Table 4 Responses for case vignette one (n = 174)
From: Management of asthma in pregnant women by general practitioners: A cross sectional survey
Case vignette one: A patient of yours has recently become pregnant. She has moderate asthma which is well controlled with salmeterol/fluticasone (250/25), one puff twice daily, and salbutamol inhaler as required. She has no other medical conditions nor is she taking any other medications. Part one (Stable asthma in pregnancy): She wonders whether she should continue these medications during pregnancy. What is your intended action? | |
|---|---|
Responses for (i) | n (%) |
Continue her on the same medications | 123 (70.7%) |
Decrease her dose | 43 (24.7%) |
Refer | 5 (2.9%) |
Stop her medication | 2 (1.2%) |
Part two (deterioating asthma in pregnancy): A few weeks pass by and your patient returns. You notice that her asthma is deteriorating. She tells you that she has been using her salbutamol inhaler more than three times per week. She has been compliant with the salmeterol/fluticasone and has had no changes to her asthma medication regimen nor has she had any changes in lifestyle. What is your intended action? | |
Responses for (ii) | n (%) |
Increase her dose | 116 (66.7%) |
Refer | 21 (12.1%) |
Continue her on the same regimen and just monitor her asthma more closely | 15 (8.6%) |
Add another agent | 10 (5.7%) |
Decrease ICS regimen | 9 (5.2%) |