Forty to 60 million Americans suffer from chronic allergic disorders t
hat may involve the chest (asthma), nose (allergic rhinitis), or skin
(atopic dermatitis, urticaria, or angioedema). Nearly 20% of women of
childbearing age suffer from one or more of these allergic diseases, a
nd up to 4% are affected by asthma during pregnancy. Combined with dis
orders that mimic allergies (i.e., nonallergic rhinitis, sinusitis, an
d hereditary angioneurotic edema) and those entities in which definabl
e allergies are uncommon (chronic urticaria), these illnesses represen
t the most common group of chronic medical conditions antedating, asso
ciated with, or complicating pregnancy.