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Specialized medical practice dealing with unique allergic or immunologic diseases.
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Approximately 50 million Americans suffer from allergic diseases.
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Patient Tips to Remember: Asthma, Allergies and Pregnancy

If you are pregnant and have asthma or allergies, you may feel uneasy about taking medications, but it is very important to keep your symptoms under control.

How do you stay healthy and know which medications are best for you during your pregnancy?

An allergist/immunologist, often referred to as an allergist, can tell you which asthma and allergy medications are the safest and most effective to take throughout pregnancy. Make an appointment with an allergist soon after you discover you are pregnant to develop or review your personal treatment plan and to give you peace of mind.

In he meantime, here are answers to some questions.

Can women with asthma have safe pregnancies?

Yes. With good asthma management, you can keep your asthma under control and have a healthy baby.

How does uncontrolled asthma affect the fetus?

Uncontrolled asthma symptoms can cause a decrease in the amount of oxygen in your blood supply. The fetus gets its oxygen from your blood. Since a fetus needs a constant supply of oxygen for normal growth and development, managing asthma symptoms is very important to allow you and your baby to get enough oxygen.

Is it safe to take my asthma medications?

The risks of asthma flare-ups are greater than the risks of taking necessary asthma medications. Studies show that most inhaled asthma medications are safe for women to use while pregnant. However, oral medications (pills) should be avoided unless necessary to control symptoms. Knowing which medications to take is a good reason to stay in close contact with your allergist so he or she can monitor your condition and alter your medications or dosages if needed.

Will being pregnant affect my asthma symptoms?

Pregnancy may affect the severity of your asthma symptoms. One study showed that asthma symptoms were worse in 35% of pregnant women, improved in 28% and remained the same in 33% of pregnant women.

Asthma has a tendency to get worse in the late second and early third trimesters; and many women have fewer symptoms during the last four weeks of pregnancy.

Can I continue to get allergy shots during pregnancy?

Allergy shots, or immunotherapy, are safe to take when you are pregnant. As always, your allergist will monitor your dose to reduce the risk of an allergic reaction to the shots. These reactions are rare, however, a reaction could be harmful to the fetus. Also, allergy shot treatments should not be started for the first time during pregnancy.

What should I avoid if I have asthma or allergies?

Whether you are pregnant or not, you should stay away from things that trigger your symptoms. This might include dust mites and animal dander, and irritants such as cigarette smoke.

Can women with asthma perform Lamaze?

Most women with asthma are able to do Lamaze breathing techniques without any problems. Asthma symptoms are rare during labor and delivery in women whose asthma has been managed during pregnancy.

Can I breast-feed if I am taking medications for my asthma or allergies?

Breast-feeding is a good way to increase your child's immunity, and it is strongly recommended. Medications recommended for use during pregnancy can be continued while nursing, because the baby gets less maternal medicine through breast milk than in the womb. Your allergist can discuss with you the best treatments while nursing.

Although these are common questions during pregnancy, each patient's individual treatment varies. It is best to visit your allergist regularly during pregnancy so that any worsening of asthma can be countered by appropriate changes in your asthma management plan. Make sure to discuss any specific concerns with your physician to ensure the healthiest pregnancy for your well being and that of your baby.

Healthy Tips

Feel Better, Live Better

An allergist/immunologists, often referred to as an allergist, is a pediatrician or internist with at least two additional years of specialized training in the diagnosis and treatment of problems such as allergies, asthma, autoimmune diseases and the evaluation and treatment of patients with recurrent infections, such as immunodeficiency diseases.

The right care can make the difference between suffering with an allergic disease and feeling better. By visiting the office of an allergist, you can expect an accurate diagnosis, a treatment plan that works and educational information to help you manage your disease.

In-Office Appointments

Dr. David Bernstein

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Dr. Jonathan Bernstein

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Dr. Justin Greiwe

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Telemedicine Appointments

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Telemedicine appointments are for existing patients only and will cost either $100 or $140 per visit depending on the complexity of your health issue. The appropriate charge will be determined by the treating physician at the time of your visit.

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Bernstein Clinical Research Center, LLC

The Bernstein Clinical Research Center has been conducting clinical research studies since 1969. Our Center has conducted over 700 clinical trials in adult and pediatric patients and we have contributed to the development of new therapies for asthma, allergic rhinitis, eczema, hives, other skin conditions and chronic obstructive pulmonary disease (COPD).

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