AIM: To describe antenatal corticosteroids (ANCs) policies in European obstetric units and to determine factors that influence the use of multiple courses. METHODS: 641 obstetricians from obstetric departments covering a geographical area in 14 European countries responded to a questionnaire on ANCs policies. Logistic regression was used to identify factors that were related to the use of multiple ANCs courses. RESULTS: The survey response rate was 76% (inter-country range 33-94%): 11% (0-50%) of the respondents started ANCs from 23 to 24 wk gestation, 82% from 24 to 28 wk (50-100%) and 7% from 28 to 36 wk (0-32%). Eighty-five percent of the units (63-100%) used multiple ANCs courses. After adjustment for country, number of infants delivered at 24-32 wk annually in the unit, NICU and maternal hypertension, maternal hypertension tended to be an explicative factor (OR 1.97; 95% CI: 0.75-5.17). CONCLUSIONS: The high proportion of departments that initiated ANCs between 24 and 28 wk of gestation is consistent with the high incidence of neonatal morbidity and mortality in that age range. Multiple courses are overwhelmingly prescribed in Europe, although their risk/benefit ratio compared with a single dose is not yet known. The likelihood of using repeated courses of ANCs may be related to the presence of maternal hypertension, and this highlights the importance of closely monitoring women at risk of premature delivery.
AIM: To describe antenatal corticosteroids (ANCs) policies in European obstetric units and to determine factors that influence the use of multiple courses. METHODS: 641 obstetricians from obstetric departments covering a geographical area in 14 European countries responded to a questionnaire on ANCs policies. Logistic regression was used to identify factors that were related to the use of multiple ANCs courses. RESULTS: The survey response rate was 76% (inter-country range 33-94%): 11% (0-50%) of the respondents started ANCs from 23 to 24 wk gestation, 82% from 24 to 28 wk (50-100%) and 7% from 28 to 36 wk (0-32%). Eighty-five percent of the units (63-100%) used multiple ANCs courses. After adjustment for country, number of infants delivered at 24-32 wk annually in the unit, NICU and maternal hypertension, maternal hypertension tended to be an explicative factor (OR 1.97; 95% CI: 0.75-5.17). CONCLUSIONS: The high proportion of departments that initiated ANCs between 24 and 28 wk of gestation is consistent with the high incidence of neonatal morbidity and mortality in that age range. Multiple courses are overwhelmingly prescribed in Europe, although their risk/benefit ratio compared with a single dose is not yet known. The likelihood of using repeated courses of ANCs may be related to the presence of maternal hypertension, and this highlights the importance of closely monitoring women at risk of premature delivery.
Authors: Jennifer Zeitlin; Rolf F Maier; Marina Cuttini; Ulrika Aden; Klaus Boerch; Janusz Gadzinowski; Pierre-Henri Jarreau; Jo Lebeer; Mikael Norman; Pernille Pedersen; Stavros Petrou; Johanna M Pfeil; Liis Toome; Arno van Heijst; Patrick Van Reempts; Heili Varendi; Henrique Barros; Elizabeth S Draper Journal: Int J Epidemiol Date: 2020-04-01 Impact factor: 7.196
Authors: Janna L Morrison; Kimberley J Botting; Poh Seng Soo; Erin V McGillick; Jennifer Hiscock; Song Zhang; I Caroline McMillen; Sandra Orgeig Journal: J Pregnancy Date: 2012-11-22
Authors: Jennifer Zeitlin; Bradley N Manktelow; Aurelie Piedvache; Marina Cuttini; Elaine Boyle; Arno van Heijst; Janusz Gadzinowski; Patrick Van Reempts; Lene Huusom; Tom Weber; Stephan Schmidt; Henrique Barros; Dominico Dillalo; Liis Toome; Mikael Norman; Beatrice Blondel; Mercedes Bonet; Elisabeth S Draper; Rolf F Maier Journal: BMJ Date: 2016-07-05