Analysis of approaches to treating seasonal allergic rhinitis in pregnant women

Approximately 20-30% of reproductive-aged women suffer from seasonal allergic rhinitis, the uncontrolled course of which during pregnancy can not only worsen the quality of life and the course of comorbidities, but also give rise to maternal and fetal hypoxia. Objective. To analyze approaches to treating seasonal allergic rhinitis in pregnant women. Subjects and methods. An anonymous questionnaire survey of physicians (332 therapists and 734 obstetricians/ gynecologists) was conducted within the study “Epidemiology of Medication Use in Pregnant Women” (Stage 2); the clinical guidelines of foreign and Russian professional societies for this problem were analyzed. Results. The physicians rarely indicated topical steroids (8.4%); first-generation antihistamines were the leaders (29.7%); the physicians less often indicated second-generation drugs, such as loratadine (13.8%) and cetirizine (10.7%). Conclusion. In accordance with the guidelines, the approach to treating allergic rhinitis in pregnant women should be the same as applied to other patients; an important part is assigned to nondrug therapies. By taking into account the high prevalence of this disease, it is appropriate to do educational work on this problem among physicians. © Bionika Media Ltd.

Authors
Kameleva A.A.1 , Chukhareva N.A.1 , Khalturina E.O.1 , Esayan R.M.1 , Ushkalova E.A. 2 , Tkacheva O.N.3 , Bevz A.Y.3 , Eliseeva E.V.4 , Filippenko N.G.5 , Chizhova G.V.6 , Panova I.A.7 , Bontsevich R.A.8 , Vinogradova N.G.9 , Chulkov V.S.10
Publisher
ООО «Бионика Медиа»
Number of issue
7
Language
Russian
Pages
46-52
Status
Published
Year
2016
Organizations
  • 1 The Therapeutic Department of the Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health Russia, Ac. Oparina str. 4, Moscow, 117485, Russian Federation
  • 2 The department of Basic and Clinical Pharmacology, Peoples’ Friendship University of Russia, Miklukho-Maklaya str. 6, Moscow, 117198, Russian Federation
  • 3 Stand-alone structural unit of RNRMU The Russian Clinical Research Center for Gerontology, 1st Leonova str. 16, Moscow, 129226, Russian Federation
  • 4 Basic and Clinical Pharmacology Chair of the Pacific State Medical University, Ostryakova Avenue, 2, Vladivostok, 690002, Russian Federation
  • 5 The department of Clinical Pharmacology of the Kursk State Medical University, Karl Marx str. 3, Kursk, 305041, Russian Federation
  • 6 Rector of the Postgraduate Institute for Public Health Workers, Krasnodarskaya str. 9, Khabarovsk, 680009, Russian Federation
  • 7 Department of obstetrics and gynecology of the V.N. Gorodkov Ivanovo Research Institute of Maternity and Childhood, Ministry of Health Russia, Pobedy str. 20, Ivanovo, 153045, Russian Federation
  • 8 Pharmacology department, Belgorod State National Research University, Pobedy str. 85308015, Russian Federation
  • 9 Department of internal diseases Nizhny Novgorod State Medical Academy, Minina sq. 10/1, N. Novgorod, 603005, Russian Federation
  • 10 South Ural State Medical University, Vorovsky str. 64, Chelyabinsk, 454092, Russian Federation
Keywords
Allergic rhinitis; Antihistamines; Clinical guidelines; Glucocorticosteroids; Pregnancy
Date of creation
19.10.2018
Date of change
19.10.2018
Short link
https://repository.rudn.ru/en/records/article/record/4463/
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