Review and appraisal of guidelines for the management of asthma during pregnancy

Women and Birth : Journal of the Australian College of Midwives
Karen McLaughlinVanessa E Murphy

Abstract

Asthma affects 12.7% of pregnancies in Australia. Poorly controlled asthma is associated with increased maternal and infant morbidity and mortality. Optimal antenatal management of asthma during pregnancy has the potential to reduce complications relating to asthma. Evidence-based clinical practice guidelines help to translate health research findings into practice and when implemented can improve health outcomes. National and International guidelines currently provide recommendations for optimal asthma care in pregnancy. To appraise the existing asthma in pregnancy guidelines with respect to their evidence for recommendations, consistency of recommendations and appropriateness for clinical practice. The Appraisal of Guidelines for Research and Evaluation (AGREE II) tool was used to appraise four English language asthma in pregnancy guidelines, published or updated between 2007 and 2016. The recommendations, range and level of evidence was analysed. Two of the four guidelines scored highly in most domains of the appraisal. Many of the recommendations made in the appraised guidelines were consistent. Due to the lack of randomised controlled trials involving pregnant women with asthma, most recommendations were evidenced by conse...Continue Reading

Citations

Sep 30, 2020·Expert Opinion on Pharmacotherapy·Ruth P Cusack, Gail M Gauvreau
Nov 9, 2019·The European Respiratory Journal·Peter G MiddletonVibeke Backer
Jan 31, 2020·Frontiers in Pharmacology·Sílvia M IllamolaElena Y Enioutina
Nov 8, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Vanessa E MurphyPeter G Gibson

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