Current treatment approach to allergic disorders in pregnancy

E.I. Borovkova¹, I.M. Borovkov², V.I. Koroleva¹, A.A. Pashchenko³

¹Pirogov Russian National Research Medical University, Moscow, Russian Federation

²Sechenov University, Moscow, Russian Federation

³National Medical Research Center of Obstetrics, Gynecology and Perinatology named after V.I. Kulakov,  Moscow, Russian Federation 

The article addresses the results of systematic review of current published data on management strategy of pregnancy associated with allergic disorders. Difficulties in the diagnosis are accounted for by physiological changes and failure to perform standard testing. All diagnostic procedures aimed at identifying allergic diseases should be carried out at the stage of pregnancy planning, which is associated with an increased risk of using skin tests and stress tests. Vasomotor rhinitis of pregnancy, allergic rhinitis, sinusitis, and rhinitis medicamentosa are the most common conditions during pregnancy. Their treatment should be started with non-medical therapies, i.e., nasal lavage with salt solutions, inhalations of cromolyn sodium preparations, corticosteroids, and H₁ blockers. Treatment for atopic dermatitis includes emollients and oral antihistamines. Topical hydrocortisone formulations (2C) are additional therapies. Allergic reactions do not directly affect the risk of obstetric complications.

Keywords: allergy, vasomotor rhinitis, allergic rhinitis, sinusitis, urticaria, dermatosis of pregnancy, corticosteroids, histamine receptor blockers.

For citation: Borovkova E.I., Borovkov I.M., Koroleva V.I., Pashchenko A.A. Current treatment approach to allergic disorders in pregnancy. Russian Journal of Woman and Child Health. 2020;3(2):70–76. DOI: 10.32364/2618-8430-2020-3-2-70-76.