Evidence map›Paper›PMID 39971868›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2025

Associations of Antenatal Corticosteroids With Neurodevelopment in Children Aged 27-30 Months: A Population-Based Cohort Study.

Emily M Frier, Marius Lahti-Pulkkinen, Chun Lin, Fabienne Decrue, Helga Zoega, Karel Allegaert, Jasper V Been, David Burgner, Kate Duhig, Kristjana Einarsdóttir and 21 more

Abstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

31 authors.

Emily M FrierMRC Centre for Reproductive Health, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0001-8835-4310
Marius Lahti-PulkkinenDepartment of Psychology and Logopedics, Faculty of Medicine, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
Chun LinUsher Institute, The University of Edinburgh, Edinburgh, UK.
Fabienne DecrueCentre for Cardiovascular Science, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.
Helga ZoegaFaculty of Medicine and Health, School of Population Health, UNSW Sydney, Sydney, New South Wales, Australia.
Karel AllegaertDepartment of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium.
Jasper V BeenDepartment of Neonatal and Paediatric Intensive Care, Division of Neonatology, Erasmus MC Sophia Children's Hospital, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
David BurgnerDepartment of Paediatrics, Melbourne University, Parkville, Victoria, Australia.
Kate DuhigMaternal and Fetal Health Research Centre, University of Manchester, Manchester, UK.
Kristjana EinarsdóttirCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
Lani FlorianMoray House School of Education and Sport, University of Edinburgh, Edinburgh, UK.
Abigail FraserPopulation Health Sciences, Bristol Medical School and MRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Mika GisslerDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Cynthia Gyamfi-BannermanDepartment of Obstetrics, Gynaecology, and Reproductive Sciences, University of California, San Diego, La Jolla, California, USA.
Lars Henning PedersenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID https://orcid.org/0000-0001-6726-1991
Jessica E MillerDepartment of Paediatrics, Melbourne University, Parkville, Victoria, Australia.
Ben W MolRitchie Centre, Monash University, Clayton, Australia.ORCID https://orcid.org/0000-0001-8337-550X
Sarah R MurrayMRC Centre for Reproductive Health, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.
Jane NormanUniversity of Nottingham, Nottingham, UK.
Devender RobertsFamily Health Division, Liverpool Women's Hospital, Liverpool, UK.
Ewoud SchuitDepartment of Epidemiology & Health Economics, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Ting ShiUsher Institute, The University of Edinburgh, Edinburgh, UK.
Aziz SheikhUsher Institute, The University of Edinburgh, Edinburgh, UK.
Joshua P VogelMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.
Rachael WoodUsher Institute, The University of Edinburgh, Edinburgh, UK.
Emma McGoldrickFamily Health Division, Liverpool Women's Hospital, Liverpool, UK.
Bo JacobssonDepartment of Obstetrics and Gynecology, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Eyal KrispinMaternal Fetal Care Center, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-5859-9528
Rebecca M ReynoldsMRC Centre for Reproductive Health, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0001-6226-8270
Sarah J StockMRC Centre for Reproductive Health, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0003-4308-856X
Co‐OPT Collaboration

Funding

Wellcome TrustWellcome Trust 209560/Z/17/Z
6 · The paper itself

Abstract

objectiveTo examine the associations of antenatal corticosteroid (ACS) exposure with neurodevelopment in early childhood, and how these vary with gestational age at birth.

designPopulation-based cohort study.

settingScotland, UK. POPULATION: 285 637 singleton children born at 28-41 weeks' gestation, between 1st January 2011 and 31st December 2017, who underwent health reviews at 27-30 months of age.

methodsLogistic and linear regression analyses, stratified by gestation at birth (28-33, 34-36, 37-38 and 39-41 weeks' gestation), were used to evaluate the associations between ACS exposure and neurodevelopmental outcomes, and adjusted for maternal age, body mass index, diabetes, antenatal smoking, parity, neighbourhood deprivation, birth year, child sex and age at review.

main outcome measuresPractitioner-identified concerns about any neurodevelopmental domain, and the average of five domain scores on neurodevelopmental milestones from the parent-rated Ages and Stages Questionnaire (ASQ-3).

resultsAfter adjustment for covariates, ACS exposure was associated with reduced neurodevelopmental concerns in children born at 28-33 weeks' gestation (OR = 0.79, 95% CI = 0.62-0.999) and with increased neurodevelopmental concerns in children born at 34-36 weeks' gestation (OR = 1.11, 95% CI = 1.01-1.21). No independent associations emerged in children born at later gestations. ACS exposure was not associated with ASQ-3 scores in any gestational age group.

conclusionsIn early childhood, ACS exposure was associated with statistically significantly reduced neurodevelopmental concerns in children born at 28-33 weeks' gestation, and with statistically significantly increased neurodevelopment concerns in children born at 34-36 weeks' gestation. However, the effect sizes of these associations were small. No independent associations were found between ACS exposure and neurodevelopment in term-born children.

Indexed as

Adrenal Cortex HormonesChild DevelopmentNeurodevelopmental DisordersPrenatal Exposure Delayed EffectsAdultChild, PreschoolCohort StudiesFemaleGestational AgeHumansInfantMalePregnancyScotlandAdrenal Cortex Hormonesantenatal corticosteroidsneurodevelopmentpreterm birth

Identifiers

PMID39971868
PMCPMC12051224

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Registered trials

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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.