Trends in asthma self-management skills and inhaled corticosteroid use during pregnancy and postpartum from 2004 to 2017
Effective disease management is important in the care of pregnant, asthmatic patients to reduce the number of asthma exacerbations and use of oral corticosteroids. The researchers compared the self-management skills and inhaled corticosteroid (ICS) non-adherence rates in three cohorts of asthmatic pregnant women between 2004 and 2017. They also explored the number of educational sessions required to achieve maximum improvement in these skills. Researchers compared data from three prospective studies in pregnant women with asthma: 2004 (2004–2006), 2007 (2007–2009) and 2013 (2013–2017). They compared medication use, adherence, knowledge and inhaler technique between each cohort, and explored the effects of patient education on self-management skills.
Results demonstrated that self-management skills in these participants did not improve between 2004 and 2017, with 41%, 29% and 38% of the 2004, 2007 and 2013 cohorts using ICS therapy, respectively. Medication knowledge increased significantly after two sessions for controller medication and three sessions for reliever medication, and correct inhaler technique was achieved and ICS adherence was improved after just one session.
Researchers concluded that high prevalence of non-adherence and poor self-management existed in all cohorts; however, such factors can be improved after education.