Asthma, Allergic and Immunologic Diseases During Pregnancy A Guide t
With insight and research from world-renowned experts, this book provides specific approaches to diagnosis and treatment, addressing pharmacologic and non-pharmacologic management. Specific conditions examined include asthma, rhinitis and sinusitis, anaph
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Asthma, Allergic and Immunologic Diseases During Pregnancy
Jennifer A. Namazy • Michael Schatz Editors
Asthma, Allergic and Immunologic Diseases During Pregnancy A Guide to Management
Editors Jennifer A. Namazy Division of Allergy, Asthma and Immunology Scripps Clinic San Diego, CA USA
Michael Schatz Department of Allergy Kaiser Permanente Medical Center San Diego, CA USA
ISBN 978-3-030-03394-1 ISBN 978-3-030-03395-8 (eBook) https://doi.org/10.1007/978-3-030-03395-8 Library of Congress Control Number: 2018966804 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
The management of the pregnant allergic patient presents a challenge to the attending physician. It is a barbed challenge replete with therapeutic pitfalls and dangers strewn all along the way from early pregnancy through childbirth… – Angelo Maietta, MD, FACA, Annals of Allergy 1955
More than 60 years later, this statement is still relevant. The “therapeutic pitfalls” exist because many of the commonly used medications have very little human safety data. The “dangers strewn along the way” today consist of fear of possible adverse outcomes to mother and baby from medications or the disease themselves. This “phobia” of medication use during pregnancy has led many women and clinicians to discontinue much needed medications during pregnancy. And, despite this, over the last three decades, first-trimester use of medications by pregnant patients has increased more than 60% [1]. We hope this book will provide primary care providers and specialists with a common understanding of asthma, allergic, and immunologic diseases during pregnancy. With a general understanding of allerg
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