Review of the Antenatal and Postnatal Use of Steroids

被引:0
|
作者
Julie Bartholomew
Lajos Kovacs
Apostolos Papageorgiou
机构
[1] McGill University,Department of Neonatology, Jewish General Hospital
[2] Department of Neonatology,undefined
来源
The Indian Journal of Pediatrics | 2014年 / 81卷
关键词
Prematurity; Corticosteroids; RDS; CLD;
D O I
暂无
中图分类号
学科分类号
摘要
Antenatal and postnatal corticosteroids play an extremely important role in the management of premature infants. The antenatal administration of steroids has been universally implemented. They have not only been shown to reduce the incidence and severity of respiratory distress syndrome (RDS), but also have an impact on the incidence of intraventricular hemorrhage (IVH), patent ductus arteriosus (PDA), necrotizing enterocolitis (NEC), and possibly retinopathy of prematurity (ROP) by reducing the need for supplemental oxygen due to improved lung function. The postnatal use of dexamethasone in ventilated infants has been adopted with caution, as there have been several reports of long-term neurodevelopmental complications with this therapy. Hence, changes in dosage and indications and the search for alternative therapies has emerged. Hydrocortisone appears to be a good alternative, with reassuring long-term evaluations thus far.
引用
收藏
页码:466 / 472
页数:6
相关论文
共 50 条
  • [41] Efficacy and safety of antenatal steroids
    Kemp, Matthew W.
    Jobe, Alan H.
    Usuda, Haruo
    Nathanielsz, Peter W.
    Li, Cun
    Kuo, Anderson
    Huber, Hillary F.
    Clarke, Geoffrey D.
    Saito, Masatoshi
    Newnham, John P.
    Stock, Sarah J.
    AMERICAN JOURNAL OF PHYSIOLOGY-REGULATORY INTEGRATIVE AND COMPARATIVE PHYSIOLOGY, 2018, 315 (04) : R825 - R839
  • [42] Multiple courses of antenatal steroids
    Kiran, P. S. Sandesh
    Dutta, Sourabh
    Narang, Anil
    Bhansali, Anil
    Malhi, Prahbhjot
    INDIAN JOURNAL OF PEDIATRICS, 2007, 74 (05): : 463 - 469
  • [43] Multiple courses of antenatal steroids
    P. S. Sandesh Kiran
    Sourabh Dutta
    Anil Narang
    Anil Bhansali
    Prahbhjot Malhi
    The Indian Journal of Pediatrics, 2007, 74 : 463 - 469
  • [44] Effectiveness of multidose antenatal steroids
    Elimian, A
    Verma, U
    Visintainer, P
    Tejani, N
    OBSTETRICS AND GYNECOLOGY, 2000, 95 (01): : 34 - 36
  • [45] Antenatal steroids and neonatal hypoglycemia
    Sondgeroth, Kristina E.
    Stout, Molly J.
    Carter, Ebony B.
    Macones, George A.
    Cahill, Alison G.
    Tuuli, Methodius G.
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2018, 218 (01) : S11 - S12
  • [46] EFFICACY OF ANTENATAL STEROIDS - REPLY
    BOEHM, FH
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1983, 147 (07) : 852 - 852
  • [47] Antenatal steroids in twins - Reply
    Murphy, D
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 188 (03) : 857 - 857
  • [48] Antenatal steroids and the developing brain
    Whitelaw, A
    Thoresen, M
    ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2000, 83 (02): : F154 - F157
  • [49] Antenatal Steroids and Tocolytics in Pregnancy
    Pinson, Kelsey
    Gyamfi-Bannerman, Cynthia
    OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA, 2023, 50 (01) : 109 - 119
  • [50] The neonatal thymus and antenatal steroids
    Michie, CA
    Hasson, N
    Tulloh, R
    ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 1998, 79 (02): : F159 - F159