2015, Number 10
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Ginecol Obstet Mex 2015; 83 (10)
Related factors to lack of implementation of antenatal corticosteroids
Corona-Gutiérrez AA, Olivares-Ramírez A, Fajardo-Dueñas S
Language: Spanish
References: 12
Page: 587-592
PDF size: 359.46 Kb.
ABSTRACT
Background: Despite the known benefits of antenatal corticosteroids
therapy its use in clinical practice is not generalized.
Objective: To identify factors related to antenatal corticosteroids non
administration.
Methods: Cross-sectional and descriptive study that included patients
admitted to Hospital Civil de Guadalajara “Dr. Juan I. Menchaca”, who
had indication for antenatal corticosteroids therapy but did not receive
it. Variables: antenatal corticosteroids therapy prescription, factors related
to antenatal corticosteroids therapy non administration and lapsed
time between diagnosis and birth.
Results: Antenatal corticosteroids therapy were not prescribed in 79
(94%) of 84 patients. Main related factors were imminent birth and severe
maternal complication. The longer amount of time from diagnosis
to birth was before hospitalization (91
vs 9%,
p ‹0.0005).
Conclusion: The biggest and best opportunity for the administration of
inducers of fetal lung maturity is during prenatal care, when cases with
increased risk of preterm birth are detected.
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