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Licensed Unlicensed Requires Authentication Published by De Gruyter May 19, 2008

Guideline for the use of antenatal corticosteroids for fetal maturation

  • Xavier Miracle , Gian Carlo Di Renzo , Ann Stark , Avroy Fanaroff , Xavier Carbonell-Estrany and Erich Saling (Coordinators of WAPM Prematurity working group)

Abstract

The aim is to present a document, which is based on current evidence and serves as a guideline for use in clinical practice. The following questions are addressed:

• Is the use of antenatal corticosteroids (ACS) an effective therapy?

• Who are the candidates for antenatal corticosteroid therapy?

• Is there benefit after 34 weeks' gestation?

• When is the optimal time to treat?

• Which are the optimal steroids; what is the ideal dose and route of administration?

• Are there any contraindications to the administration of ACS?

• Are antenatal corticosteroids indicated in women with premature rupture of membranes (PROM)?

• Is the use of ACS recommended in pregnancies complicated by maternal diabetes mellitus?

• Should the treatment with corticosteroids be repeated?


Corresponding author: Dr. Xavier Miracle Neonatal Department Hospital Clínic de Barcelona (Seu Maternitat) Carrer Sabino Arana 1 08028 Barcelona Tel: +3493 2275600 Ext: 7443-7503 Fax: +3493 2275605

Published Online: 2008-05-19
Published in Print: 2008-05-01

©2008 by Walter de Gruyter Berlin New York

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