Errors in Aerosol Inhaler Use and Their Effects on Maternal and Fetal Outcomes among Pregnant Asthmatic Women (Subanalysis from QAKCOP Study)
Data on inhaler technique and its effects on maternal and fetal outcomes during pregnancy are seldom reported. The primary objective of this study was to evaluate inhaler technique and identify errors in inhaler use among pregnant women with asthma. Secondary objectives were to identify factors asso...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Canadian Respiratory Journal |
| Online Access: | http://dx.doi.org/10.1155/2018/7649629 |
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| author | Wanis H. Ibrahim Fatima Rasul Mushtaq Ahmad Abeer S. Bajwa Laith I. Alamlih Anam M. El Arabi Dhabia Al-Mohannadi Mohammed Y. Siddiqui Israa S. Al-Sheikh Azdin A. Ibrahim |
| author_facet | Wanis H. Ibrahim Fatima Rasul Mushtaq Ahmad Abeer S. Bajwa Laith I. Alamlih Anam M. El Arabi Dhabia Al-Mohannadi Mohammed Y. Siddiqui Israa S. Al-Sheikh Azdin A. Ibrahim |
| author_sort | Wanis H. Ibrahim |
| collection | DOAJ |
| description | Data on inhaler technique and its effects on maternal and fetal outcomes during pregnancy are seldom reported. The primary objective of this study was to evaluate inhaler technique and identify errors in inhaler use among pregnant women with asthma. Secondary objectives were to identify factors associated with poor inhaler technique and study the association between inhaler technique and maternal and fetal outcomes. This was a cross-sectional, face-to-face, prospective study of 80 pregnant women with physician-diagnosed asthma. Seventy-three and 41 asthmatic pregnant women reported using pressurized metered dose inhalers (pMDIs) and dry powder inhalers (DPIs), respectively. Overall, wrong inhaler technique was observed in 47 (64.4%) subjects. Among pMDI users, correct inhaler use was observed in only 26/73 (35.6%) of the patients, with lack of coordination between inhalation and generation of the aerosol and failure to breathe out gently before using the inhaler, being the most common errors. Among DPI users, 21 (51.2%) demonstrated correct inhaler use, with failure to perform a breath-hold for 10 seconds after inhaling the powder and to exhale gently before using the inhaler being the most common errors. Significant associations between inhaler technique and patient’s understanding of asthma medications and the kind of follow-up clinic (respiratory versus nonrespiratory clinic) were found. No significant associations between inhaler technique and various maternal and fetal outcomes or asthma control were found. In conclusion, improper inhalation technique is significantly prevalent in pregnant asthmatic women, particularly among those being followed in nonspecialized respiratory clinics. The lack of significant association between the inhaler technique and asthma control (and hence maternal and fetal outcomes) may simply reflect the high prevalence of uncontrolled asthma and significant contribution of other barriers to poor asthma control in the current patient’s cohort. Multidisciplinary management of asthma during pregnancy with particular emphasis on patient’s education is imperative. |
| format | Article |
| id | doaj-art-24349074c87b41b9988856d9f1948601 |
| institution | Kabale University |
| issn | 1198-2241 1916-7245 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Respiratory Journal |
| spelling | doaj-art-24349074c87b41b9988856d9f19486012025-02-03T06:05:46ZengWileyCanadian Respiratory Journal1198-22411916-72452018-01-01201810.1155/2018/76496297649629Errors in Aerosol Inhaler Use and Their Effects on Maternal and Fetal Outcomes among Pregnant Asthmatic Women (Subanalysis from QAKCOP Study)Wanis H. Ibrahim0Fatima Rasul1Mushtaq Ahmad2Abeer S. Bajwa3Laith I. Alamlih4Anam M. El Arabi5Dhabia Al-Mohannadi6Mohammed Y. Siddiqui7Israa S. Al-Sheikh8Azdin A. Ibrahim9Senior Consultant Pulmonologist and Professor of Clinical Medicine, Department of Medicine, Hamad General Hospital and Weill-Cornell Medical College, Doha, QatarConsultant Physician, Department of Medicine, Hamad General Hospital, Doha, QatarPulmonary Fellow, Department