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
|
Parameter |
Well-Controlled |
Not Well-Controlled |
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 |
|
night wakings |
0 to 2 nights per month |
1 to 3 nights per week |
4 or more nights per week |
|
disability |
none |
mild to moderate |
severe |
|
short acting beta agonist therapy |
0 to 2 days per week |
3 or more days per week |
several times a day |
|
FEV1 or PEFR |
> 80% |
60 to 80% |
< 60% |
|
exacerbations |
0 or 1 in past year |
2 or more in past year |
2 or more in past year |
where:
• The interval for exacerbations requiring corticosteroids overlaps with the pre-pregnancy interval.
The level of control is assigned based on the most severe finding.
Specialty: Pulmonology
