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A Survey of knowledge of asthma and its management during pregnancy

Author: 
Sandeep Krishna Nalabothu, Pajanivel, R., Surendra Menon, K. and Varunn Malathy Dhanapal
Subject Area: 
Health Sciences
Abstract: 

Introduction: Suboptimal management of asthma during pregnancy by medical professionals can lead to poor health outcomes. The present study was done to assess knowledge of asthma and its management during pregnancy among general practitioners and obstetricians. Methodology: A cross-sectional survey was conducted between march and may 2014 among general practitioners and obstetricians in and around puducherry. A simple questionnaire was designed and handed over to participants in their clinics through medical representatives and were requested to hand over the answered questionnaire on the same visit. Results: A total of 130 participants returned the questionnaire, out of which 79(60.7%) were general practitioners and 51(39.3%) were obstetricians. In 130 participants including both general practitioners and obstetricians 25(19%) participants answered less than 50% answers correctly, 69(53%) answered 51-75% answers correctly and the rest 36(28%) answered more than 75% answers correctly. Among general practitioners 16(20%) answered less than 50% answers correctly, 47(60%) answered 51-75% answers correctly and the rest 16(20%) answered more than 75% answers correctly. In obstetricians 9(18%) answered less than 50% answers correctly, 22(43%) answered 51-75% answers correctly and the rest 20(39%) answered more than 75% answers correctly. Out of 130 participants only 56(43%) are following GINA guidelines for management of asthma in pregnancy. In case of deteriorating asthma in pregnancy only 55(42%) of participants have answered that they will refer to pulmonary physician for expert opinion. Conclusion: In spite of participants having adequate knowledge and attitude towards asthma in pregnancy, when it comes to the point of practice, only less than 50% are practicing GINA guidelines for management.

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