Effect of Single Course Versus Repeated Single Course of Antenatal Corticosteroid (Dexamethasone) in Preterm Premature Rupture of Membranes on Neonatal Respiratory Outcome "Randomized Control Trials"

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynaecology, Faculty of Medicine, Ain Shams University

2 Obstetrics and gynecology Faculty of medicine Ain shams university Cairo Egypt

Abstract

Background: Premature ROM (PROM) refers to rupture of the fetal membranes prior to the onset of labor irrespective of
gestational age.
Aim: To compare between effects of single course versus repeated single course of antenatal corticosteroids in PPROM on
neonatal outcomes.
Materials and Methods: The study included 200 pregnant patients with established diagnosis of PPROM admitted to Ain
Shams University Maternity Hospital, 100 of them received single course regimen (group I) and the other 100 received single
course regimen (group II). Newborns were assessed for gestational age, evidence of RDS and congenital infections.
Results: There was no statistical difference between the 2 groups regarding age distribution, Parity, gestational age at the
onset of ROM and gestational age at delivery. There was no statistical difference between the 2 groups regarding, mode of
delivery, birth weight or neonatal deaths, neonatal sepsis. The only variables which was significantly affected between the
2 groups was the development of RDS which was less in the repeated single course group (Group II) than the single course
group (Group I) with high statistical significance suggesting that repeated single course improves lung maturity.
Conclusion: Repeated single course of corticosteroid is preferred over single course since it has better effect by decreasing
the incidence of RDS and the duration on mechanical ventilation.

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Evidence Based Women's Health Journal
Volume 12, Issue 3
August 2022
Pages 295-303

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