Antenatal glucocorticoid therapy increases glucose delivery to cerebral circulations during acute hypoxemia in fetal sheep during late gestation.

Abstract:

OBJECTIVE:To determine the effects of 2 maternal injections with dexamethasone on the calculated oxygen and glucose deliveries to fetal cerebral and peripheral circulations during acute hypoxemia in sheep. STUDY DESIGN:Beginning at 124 days, ewes received 2 intramuscular injections of either dexamethasone (2 x 12 mg, n = 10) or saline solution (2 x 2 mL, n = 12) 24 hours apart. Hypoxemia (1 hour) was induced 32 hours after the first injection (H1) and 3 days after the second (H2). RESULTS:In saline solution-treated fetuses, glucose delivery was unchanged or increased in femoral and carotid circulations, respectively, during H1 and H2. In dexamethasone-treated fetuses, the increase in glucose delivery to the head tended to be greater during H1 and was significantly enhanced in dexamethasone- vs saline solution-treated fetuses during H2. CONCLUSION:Two maternal injections with dexamethasone significantly enhanced glucose delivery to the head during acute hypoxemia in the ovine fetus.

journal_name

Am J Obstet Gynecol

authors

Jellyman JK,Gardner DS,McGarrigle HH,Fowden AL,Giussani DA

doi

10.1016/j.ajog.2009.01.012

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

82.e1-8

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(09)00018-0

journal_volume

201

pub_type

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