Allergy Referrals During Pregnancy: A Missed Opportunity for Better Care?
Pregnancy is a delicate time, and managing allergies can be crucial for both mother and baby. However, a recent study uncovers a concerning trend: many obstetricians are not referring pregnant patients with allergies to specialists, potentially impacting health outcomes.
The study, presented at the 2025 ACAAI Annual Scientific Meeting, surveyed obstetric physicians and revealed some eye-opening statistics. But here’s where it gets controversial: nearly 25% of obstetricians never refer pregnant patients to allergists, and most do so rarely. This is despite the fact that allergic conditions like asthma, urticaria, and drug allergies are common in pregnancy and can affect both maternal and fetal well-being.
So, why the hesitation to refer? The survey sheds light on two main barriers. Firstly, obstetricians often lack clear guidance on when to refer patients to allergy specialists. And this is the part most people miss: long wait times for specialist appointments further discourage referrals. These delays can be a significant obstacle, especially when timely treatment is essential.
According to Dr. Miriam Al-Saedy, an internal medicine resident and ACAAI member, obstetricians could benefit from better education and institutional support. She suggests that clearer guidelines and resources would empower obstetricians to make informed decisions about referrals. Interestingly, most survey respondents expressed a desire for such guidance and resources.
But what difference can allergy specialists make? Dr. Kelly Colas, an allergist and ACAAI member, highlights the importance of specialist care. Allergists can confirm or rule out allergies, ensuring safe medication use during pregnancy. They can also manage asthma and other allergic conditions, promoting better health for both mother and baby. Coordinated care between obstetricians and allergists is key to achieving optimal outcomes.
The study concludes that targeted educational interventions and institutional support could improve referral practices. Developing referral pathways and integrating allergy management into obstetric protocols may help bridge the gap. But is this enough? Should there be a stronger push for collaboration between specialties to ensure the best care for pregnant patients with allergies?
What do you think? Are there other factors at play that might influence obstetricians’ referral decisions? Share your thoughts and experiences in the comments below, especially if you’ve navigated the healthcare system while pregnant and dealing with allergies. Your insights could spark important discussions and shape future practices.