Document Detail


Perinatal corticosteroids and the developing lung.
MedLine Citation:
PMID:  12065185     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A significant number of infants are born prematurely each year, many of whom will develop respiratory disease and require ventilation. A substantial number of these infants will die and many of the survivors will subsequently develop chronic inflammatory lung disease. Administration of corticosteroids to women prior to a premature delivery is associated with a significant reduction in mortality and in the incidence of respiratory distress syndrome and intracranial haemorrhage in their infants once born. Postnatal administration of corticosteroids to the infant who develops chronic lung disease has been widely practised for many years. Recent meta-analyses have suggested that benefit may be limited. Treatment is also associated with a range of different side-effects but it has been assumed that the cost-benefit ratio favoured treatment. Recent evidence of permanent and highly significant long-term adverse effects has questioned the validity of this judgement.
Authors:
Alan T Gibson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Paediatric respiratory reviews     Volume:  3     ISSN:  1526-0542     ISO Abbreviation:  Paediatr Respir Rev     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-06-14     Completed Date:  2002-07-18     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  100898941     Medline TA:  Paediatr Respir Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  70-6     Citation Subset:  IM    
Affiliation:
North Trent Neonatal Intensive Care Unit, Jessop Wing, Sheffield Teaching Hospitals NHS Trust, Tree Root Walk, Sheffield S10 2SF, UK. A.T.Gibson@Sheffield.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / administration & dosage*
Female
Humans
Infant, Newborn
Infant, Premature / growth & development*
Lung / drug effects*,  growth & development*
Neonatology / methods
Perinatal Care / methods
Pregnancy
Respiratory Distress Syndrome, Newborn / prevention & control
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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