy.

The question arises whether long-term consequences for the child's health can also be expected. A research group led by Marion Tegethoff and Gunther Meinlschmidt at the Faculty of Psychology at the University of Basel investigated this question.

Together with colleagues from the Swiss Tropical and Public Health Institute and the Universities of Los Angeles and Aarhus, the researchers analyzed the data of pregnant women from Denmark and found that children of mothers who had asthma during pregnancy were at higher risk for various people Diseases bore as children of asthma-free mothers. For example for infectious diseases or diseases of the nervous system, ear, respiratory system and skin. This is how the researchers recognize the need for careful medical monitoring of mothers and children when asthma occurs during pregnancy. It is important to keep an eye on the child's health and to further investigate it.

Influences on pregnancy Most negative influences can be reduced on pregnancy. In women with asthma, there is a slightly increased complication rate for preeclampsia, which is hypertension with protein in the urine. Reduced birth weight and premature births can also occur

The normal pregnant woman has an increased respiratory rate during a normal pregnancy. This changes the blood acid levels, what is called alkalosis. Too few "acidic" substances are dissolved in the blood. Other problems are attributed to long-term, high dose cortisone treatment. This includes, for example, an increased number of small children with reduced growth. The cause is said to be reduced growth hormone release and insulin production due to cortisone. A growth retardation is accompanied by an increase in mortality. In addition, this drug is said to slightly increase the rate of premature births.

Therapy during pregnancy Asthma in pregnancy is still the most common lung disease in pregnant women, but it is also the one that can be treated best. If the disease is well controlled with medication, it is not associated with an increased risk for the child and the course of pregnancy. The basis of the therapy should be based on three pillars: the cell stabilizers (chromoglycic acid derivatives), the beta2 mimetics and the cortisones as metered dose aerosols. After a check-up with a doctor, you can find out whether therapy is sensible and recommended. (fr)

Image: Katrin Schindler / pixelio.de

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