对疑似早产使用或过度使用产前皮质类固醇。
Use or overuse of antenatal corticosteroids for suspected preterm birth.
作者信息
Sanya Rahima, Al Naggar Eman, Gasim Mahmoud, Ahmed Badreldeen Ibrahim
机构信息
Weill Cornell Medical College , WCMC-Q, Doha , Qatar and.
出版信息
J Matern Fetal Neonatal Med. 2014 Sep;27(14):1454-6. doi: 10.3109/14767058.2013.860523. Epub 2013 Dec 2.
OBJECTIVES
To determine the ratio of women who received antenatal steroid for suspected preterm birth (PTB) to those who actually deliver before 34 weeks of gestation at a tertiary care center.
METHODS
This is a retrospective study. Data was collected from November 2008 to February 2009 on women who presented with suspected PTB had received corticosteroids (between 26 weeks and 33 weeks-6 days of gestation).
RESULT
More than two-thirds of the women who received antenatal corticosteroids for suspected PTB actually delivered after 34 weeks.
CONCLUSION
The ratio of women who received complete dose of steroids for suspected PTB compared to the number of patients who actually deliver prematurely is high raising doubts about the methods employed to diagnose PTB.
目的
确定在一家三级护理中心，因疑似早产（PTB）接受产前类固醇治疗的女性与实际在妊娠34周前分娩的女性的比例。
方法
这是一项回顾性研究。收集了2008年11月至2009年2月期间因疑似PTB（妊娠26周和33周6天之间）接受皮质类固醇治疗的女性的数据。
结果
因疑似PTB接受产前皮质类固醇治疗的女性中，超过三分之二实际上在34周后分娩。
结论
因疑似PTB接受完整剂量类固醇治疗的女性与实际早产患者数量的比例很高，这引发了对用于诊断PTB的方法的质疑。
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