Prophylaxis of respiratory distress syndrome in late preterm infants (34-36 weeks of gestational age)with antenatal corticosteroids MedDRA version: 14.0 Level: HLGT Classification code 10028920 Term: Neonatal and perinatal conditions System Organ Class: 10036585 - Pregnancy, puerperium and perinatal conditions
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Pregnat women with a medical condition which requires an elective preterm cesarean section (34-36 weeks of gestation) Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 520 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1) Major congenital malformation 2) Women with a medical condition which requires a corticosteroids therapy befor enrollment 3) Women already treated with corticosteroids prophylaxis within two weeks from enrollment 4) Women with a cesarean section planned within 12 hours from enrollment 5) P-PROM 6)Maternal condition for which a corticosteroids therapy is controindicated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare the incidence of RDS which requires any ventilatory support (nCPAP, SIPAP, mechanical ventilation, INSURE) within the first 72 hours of life in a group of newborns treated with antenatal corticosteroids and in a control group;Secondary Objective: 1) Type and duration of ventilatory support; 2) Number and type of invasive procedures; 3) Incidence of infections and days of antibiotic therapy; 4)Incidence and type of cerebral lesions detectable by ultrasounds within the 5th week of life (term of gestation); 5)Incidence of breastfeeding with or without additional formula 6)Total number of hospitalization days;Primary end point(s): Reduction of respiratory distresss in premature newborn treated with antenatal corticosteroids;Timepoint(s) of evaluation of this end point: 2 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1) Type and duration of ventilatory support; 2) Number and type of invasive procedures; 3) Incidence of infections and days of antibiotics therapy; 4)Incidence and type of cerebral lesions detectable by ultrasounds within the 5th week of life (term of gestation); 5)Incidence of breastfeeding with or without additional formula 6)Total number of hospitalization days;Timepoint(s) of evaluation of this end point: 2 years | — |
Countries
Italy
Contacts
Fondazione IRCCS "Ca' Granda" Ospedale Maggiore Policlinico