Management of allergic diseases in pregnancy
| العنوان: | Management of allergic diseases in pregnancy |
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| المؤلفون: | Agnès Ditisheim, Sarah Bendien, Birgit Pfaller, Thomas Eiwegger |
| المصدر: | Allergy. 77:798-811 |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Pregnancy, Allergy, SARS-CoV-2, business.industry, Immunology, COVID-19, Atopic dermatitis, Disease, medicine.disease, Rhinitis, Allergic, Dermatitis, Atopic, Clinical trial, Food allergy, Pandemic, medicine, Humans, Immunology and Allergy, Female, Intensive care medicine, business, Food Hypersensitivity, Asthma |
| الوصف: | Allergic diseases like asthma, allergic rhinitis, food allergy, hymenoptera allergy, or atopic dermatitis are highly prevalent in women of childbearing age and may affect up to 30% of this age group. This review focuses on the management of allergic diseases during pregnancy. Furthermore, we discuss the challenges of counseling women with allergic diseases in the reproductive age, including considerations relevant to the ongoing SARS-CoV-2 pandemic. To create the optimal milieu for the unborn child, a multitude of immunological changes occur during pregnancy which may favor type 2 responses and aggravate disease phenotypes. In co-occurrence with suboptimal preconception disease control, this elevated Th2 responses may aggravate allergic disease manifestations during pregnancy and pose a risk for mother and child. Due to limitations in conducting clinical trials in pregnant women, safety data on anti-allergic drugs during pregnancy are limited. The lack of information and concerns among pregnant patients demands counseling on the benefits of anti-allergic drugs and the potential and known risks. This includes information on the risk for mother and child of disease aggravation in the absence of treatment. By doing so, informed decisions and shared decision-making can take place. |
| تدمد: | 1398-9995 0105-4538 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::34c63df399954ee8c66d33e0b57e723e https://doi.org/10.1111/all.15063 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....34c63df399954ee8c66d33e0b57e723e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13989995 01054538 |
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