Effect of antenatal corticosteroids on postmortem brain weight of preterm babies.

Abstract:

OBJECTIVES:To investigate the effects of single and repeated courses of antenatal corticosteroids on brain growth in very preterm babies. DESIGN:Retrospective study of 110 very preterm babies delivered at a single University Teaching Hospital between 1992 and 1999 who had a full necropsy including detailed examination of the brain. RESULTS:Mean brain weight did not differ significantly between babies who received corticosteroids and those who did not 160 vs. 157 g, (p=0.82), nor was there a difference between mean brain weight of stillborn or liveborn babies in relation to steroid use 164 vs. 159 g, (p=0.84) and 156 vs. 152g (p=0.81). There was no apparent dose-response relationship between the total number of doses of corticosteroids or timing since the first dose of corticosteroids and brain weight, p=0.95 and p=0.87. CONCLUSIONS:Single and multiple courses of antenatal corticosteroids had no significant effect on brain growth in babies delivered preterm who died but long-term follow-up studies are required to evaluate the functional neurological outcome of surviving children.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Murphy DJ

doi

10.1016/s0378-3782(01)00144-x

keywords:

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

113-22

issue

2

eissn

0378-3782

issn

1872-6232

pii

S037837820100144X

journal_volume

63

pub_type

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