Document Detail


Changing physician's practice on antenatal corticosteroids in preterm birth.
MedLine Citation:
PMID:  15962636     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study aimed to monitor the change of practice in antenatal corticosteroids use in preterm birth, assess how physicians would prescribe and identify factors associated with such a prescription. Medical records were reviewed quantitatively and current attending physicians were interviewed qualitatively. Multiple logistic regression with random effect model was used for analysis. The results revealed that antenatal corticosteroid use in preterm births initially doubled after the evidence became available and tripled after the evidence was disseminated. The antenatal corticosteroid use among women having a gestational age less than 34 weeks increased significantly from 41% to 71% and 73%, respectively (p < 0.01). A gestational age of 34 weeks or more or a higher cervical dilatation at admission reduced the use of corticosteroids significantly. In conclusion, physician's practice changed based on the evidence. The education for the early recognition of labor and guidelines on the use of antenatal corticosteroids should be implemented.
Authors:
Phassara Saengwaree; Tippawan Liabsuetrakul
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  88     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-06-20     Completed Date:  2005-07-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  307-13     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / therapeutic use*
Adult
Female
Gestational Age
Hospitals, Teaching
Humans
Information Dissemination
Physician's Practice Patterns / trends*
Pregnancy
Premature Birth / drug therapy*
Prenatal Care / methods
Professional Practice / trends
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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