Pregnant women deserve specialized care for allergies and asthma!
Despite the prevalence of allergies, asthma, and medication reactions during pregnancy, a recent study presented at the 2025 ACAAI Annual Scientific Meeting reveals a concerning trend: obstetricians are hesitant to refer their patients to allergy specialists, even though such referrals could greatly improve maternal and fetal health.
The study, conducted at a large academic medical center, surveyed obstetricians and found that while they care for pregnant patients in various settings, many are reluctant to refer them to allergists. About a quarter of the doctors never made a referral, and almost half did so only once a year. The most common reasons for referral were suspected drug allergies, hives, and asthma.
"Pregnancy can significantly impact a woman's immune system response to allergies and asthma," explains Dr. Miriam Al-Saedy, lead author of the study and an ACAAI member. "An allergist can play a crucial role in confirming allergies, guiding medication use, and creating a comprehensive care plan that benefits both the mother and her baby."
Dr. Kelly Colas, co-author of the study and also an ACAAI member, emphasizes the importance of seeking specialized care for pregnant women with allergies or asthma. "If you're expecting and dealing with allergies, asthma, or past drug reactions, it's worth discussing with your obstetrician whether an allergist could help."
Allergists can provide valuable services, including confirming or ruling out medication allergies, managing asthma to ensure easier breathing for both mother and baby, and safely treating hives, eczema, and other allergic conditions with pregnancy-appropriate treatments. They can also work closely with your OB to coordinate your care throughout your pregnancy journey and beyond.
"Allergy and immunology care during pregnancy is not only safe but can significantly improve a woman's experience," Dr. Al-Saedy assures. "Don't hesitate to request a referral if you feel it might benefit your health and your baby's."
This study highlights the need for clearer guidelines and more education for obstetricians on managing allergies in pregnancy. It also underscores the importance of pregnant women advocating for their health and seeking the specialized care they deserve.
And here's where it gets controversial: should obstetricians be more proactive in referring their patients to allergists, or is it up to pregnant women to advocate for themselves and seek specialized care? What are your thoughts on this? Feel free to share your opinions and experiences in the comments!
