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August 24, 1979

Care of Pregnant Patients With Asthma

Author Affiliations

Beth Israel Medical Center New York

JAMA. 1979;242(8):713. doi:10.1001/jama.1979.03300080013015

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To the Editor.—  My colleague and I read the recent STATE OF THE ART article by Weinstein et al (241:1161, 1979), and while we found the article to be an excellent guideline to assist physicians in the care of pregnant patients with asthma, we object to what we hope is an inadvertent omission. The authors state: "The management of asthma in the pregnant patient requires cooperation between the obstetrician and the allergist." As chest physicians, we are keenly aware of the omission of a group of physicians who care for many asthmatic patients. In our hospital, as in many others we are sure, the inpatient care of the severe asthmatic is almost exclusively handled by pulmonary specialists and, to a lesser degree, general internists. We would not like to be left with the impression that the care of the pregnant asthmatic is the exclusive province of the allergist and obstetrician.