امرأة عمرها ٣٠ سنة حامل في الأسبوع ١٤، عندها ربو مسيطر عليه ببخاخ بوديزونايد يومياً، وآخر نوبة كانت قبل سنة. تقول إنها ستوقف البخاخ من اليوم خوفاً على الجنين. ما الرد الصحيح؟

A 30-year-old woman at 14 weeks’ gestation has asthma controlled with daily budesonide; her last attack was a year ago. She says she will stop the inhaler today out of fear for the baby. What is the correct response?

1. Switch to daily oral steroids because they are more reliable
2. Continue; attacks harm the baby more than the inhaler
3. Stop it and use salbutamol only during attacks
4. Stopping is safe because asthma improves in pregnancy

Answer: B) Continue; attacks harm the baby more than the inhaler. Uncontrolled asthma causes fetal hypoxia, while inhaled steroids at usual doses are safe in pregnancy. Continuing treatment with monitoring is best for mother and baby.