Women’s of childbearing age knowledge about asthma and pregnancy

The following survey concerns women’s of childbearing knowledge about asthma during pregnancy. Please mark the correct answers. If more than one answer can be selected, this will be indicated in the question.

Q1AGE *1. Age (years)

Q3EDU *3. What is your highest level of educationElementary schoolHigh schoolPost secondary education (not university)University graduate/Masters/PhD

Q4MED *4. If you have post secondary education, is it in the medical field?YesNo

Q5ASTHMA *5. Are you suffering from asthma?YesNo

Q6WHO *6. What kind of specialist diagnosed your asthma?Family doctorInternal medicine specjalistPulmonologist/respirologistAllergist/allergologistNurse practitionerOtherI suspect I have asthma but do not have a formal diagnosis

Q7SPEC *7. What kind of specialist is your attending physician in asthma treatment?Family doctorInternal medicine specjalistPulmonologist/respirologistAllergist/allergologistNurse practitionerOtherI don’t have an attending physician

Q8TREAT *8. Do you take medications for your asthma?YesNo

Q9TREATFREQ *9. How often do you take medications for your asthma?Every dayA few times per weekOnce per weekOnce per month/rarely

Q10TREATMENT10. Which asthma medications do you take?

1SABA (for example Ventolin,Bricanyl, Airomir)

2LABA (for example Oxeze, Serevent)

3ICS (for example Qvar, Pulmicort, Alvesco, Arnuity, Flovent, Aermony, Asmanex)

4LAMA (for example Spiriva, Tudorza, Seebri, Incruse)

5SAMA (for example Atrovent)

6ICS+ LABA (for example Symbicort, Breo, Advair, Wixela, Zenhale, Atectura)

7ICS+LABA+LAMA (for example Enerzair, Trelegy, Breztri)

8Leukotriene receptor antagonist (for example Singulair)

9Asthma injectable biologic (for example Nucala, Benralizumab, Dupilumab, Tezepelumab, Omalizumab)

Q11HOSP *11. Have you ever been hospitalized due to asthma exacerbation?YesNo

Q12STER *12. How many courses of systemic steroid (eg. prednisone, dexamethasone) have you had in the last year?0123+

Q13ACTIV *13. How often, in the past 4 weeks, did you experience asthma symptoms that had an effect on your everyday activities? (For example, at work, at school/university or at home)More than once per dayOnce per day3 to 6 times per week1 or 2 per weekNever

Q14DYSP *14. How often, in the past 4 weeks, did you experience dyspnea? (Shortness of breath, difficulty of breathing)More than once per dayOnce per day3 to 6 times per week1 or 2 per week1 or 2 per monthNever

Q15WAKE *15. How often, in the past 4 weeks, have you woken up because of asthma symptoms (for example shortness of breath, wheezing, dyspnea, pain in the chest)?4 nights or more per week2 or 3 nights per wek1 night per weekLess than 1 night per weekNever

Q16RELIEVER *16. How often, in the past 4 weeks, did you use rescue medication (for example Salbutamol, Ventolin) drugs for asthma?3 times per day or more1 or 2 times per dayA few times per weekOnce per weekRarelyNever

Q17BIOL1 *17. Have you heard about injectable biologic medications for asthma?YesNo

Q18BIOL2 *18. If your healthcare provider recommended an injectable biologic medication for your asthma up to every 2 weeks, would this be something you would consider if there were no contraindications?YesNo

Q19DECISION *19. Would being pregnant impact your decision regarding use of an injectable asthma medication?Yes – I would be less likely acceptYes – I would be more likely to acceptNo – It would not impact my decisionI don’t know

Q20BIOL3 *20. In your opinion, can injectable biologic medications be used during pregnancy, if there were no contraindications?YesNoI don’t know

Q21FAMILY *21. Have any of Your relatives been diagnosed with asthma (such as mother, faher, son, daughter, siblings)?YesNoI don’t know

Q22PREGNANCY1 *22. Have you ever been pregnant?YesNo

Q23PREGNANCY2 *23. Are you currently pregnant or planning to get pregnant?YesNo

Q24PREGNANCY3 *24. In your opinion, should women suffering from asthma undergo a(n) respirologist/pulmonologist (lung doctor) or allergist/allergologist (allergy doctor) consultation before trying to get pregnant?YesNoI don’t know

