The association between antenatal corticosteroids exposure and postnatal growth in infants born between 23 and 29 weeks of gestation

© 2024. The Author(s), under exclusive licence to Springer Nature America, Inc..

OBJECTIVE: To assess the association between antenatal corticosteroids exposure and postnatal growth in infants born at 23-29 weeks' gestation.

STUDY DESIGN: This retrospective study used data from the Pediatrix Clinical Data Warehouse. Maternal-infant dyads from 2018 to 2020 were included. Inverse propensity weighting (IPW) was applied to balance pre-treatment confounders. Primary outcomes included postnatal weight, length, and head circumference growth trajectory percentiles.

RESULT: The unadjusted cohort consisted of 11,912 dyads. After IPW adjustment, there were 23,231 dyads. Exposed infants showed higher postnatal trajectory percentiles for weight (by 3.4%), length (by 1.8%), and head circumference (by 2.5%) when compared to non-exposed infants. The positive association between antenatal corticosteroids and postnatal growth was only observed in infants not exposed to preeclampsia/eclampsia/HELLP syndrome or without fetal growth restriction.

CONCLUSION: Antenatal corticosteroids exposure is associated with better postnatal growth. The study is limited by its retrospective nature.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Journal of perinatology : official journal of the California Perinatal Association - 44(2024), 4 vom: 25. Apr., Seite 561-567

Sprache:

Englisch

Beteiligte Personen:

Chou, Fu-Sheng [VerfasserIn]
Clark, Reese H [VerfasserIn]
Yeh, Hung-Wen [VerfasserIn]

Links:

Volltext

Themen:

Adrenal Cortex Hormones
Journal Article

Anmerkungen:

Date Completed 11.04.2024

Date Revised 11.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s41372-024-01871-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367193159