Research Article

Errors in Aerosol Inhaler Use and Their Effects on Maternal and Fetal Outcomes among Pregnant Asthmatic Women (Subanalysis from QAKCOP Study)

Table 2

Errors in inhaler use.

Wrong inhaler stepNo. of patients (%)

Errors in MDI use (no. = 47)
 Removing cap and shaking the inhaler15 (31.9)
 Breathing out gently before using the inhaler29 (61.7)
 Putting the mouthpiece in the mouth and applying good seal with the lips3 (6.4)
 Pressing the canister down at start of inspiration and continuing to inhale slowly and deeply (coordination between inhalation and generation of the aerosol)32 (68.1)
 Performing a breath-hold for at least 10 seconds7 (14.9)
Errors in DPI use (no. = 20)
 Breathing out gently before using the inhaler11 (55)
 Placing the inhaler in the mouth and creating an adequate seal with the lips5 (25)
 Deep and forceful inhalation of the powder5 (25)
 Removing the inhaler from the mouth and performing a breath-hold for 10  seconds13 (65)

Some patients performed more than one wrong step.