Finding out you’re pregnant is exciting, but if you have asthma, that joy might be mixed with a little anxiety. You might wonder how your condition will affect your baby or if your medications are safe. The great news is that with the right care, the vast majority of women with asthma during pregnancy can have a healthy pregnancy and a healthy baby.
The key is proactive management. Ignoring your asthma is far riskier than treating it. This guide will walk you through the potential risks of asthma during pregnancy, explain which medications are considered safe, and provide practical tips for keeping your symptoms under control.
How Does Pregnancy Affect Asthma?
Pregnancy affects every woman differently, and the same is true for its impact on asthma. Doctors often refer to the “rule of thirds”:
- One-third of women find their asthma symptoms improve.
- One-third of women see no change in their symptoms.
- One-third of women find their asthma symptoms get worse, particularly in the later stages of pregnancy.
Because it’s impossible to predict how your body will respond, managing asthma during pregnancy with your doctor is essential from your very first appointment.
Risks of Uncontrolled Asthma During Pregnancy
The biggest danger to your baby is not your asthma medication, but uncontrolled asthma. When you can’t breathe well, your baby isn’t getting enough oxygen. This can lead to serious complications.
The potential risks of asthma during pregnancy when it’s not well-managed include:
- For the Mother:
- Preeclampsia (a serious condition involving high blood pressure)
- Morning sickness that is more severe or lasts longer
- Complications during labor and delivery
- For the Baby:
- Premature birth
- Low birth weight
- Poor growth in the womb
- In rare cases, stillbirth
These risks sound scary, but they are largely preventable with proper treatment.
Is My Asthma Medication Safe During Pregnancy?
This is one of the most common questions from expectant mothers. The overwhelming consensus among medical experts is YES, it is much safer to take your prescribed asthma medication during pregnancy than it is to risk an asthma attack.
Generally Considered Safe Medications:
- Controller Inhalers (Inhaled Corticosteroids): These are the cornerstone of asthma management. They prevent swelling in your airways. Budesonide (Pulmicort) is the most studied and preferred corticosteroid inhaler during pregnancy, but others are also considered safe.
- Rescue Inhalers (Albuterol): These are used for immediate relief of symptoms. Albuterol is considered safe to use as needed throughout pregnancy to treat an asthma attack during pregnancy.
Always talk to your doctor before making any changes to your medication. They can ensure you are on the safest and most effective plan for you and your baby.
5 Tips for Managing Asthma During Pregnancy
Proactive care is your best defense. Here are five essential tips to help you breathe easy throughout your pregnancy.
1. Do Not Stop Your Medication
Never stop or reduce your asthma medication without talking to your doctor first. Consistent use of your controller medication is what prevents attacks.
2. Identify and Avoid Your Triggers
Pay close attention to what makes your asthma worse. Common triggers include:
- Pollen, dust mites, and pet dander
- Tobacco smoke
- Strong perfumes or chemical fumes
- Acid reflux (which is common in pregnancy)
3. Create an Asthma Action Plan
Work with your doctor to create a written plan. It should detail which medications to take daily, how to recognize worsening symptoms, and exactly what to do in case of an asthma attack.
4. Monitor Your Breathing
Your doctor may recommend using a peak flow meter at home. This simple device helps you track how well your lungs are working so you can catch a problem before it becomes serious.
5. Get Your Flu Shot
Respiratory infections like the flu can be very dangerous for people with asthma, especially during pregnancy. The flu shot is safe and recommended for pregnant women.
When to Seek Professional Help
It is crucial to stay in close contact with your healthcare provider. Call your doctor or seek immediate medical help if you experience:
- Your rescue inhaler is not providing relief, or you need to use it more often than prescribed.
- Your breathing is becoming increasingly difficult or painful.
- You are wheezing or coughing constantly.
- You have trouble walking or talking due to shortness of breath.
- Your lips or fingernails are turning blue.
These are signs of a severe asthma attack during pregnancy that requires urgent medical attention.
Disclaimer: The information provided in this article is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Published on September 16, 2019 and Last Updated on October 20, 2025 by: Priyank Pandey
