Timing of Antenatal Corticosteroid Administration in Monoamniotic Twins
| العنوان: | Timing of Antenatal Corticosteroid Administration in Monoamniotic Twins |
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| المؤلفون: | Sarah E Little, Michael Saadeh, Julian N. Robinson, Carolina Bibbo, Sarah Rae Easter |
| المصدر: | AJP Reports American Journal of Perinatology Reports, Vol 09, Iss 02, Pp e153-e159 (2019) |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, monoamniotic twins, lcsh:Gynecology and obstetrics, 03 medical and health sciences, 0302 clinical medicine, medicine, antenatal fetal testing, 030212 general & internal medicine, Monoamniotic twins, Generalized estimating equation, lcsh:RG1-991, Univariate analysis, Fetus, 030219 obstetrics & reproductive medicine, Obstetrics, business.industry, Obstetrics and Gynecology, Gestational age, Retrospective cohort study, Antenatal corticosteroid, antenatal corticosteroids, Fetal heart rate, Pediatrics, Perinatology and Child Health, Original Article, preterm delivery, business |
| الوصف: | Objective This study was aimed to determine if different strategies of antenatal corticosteroid (ACS) administration in monoamniotic twins leads to receipt within 7 days of delivery. Study Design This is a retrospective cohort of monoamniotic twins managed at a single institution from 2007 to 2017. Patients were classified as to whether ACS were administered upon admission or at a predetermined gestational age (grouped together as “routine”) or for a change in clinical status (“indicated”). We used univariate analyses to associate ACS administration strategies with our primary outcome: receipt of ACS within 7 days of delivery. We then used generalized estimating equations to examine associations between fetal monitoring patterns and delivery within 1 week. Results Twenty-four patients were included: eighteen patients in the “routine” group and six patients in the “indicated” group. There was no difference in optimal timing of ACS administration. Women experiencing delivery within the week were thrice more likely to spend on average more than 3 hours/day on the fetal monitor when compared with those who remained undelivered. Conclusion Administration of ACS on admission is not effective. Fetal heart rate tracing surveillance might be a better methodology to predict delivery and guide ACS administration. |
| تدمد: | 2157-6998 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4422864a40f53671d35a70f6b0236bfe https://pubmed.ncbi.nlm.nih.gov/31044097 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....4422864a40f53671d35a70f6b0236bfe |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21576998 |
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