National Asthma Education and Prevention Program (NAEPP) listed criteria for asthma control during pregnancy.
Parameters based on previous 2 to 4 weeks:
(1) frequency of daytime asthma symptoms
(2) frequency of being wakened at night with symptoms
(3) degree of interference with normal activities (disability)
(4) use of short-acting beta-adrengeric agents for symptom control
(5) FEV1 or PEFR as percent of predicted (or of best personal predicted value)
(6) number o f exacerbations in past 12 months that have required systemic corticosteroids
Very Poor Control
frequency of asthma symptoms
0 to 2 days per week
3 or more days per week
all or most of the time
0 to 2 nights per month
1 to 3 nights per week
4 or more nights per week
mild to moderate
short acting beta agonist therapy
several times a day
FEV1 or PEFR
60 to 80%
0 or 1 in past year
2 or more in past year
• The interval for exacerbations requiring corticosteroids overlaps with the pre-pregnancy interval.
The level of control is assigned based on the most severe finding.
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