Respiratory Distress Syndrome, Newborn, Transient Tachypnea of the Newborn
Conditions
Keywords
Respiratory distress, Antenatal steroids, late preterm
Brief summary
The hypothesis of the study is that administration of antenatal steroid to women at high risk of preterm birth after 34 weeks of gestation would reduce the risk of respiratory complications, specifically Respiratory Distress Syndrome (RDS) or Transient Tachypnea of the Newborn (TTN) in late preterm babies.
Interventions
A single course of betamethasone (two doses of 12 mg/dose given at 24 hourly intervals)
Two doses of 2ml of normal saline given at 24 hourly intervals
Sponsors
Study design
Eligibility
Inclusion criteria
* Women between 34 0/7- 36 6/7 weeks of gestation * High risk of preterm birth
Exclusion criteria
* Multiple births * Fetal congenital malformations * A course of steroids within 2 weeks of randomization * Multiple courses of steroids * Chorioamnionitis * Non reassuring fetal heart rate * Obstetrical indication of delivery * Active bleeding * Pregnancy related hypertensive disorders * Uncontrolled diabetes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Respiratory Distress Syndrome (RDS)or Transient Tachypnea of the Newborn(TTN) | First three days of life |
Secondary
| Measure | Time frame |
|---|---|
| Days on ventilation | Neonatal period (28 days of life) |
| Necrotizing enterocolitis (NEC) | Neonatal period (28 days of life) |
| Clinical sepsis | Neonatal period (28 days of life) |
| Intraventricular Hemorrhage (IVH) | First week after birth |
| Surfactant treatment | First three days of life |
| Persistent Pulmonary Hypertension of the Newborn(PPHN) | First three days of life |
| Admission to NICU | First three days of life |
| Hospital stay | Neonatal period (28 days of life) |
| Days on oxygen | Neonatal period (28 days of life) |
| Intubations | First three days of life |
| Pneumothorax | First three days of life |
Countries
Lebanon