دورية أكاديمية
Timing of Antenatal Corticosteroid Administration in Monoamniotic Twins
| العنوان: | Timing of Antenatal Corticosteroid Administration in Monoamniotic Twins |
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| المؤلفون: | Carolina Bibbo, Sarah R. Easter, Michael Saadeh, Sarah E. Little, Julian N. Robinson |
| المصدر: | American Journal of Perinatology Reports, Vol 09, Iss 02, Pp e153-e159 (2019) |
| بيانات النشر: | Thieme Medical Publishers, Inc., 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Gynecology and obstetrics |
| مصطلحات موضوعية: | monoamniotic twins, antenatal corticosteroids, preterm delivery, antenatal fetal testing, Gynecology and obstetrics, RG1-991 |
| الوصف: | Abstract 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. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2157-6998 2157-7005 |
| Relation: | https://doaj.org/toc/2157-6998; https://doaj.org/toc/2157-7005 |
| DOI: | 10.1055/s-0039-1687872 |
| URL الوصول: | https://doaj.org/article/907f58c9b3554d8eba2b493599c7a031 |
| رقم الأكسشن: | edsdoj.907f58c9b3554d8eba2b493599c7a031 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 21576998 21577005 |
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| DOI: | 10.1055/s-0039-1687872 |