Labor and delivery with asthma

Timing of delivery for an asthmatic woman

Asthma is not in itself an indication to induce labor. If intervention becomes necessary, it will be for the usual obstetric reasons.

Potential problems in labor for an asthmatic woman

If labor is being induced, prostaglandins may be used, provided the doctor ensures it is not Prostaglandin F, which causes broncho-constriction and therefore could provoke an asthmatic attack. Prostaglandin E, which is perfectly safe, is the type in widespread use for induction.

Labor itself has no direct bearing on asthma and oxytocin to augment labor may be used without fear. It is safe.

Ergometrine is a drug usually administered to facilitate delivery of the placenta and minimize bleeding after delivery. Ergometrine is not used in asthmatics. This is because it has the potential of provoking an attack. Oxytocin is normally an adequate substitute.

Asthma after delivery

There is no increase in the risk of an attack following delivery but preventative treatment (if the woman has been on these) should be maintained. The usual advice regarding physical activity in this period applies equally to asthmatics as to any woman who has just given birth. This is discussed fully in the section "Sport and exercise in pregnancy".

Breast-feeding and asthma medication

An asthmatic that is on standard medication of any kind should not worry with regard to breast-feeding. This is perfectly safe.

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