ArticleBMC family practice2011
Management of asthma in pregnant women by general practitioners: a cross sectional survey.
Article in BMC family practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Women's experiences of personalised support for asthma care during pregnancy: A systematic review of the literature.BMC pregnancy and childbirth · 2017Pooled it
- Interventions for managing asthma in pregnancy.The Cochrane database of systematic reviews · 2014Pooled it
- The effectiveness of non-pharmacological healthcare interventions for asthma management during pregnancy: a systematic review.BMC pulmonary medicine · 2014Pooled it
- A randomized controlled trial to assess the clinical and cost effectiveness of a nurse-led Antenatal Asthma Management Service in South Australia (AAMS study).BMC pregnancy and childbirth · 2014Trial
- Multidisciplinary approach to management of maternal asthma (MAMMA [copyright]): the PROTOCOL for a randomized controlled trial.BMC public health · 2012Trial
- Pregnancy, asthma and exacerbations: a population-based cohort.The European respiratory journal · 2025Article
- Treatable Traits in Pregnant Women with Asthma.Respiration; international review of thoracic diseases · 2024Review
- Integrating maternal, newborn, child health and non-communicable disease care in the sustainable development goal era.Frontiers in public health · 2023Article
- Article
- Managing asthma in pregnancy.Breathe (Sheffield, England) · 2015Review
- Is it safe to use inhaled corticosteroids in pregnancy?Canadian family physician Medecin de famille canadien · 2014Article
- Systemic effects of inhaled corticosteroids: an overview.The open respiratory medicine journal · 2014Article
- Investigating Women's Experiences of Asthma Care in Pregnancy: A Qualitative Study.The open nursing journal · 2014Article
- Asthma in pregnancy: a review.Obstetric medicine · 2013Review
- Safety of bronchodilators and corticosteroids for asthma during pregnancy: what we know and what we need to do better.Journal of asthma and allergy · 2013Review
- Asthma knowledge, care, and outcome during pregnancy: The QAKCOP study.Chronic respiratory diseaseArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoorly controlled asthma can lead to maternal and fetal complications. Despite the known risks of poorly controlled asthma during pregnancy and the need for stepping up therapy when appropriate, there are concerns that management is suboptimal in primary care.Our objective was to investigate the management of asthma during pregnancy by general practitioners providing shared maternity care.
methodsA pre-piloted, anonymous mail survey was sent to all general practitioners (n = 842) involved in shared maternity care at six maternity hospitals in Victoria, Australia. Respondents were asked about their perceived safety of individual asthma medications during pregnancy. Approach to asthma management during pregnancy was further explored using scenarios of pregnant women with stable and deteriorating asthma and poor medication adherence.
resultsInhaled corticosteroids (ICS) were perceived to be the safest and were the preferred preventive medication in first trimester (74.1%), whilst leukotriene receptor antagonists were the least preferred (2.9%). A quarter (25.8%) of respondents would stop or decrease patients' ICS doses during pregnancy, even when their asthma was well controlled by current therapy. In addition, 12.1% of respondents were not sure how to manage deteriorating asthma during pregnancy and opted to refer to another health professional. Almost half the respondents (48.9%) reported encountering medication nonadherence during pregnancy.
conclusionA lack of confidence and/or knowledge among general practitioners in managing deteriorating asthma in pregnancy was observed despite a good understanding of the safety of asthma medications during pregnancy, compliance with evidence-based guidelines in the selection of preventive medications, and self reported good asthma knowledge.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.