Q25PREGNANCY4 *25. In your opinion, should women suffering from asthma undergo an obstetric consultation before trying to get pregnant?YesNoI don’t know

Q26PREGNANCY5 *26. In your opinion, can asthma cause difficulties with getting pregnant?YesNoI don’t know

Q27PREGNANCY6 *27. In your opinion, can asthma cause difficulties during pregnancy?YesNoI don’t know

Q28DELIVERY *28. In your opinion, can asthma cause difficulties during delivery?YesNoI don’t know

Q29DIFFIMOTHER1 *29. In your opinion, can asthma cause difficulties to the mother after delivery of the baby postpartum (up to 6 weeks after delivery)?YesNoI don’t know

Q30DIFFICHILD1 *30. In your opinion, can asthma cause difficulties in postnatal care for a child? (up to 6 weeks after delivery)?YesNoI don’t know

Q31DIFFIMOTHER2 *31. In your opinion, can asthma cause difficulties to the mother in postnatal care of the baby (more than 6 weeks after delivery)?YesNoI don’t know

Q32DIFFICHILD2 *32. In your opinion, can asthma cause difficulties in postnatal care for a child (more than 6 weeks after delivery)?YesNoI don’t know

Q33AFFECT *33. In your opinion, how can pregnancy affect a woman’s asthma?May cause asthma exacerbation/episode/flareMay improve asthma control (reduce of asthmatic symptoms)Has no effect on asthma courseCheck all that applyI don’t know

Q34MODIFY *34. In your opinion, is it always necessary for pregnant women suffering from asthma to modify asthma treatment?YesNoI don’t know

Q35DELIVERY2 *35. In your opinion is asthma a contraindication to natural delivery?YesNoI don’t know

Q36DELIVERY3 *36. In your opinion, is asthma an indication for a delivery via Cesarean section?YesNoI don’t know

Q37INFORM *37. In your opinion, is it important to inform an OB GYN about asthma?YesNoI don’t know

Q38STERINH *38. In your opinion, can inhaled steroids routinely be used during pregnancy?YesNoI don’t know

Q39STERORAL *39. In your opinion, can oral steroids routinely be used during pregnancy, if there were no contraindications?YesNoI don’t know

Q40SPIRO *40. In your opinion, can spirometry be performed in pregnant women with asthma?YesNoI don’t know

Q42USG *42. In your opinion, is it necessary for pregnant women diagnosed with asthma to have more ultrasound examinations during pregnancy in comparison to women without asthma?YesNoI don’t know

Q43TESTS *43. In your opinion, is it necessary for pregnant women diagnosed with asthma to have more blood tests during pregnancy in comparison to women without asthma?YesNoI don’t know

Q44CONSULT *44. In your opinion, is it necessary for pregnant women diagnosed with asthma to have more consultations with their OB GYN doctor during pregnancy in comparison to women without asthma?YesNoI don’t know

Q45VACCINE *45. In your opinion, is there an indication for influenza vaccination for pregnant women diagnosed with asthma, if there were no contraindications?Yes, alwaysYes, but only in case of severe asthmaNoI don’t know

Q46BREAST *46. In your opinion, is it safe to take asthma drugs during breastfeeding, if there were no contraindications?YesNoI don’t know

Q48OXY *48. In your opinion, is it safe to treat asthma exacerbations with oxygen during pregnancy?YesNoI don’t know

Q49RISK *49. In your opinion, does a child born to a woman with asthma have a higher risk of developing asthma in the future?YesNoI don’t know

Q50CHANGE *50. In your opinion, should the treatment of asthma be changed during pregnancy?Yes, the dosage of drugs should be higherYes, the dosage of drugs should be lowerNo, it shouldn’t be changedAsthma drugs shouldn’t be used during pregnancyI don’t know

Q51INFORMATION *51. Would you like to have additional information (e.g., leaflets) about pregnancy and asthma available in your GP or OB GYN officeYesNoI dont’ know

Q52GIN *52. Do you have regular (at least once a year) gynecologist appointments?YesNo

Q53SMOKING *53. Have you ever smoked?YesNo, but I used to smoked in the pastNo, I have never smoke