of Medicine, Hamad General Hospital, Doha, QatarMedical Resident, Department of Medicine, Hamad General Hospital, Doha, QatarMedical Fellow, Department of Medicine, Hamad General Hospital, Doha, QatarPulmonary Fellow, Department of Medicine, Hamad General Hospital, Doha, QatarSr. Consultant Physician, Department of Medicine, Hamad General Hospital, Doha, QatarInternal Medicine Resident, Department of Medicine, Hamad General Hospital, Doha, QatarInternal Medicine Resident, Hamad General Hospital, Doha, QatarGynecologist and Obstetrician, St. Josefs Hospital, Wiesbaden, GermanyData on inhaler technique and its effects on maternal and fetal outcomes during pregnancy are seldom reported. The primary objective of this study was to evaluate inhaler technique and identify errors in inhaler use among pregnant women with asthma. Secondary objectives were to identify factors associated with poor inhaler technique and study the association between inhaler technique and maternal and fetal outcomes. This was a cross-sectional, face-to-face, prospective study of 80 pregnant women with physician-diagnosed asthma. Seventy-three and 41 asthmatic pregnant women reported using pressurized metered dose inhalers (pMDIs) and dry powder inhalers (DPIs), respectively. Overall, wrong inhaler technique was observed in 47 (64.4%) subjects. Among pMDI users, correct inhaler use was observed in only 26/73 (35.6%) of the patients, with lack of coordination between inhalation and generation of the aerosol and failure to breathe out gently before using the inhaler, being the most common errors. Among DPI users, 21 (51.2%) demonstrated correct inhaler use, with failure to perform a breath-hold for 10 seconds after inhaling the powder and to exhale gently before using the inhaler being the most common errors. Significant associations between inhaler technique and patient’s understanding of asthma medications and the kind of follow-up clinic (respiratory versus nonrespiratory clinic) were found. No significant associations between inhaler technique and various maternal and fetal outcomes or asthma control were found. In conclusion, improper inhalation technique is significantly prevalent in pregnant asthmatic women, particularly among those being followed in nonspecialized respiratory clinics. The lack of significant association between the inhaler technique and asthma control (and hence maternal and fetal outcomes) may simply reflect the high prevalence of uncontrolled asthma and significant contribution of other barriers to poor asthma control in the current patient’s cohort. Multidisciplinary management of asthma during pregnancy with particular emphasis on patient’s education is imperative.http://dx.doi.org/10.1155/2018/7649629 |
| spellingShingle | Wanis H. Ibrahim Fatima Rasul Mushtaq Ahmad Abeer S. Bajwa Laith I. Alamlih Anam M. El Arabi Dhabia Al-Mohannadi Mohammed Y. Siddiqui Israa S. Al-Sheikh Azdin A. Ibrahim Errors in Aerosol Inhaler Use and Their Effects on Maternal and Fetal Outcomes among Pregnant Asthmatic Women (Subanalysis from QAKCOP Study) Canadian Respiratory Journal |
| title | Errors in Aerosol Inhaler Use and Their Effects on Maternal and Fetal Outcomes among Pregnant Asthmatic Women (Subanalysis from QAKCOP Study) |
| title_full | Errors in Aerosol Inhaler Use and Their Effects on Maternal and Fetal Outcomes among Pregnant Asthmatic Women (Subanalysis from QAKCOP Study) |
| title_fullStr | Errors in Aerosol Inhaler Use and Their Effects on Maternal and Fetal Outcomes among Pregnant Asthmatic Women (Subanalysis from QAKCOP Study) |
| title_full_unstemmed | Errors in Aerosol Inhaler Use and Their Effects on Maternal and Fetal Outcomes among Pregnant Asthmatic Women (Subanalysis from QAKCOP Study) |
| title_short | Errors in Aerosol Inhaler Use and Their Effects on Maternal and Fetal Outcomes among Pregnant Asthmatic Women (Subanalysis from QAKCOP Study) |
| title_sort | errors in aerosol inhaler use and their effects on maternal and fetal outcomes among pregnant asthmatic women subanalysis from qakcop study |
| url | http://dx.doi.org/10.1155/2018/7649629 |
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