Evidence map›Paper›PMID 38698318›Full record

Trial reportBMC pregnancy and childbirth2024

Does the use of antenatal corticosteroids reduce respiratory morbidity in babies born in late preterm period?

Khadijah A Shittu, Bolaji Ahmed, Kabiru Afolarin Rabiu, Fatimat Akinlusi, Oluwarotimi I Akinola

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Khadijah A ShittuDepartment of Obstetrics & Gynaecology, Lagos State University Teaching Hospital, Lagos, Nigeria.
Bolaji AhmedProgramme Department, Damien Foundation Belgium (Nigeria Project), Lagos, Nigeria. esbeejay5@gmail.com.
Kabiru Afolarin RabiuDepartment of Obstetrics & Gynaecology, Lagos State University Teaching Hospital, Lagos, Nigeria.
Fatimat AkinlusiDepartment of Obstetrics & Gynaecology, Lagos State University Teaching Hospital, Lagos, Nigeria.
Oluwarotimi I AkinolaDepartment of Obstetrics & Gynaecology, Lagos State University Teaching Hospital, Lagos, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study is to determine the effectiveness of antenatal corticosteroid in reducing respiratory morbidity in babies born in the late preterm period.

methodsTwo hundred and eighty-six pregnant women at risk of having a late preterm delivery were studied. One hundred and forty-three (143) served as the cases and were given 2 doses of 12 mg intramuscular dexamethasone 12 h apart, while 143 served as the controls and were given a similar quantity of placebo. The women were followed up prospectively and data were collected on the pregnant women and their newborns on a standardized form. The neonates were assessed for acute respiratory distress syndrome and transient tachypnea of the newborn based on clinical signs, symptoms, and chest x-ray results (when indicated). The primary outcome was the occurrence of neonatal respiratory morbidity.

resultsThe primary outcome occurred in 5 out of 130 infants (3.8%) in the dexamethasone group and 31 out of 122 (25.4%) in the placebo group (P value = 0.000003). Birth asphyxia, neonatal intensive care admission and need for active resuscitation at birth also occurred significantly less frequently in the dexamethasone group (P value 0.004, 0.009, 0.014 respectively). There were no significant group differences in the incidence of neonatal sepsis, neonatal jaundice, hypoglycemia and feeding difficulties.

conclusionsAdministration of dexamethasone to women at risk for late preterm delivery significantly reduced the rate of neonatal respiratory complications, neonatal intensive care unit admission, and need for active resuscitation at birth.

trial registrationPACTR ( www.pactr.org ) Registration Number: PACTR202304579281358. The study was retrospectively registered on April 19, 2023.

Indexed as

DexamethasoneInfant, PrematureRespiratory Distress Syndrome, NewbornAdultFemaleGestational AgeGlucocorticoidsHumansInfant, NewbornPregnancyPremature BirthPrenatal CareProspective StudiesTransient Tachypnea of the NewbornDexamethasoneGlucocorticoidsAntenatalCorticosteroidsLate preterm periodRespiratory morbidity

Identifiers

PMID38698318
PMCPMC11064281

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.