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Fractional exhaled nitric oxide‐based asthma management: The feasibility of its implementation into antenatal care in New South Wales, Australia
Author(s) -
McLaughlin Karen,
Jensen Megan E.,
Foureur Maralyn,
Gibson Peter G.,
Murphy Vanessa E.
Publication year - 2020
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.13061
Subject(s) - exhaled nitric oxide , asthma , medicine , asthma management , family medicine , nursing , qualitative research , pregnancy , social science , sociology , biology , bronchoconstriction , genetics
Background The use of fractional exhaled nitric oxide (Fe NO )‐based asthma management during pregnancy can significantly reduce asthma exacerbations in non‐smoking pregnant women. The feasibility of implementing this strategy into antenatal care has not been explored. Aims To examine the feasibility of implementing Fe NO ‐based asthma management into antenatal clinics in New South Wales ( NSW ) Australia. Materials and Methods Semi‐structured face‐to‐face interviews with video elicitation were conducted with healthcare professionals ( HCP s) providing antenatal care in one of two hospital‐based antenatal clinics in NSW, Australia. The video shown demonstrated the use of the Fe NO instrument and other aspects of the management strategy, in antenatal care. Interviews were recorded, transcribed and analysed using qualitative content analysis. Results A total of 20 interviews were conducted with 15 midwives, four obstetricians, and one general practitioner. Two main themes and ten sub‐themes arose: Getting a number (sub‐themes: engaging, technically easy, objective, predictive, reassuring); and Resourcing (sub‐themes: time and timing, systems, staff, education and cost). Comments included: ‘It's easy, fast and effective’ and ‘the main barrier is time’. All HCP s felt capable of facilitating the Fe NO ‐based management strategy, with appropriate education, and were willing to undertake this strategy, saying: ‘…it would be perfectly acceptable for a midwife or doctor to do it’; also, ‘they don't necessarily need to see a physician, it's something that midwives would take on generally…’. Conclusion Participants in this study considered Fe NO ‐based asthma management for pregnant women to be a feasible addition to antenatal care following appropriate provision of resources and education.