Effect of Antenatal Corticosteroid and Antibiotics in Pregnancies Complicated by Premature Rupture of Membranes between 24 and 28 weeks of Gestation.
10.3346/jkms.2005.20.1.88
- Author:
Geun A SONG
1
;
Myoung Seok HAN
Author Information
1. Department of Obstetrics & Gynecology, College of Medicine, Dong-A University, Busan, Korea. root-i@hanmail.net
- Publication Type:Original Article
- Keywords:
Fetal Membranes, Premature Rupture;
Preterm Birth;
Anti-Bacterial Agents;
Glucocorticoids;
Perinatal Morbidity;
Pregnancy Outcome
- MeSH:
Adrenal Cortex Hormones/*pharmacology;
Adult;
Anti-Bacterial Agents/*pharmacology;
Apgar Score;
Female;
Fetal Membranes, Premature Rupture/*drug therapy;
Gestational Age;
Humans;
Infant, Newborn;
Maternal Age;
Pregnancy;
Pregnancy Outcome;
Pregnancy Trimester, Second;
Premature Birth/prevention & control;
Respiratory Distress Syndrome, Newborn/prevention & control;
Retrospective Studies;
Time Factors
- From:Journal of Korean Medical Science
2005;20(1):88-92
- CountryRepublic of Korea
- Language:English
-
Abstract:
The aim of this study was to assess the effectiveness of active intervention with antenatal maternal corticosteroid and antibiotics therapy in infants delivered between 24 and 28 weeks of gestation after premature rupture of membrane. This retrospective study included pregnant women complicated by preterm delivery at the Dong-A University Hospital from 1998 to 2002. Patients were divided into labor induction group 1 (n=20), observation group 2 (n=19), and medication group 3 (n=20). We evaluated the effects of prolongation of pregnancy and intervention with maternal corticosteroids and antibiotics therapy on perinatal and neonatal outcomes. Each group did not have a significant difference (p<0.05) in neonatal outcomes, such as respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis, retinopathy of prematurity, pneumonia, bronchopulmonary dysplasia, and sepsis. The mean latency period was 4.7 days and 7.6 days in groups 2 and 3, respectively. Therefore, this study was unable to demonstrate any beneficial effects of corticosteroids in improving neonatal outcomes and prolongation of the latency period with antibiotics.
