Article ; Online: Antenatal corticosteroid therapy in late preterm delivery: a nationwide population-based retrospective study in Taiwan.
BJOG : an international journal of obstetrics and gynaecology
2021 Volume 128, Issue 9, Page(s) 1497–1502
Abstract: Objective: To investigate whether antenatal corticosteroid therapy improves neonatal and maternal outcomes in late preterm delivery.: Design: Population-based retrospective study.: Setting: The linkages of Taiwan's National Health Insurance ... ...
Abstract | Objective: To investigate whether antenatal corticosteroid therapy improves neonatal and maternal outcomes in late preterm delivery. Design: Population-based retrospective study. Setting: The linkages of Taiwan's National Health Insurance Research Database, National Birth Reporting Database, and the Taiwan Maternal and Child Health Database. Population: All births at risk for late preterm deliveries in Taiwan between 2004 and 2011. Methods: For every birth at risk for late preterm delivery, five controls randomly matched by maternal and gestational ages and birthweight were included. A conditional logistic regression analysis was applied for risk estimation, with births without corticosteroids as the reference group. Odds ratios were adjusted for caesarean section, parity, sex, gestational hypertension and gestational diabetes mellitus. Main outcome measures: Neonatal outcomes, maternal outcomes and the utilisation of healthcare services. Results: The outcomes of 5745 women treated with corticosteroids between 34 Conclusions: Antenatal corticosteroid therapy in women at risk of late preterm delivery may significantly reduce the need for respiratory support and glucose supply, and respiratory complication risk in neonates. Tweetable abstract: Antenatal corticosteroids in late preterm delivery reduced the risk of neonatal respiratory complications in Taiwan. |
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MeSH term(s) | Adrenal Cortex Hormones/administration & dosage ; Adrenal Cortex Hormones/adverse effects ; Adult ; Case-Control Studies ; Databases, Factual ; Female ; Humans ; Infant, Newborn ; Male ; Neonatal Sepsis/epidemiology ; Pregnancy ; Premature Birth/drug therapy ; Premature Birth/epidemiology ; Respiratory Distress Syndrome, Newborn/epidemiology ; Respiratory Distress Syndrome, Newborn/prevention & control ; Retrospective Studies ; Risk Assessment ; Taiwan/epidemiology |
Chemical Substances | Adrenal Cortex Hormones |
Language | English |
Publishing date | 2021-03-18 |
Publishing country | England |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2000931-8 |
ISSN | 1471-0528 ; 0306-5456 ; 1470-0328 |
ISSN (online) | 1471-0528 |
ISSN | 0306-5456 ; 1470-0328 |
DOI | 10.1111/1471-0528.16677 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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