The relationship of asthma-specific quality of life during pregnancy to subsequent asthma and perinatal morbidity

Michael Schatz, Mitchell P. Dombrowski, Robert Wise, Yinglei Lai, Mark Landon, Roger B. Newman, Dwight J. Rouse, Menachem Miodovnik, Mary Jo O'Sullivan, Steve N. Caritis, Kenneth J. Leveno, Ronald J. Wapner, Deborah L. Conway

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Objective. To determine whether asthma-specific quality of life during pregnancy is related to asthma exacerbations and to perinatal outcomes. Methods. This was a secondary analysis of data from a randomized controlled trial of inhaled beclomethasone versus theophylline in the treatment of moderate asthma during pregnancy. The Juniper Asthma Quality of Life Questionnaire (AQLQ) was administered to patients at enrollment. Exacerbations were defined as asthma symptoms requiring a hospitalization, unscheduled medical visit, or oral corticosteroid course. Results. Quality of life assessments were provided by 310 of the 385 participants who completed the study. There was more than a 25% decrease in the odds of a subsequent asthma exacerbation for every 1-point increase in AQLQ score for the overall score (odds ratio OR 0.73, 95% confidence interval CI 0.55-0.96), emotion domain (OR 0.72, 95% CI 0.59-0.88), and symptoms domain (OR 0.73, 95% CI 0.57-0.94). These relationships were not significantly influenced by initial symptom frequency or forced expiratory volume in 1 s (FEV1). No significant relationships were demonstrated between enrollment AQLQ scores and preeclampsia, preterm birth, low birth weight, or small for gestational age. Conclusion. Asthma-specific quality of life in early pregnancy is related to subsequent asthma morbidity during pregnancy but not to perinatal outcomes.

Original languageEnglish (US)
Pages (from-to)46-50
Number of pages5
JournalJournal of Asthma
Volume47
Issue number1
DOIs
StatePublished - Feb 12 2010

Keywords

  • Asthma
  • Exacerbations
  • Perinatal outcomes
  • Pulmonary function
  • Quality of life

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Immunology and Allergy
  • Pediatrics, Perinatology, and Child Health

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    Schatz, M., Dombrowski, M. P., Wise, R., Lai, Y., Landon, M., Newman, R. B., Rouse, D. J., Miodovnik, M., O'Sullivan, M. J., Caritis, S. N., Leveno, K. J., Wapner, R. J., & Conway, D. L. (2010). The relationship of asthma-specific quality of life during pregnancy to subsequent asthma and perinatal morbidity. Journal of Asthma, 47(1), 46-50. https://doi.org/10.3109/02770900903483758