Guideline for the use of antenatal corticosteroids for fetal maturation

被引:104
作者
Miracle, Xavier [1 ]
Di Renzo, Gian Carlo [2 ,3 ]
Stark, Ann [4 ]
Fanaroff, Avroy [5 ,6 ]
Carbonell-Estrany, Xavier [1 ]
Saling, Erich [7 ]
机构
[1] Univ Barcelona, Serv Neonatol, Hosp Clin, Inst Clin Ginecol, Barcelona, Spain
[2] Univ Perugia, Dept Obstet & Gynecol, I-06100 Perugia, Italy
[3] Univ Perugia, Ctr Perinatal & Reprod Med, I-06100 Perugia, Italy
[4] Texas Childrens Hosp, Baylor Coll Med, Houston, TX 77030 USA
[5] Rainbow Babies & Childrens Hosp, Cleveland, OH 44106 USA
[6] Case Western Reserve Univ, Sch Med, Cleveland, OH 44106 USA
[7] Inst Perinatal Med, Berlin, Neukoelln, Germany
关键词
D O I
10.1515/JPM.2008.032
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The aim is to present a document, which is based on current evidence and serves as a guideline for use in clinical practice. The following questions are addressed: Is the use of antenatal corticosteroids (ACS) an effective therapy? Who are the candidates for antenatal corticosteroid therapy? Is there benefit after 34 weeks' gestation? When is them optimal time to treat? Which are the optimal steroids; what is the ideal dose and route of administration? Are there any contraindications to the administration of ACS? Are antenatal corticosteroids indicated in women with premature rupture of membranes (PROM)? Is the use of ACS recommended in pregnancies complicated by maternal diabetes mellitus? Should the treatment with corticosteroids be repeated?.
引用
收藏
页码:191 / 196
页数:6
相关论文
共 45 条
[1]   Repeated doses of antenatal corticosteroids in animals: A systematic review [J].
Aghajafari, F ;
Murphy, K ;
Matthews, S ;
Ohlsson, A ;
Amankwah, K ;
Hannah, M .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 186 (04) :843-849
[2]   SCIENTIFIC BASIS AND THERAPEUTIC REGIMENS FOR USE OF ANTENATAL GLUCOCORTICOIDS [J].
BALLARD, PL ;
BALLARD, RA .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 173 (01) :254-262
[3]   Antenatal glucocorticoid treatment and cystic periventricular leukomalacia in very premature infants [J].
Baud, O ;
Foix-L'Helias, L ;
Kaminski, M ;
Audibert, F ;
Jarreau, PH ;
Papiernik, E ;
Huon, C ;
Lepercq, J ;
Dehan, M ;
Lacaze-Masmonteil, T .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 341 (16) :1190-1196
[4]   Are we prescribing multiple courses of antenatal corticosteroids? A survey of practice in the UK [J].
Brocklehurst, P ;
Gates, S ;
McKenzie-McHarg, K ;
Alfirevic, Z ;
Chamberlain, G .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1999, 106 (09) :977-979
[5]  
Committee on Obstetric Practice, 2002, Obstet Gynecol, V99, P871
[6]   ANTENATAL CORTICOSTEROID-THERAPY - A METAANALYSIS OF THE RANDOMIZED TRIALS, 1972 TO 1994 [J].
CROWLEY, PA .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 173 (01) :322-335
[7]   Repeat doses of prenatal corticosteroids for women at risk of preterm birth for preventing neonatal respiratory disease (Withdrawn Paper. 2007, art. no. CD003935) [J].
Crowther, C. A. ;
Harding, J. E. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2007, (03)
[8]   Outcomes at 2 years of age after repeat doses of antenatal corticosteroids [J].
Crowther, Caroline A. ;
Doyle, Lex W. ;
Haslam, Ross R. ;
Hiller, Janet E. ;
Harding, Jane E. ;
Robinson, Jeffrey S. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (12) :1179-1189
[9]   Neonatal respiratory distress syndrome after repeat exposure to antenatal corticosteroids: a randomised controlled trial [J].
Crowther, Caroline A. ;
Haslam, Ross R. ;
Hiller, Janet E. ;
Doyle, Lex W. ;
Robinson, Jeffrey S. .
LANCET, 2006, 367 (9526) :1913-1919
[10]   Use of tocolytics: what is the benefit of gaining 48 hours for the fetus? [J].
Di Renzo, G. C. ;
Al Saleh, E. ;
Mattei, A. ;
Koutras, I. ;
Clerici, G. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2006, 113 :72-77