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Previous Volume 360:1862-1869 April 30, 2009 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 23-year-old nonsmoking woman (gravida 1, para 0) presents at 11 weeks' gestation with an 8-year history of asthma, which has worsened over the past year. She reports asthma symptoms requiring albuterol two or three times per day and interfering with sleep two or three nights per week. A corticosteroid inhaler was prescribed before pregnancy, but she has been afraid to use . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Diagnosis and Evaluation

Management of Asthma

Asthma Exacerbations

Obstetrical Care

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Allergy, Kaiser Permanente Medical Center, San Diego, CA (M.S.); and the Department of Obstetrics and Gynecology, St. John Hospital, and Wayne State University Medical Center (M.P.D.) — both in Detroit.

An audio version of this article is available at NEJM.org.

Address reprint requests to Dr. Schatz at the Department of Allergy, Kaiser Permanente Medical Center, 7060 Clairemont Mesa Blvd., San Diego, CA 92111, or at michael.x.schatz@kp.org.

Related Letters:

Asthma in Pregnancy
Schembri S., Schatz M., Dombrowski M. P.
Extract | Full Text | PDF  
N Engl J Med 2009; 361:535-536, Jul 30, 2009. Correspondence

This article has been cited by other articles:

• Schembri, S., Schatz, M., Dombrowski, M. P. (2009). Asthma in Pregnancy. NEJM 361: 535-536 [Full Text]